Baseline correction examples [Regulatives / Guidelines]

posted by Helmut Homepage – Vienna, Austria, 2015-09-17 17:44 (3522 d 15:02 ago) – Posting: # 15423
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Dear Ohlbe,

two examples of baseline-corrections.
  1. A stable baseline

    The theoretical T/R for AUC is 90%. The baseline is 25. What we measure:

    [image]

    If we work with uncorrected concentrations the AUCt-ratio with 94.87% will be biased (here the T looks better, but can be the other way ’round as well). The Cmax-ratio is also affected (92.00%). Extrapolate? Forget it. The estimated λz is only ~10% (!) of the true value… Instead of the theoretical extrapolated fraction of 0.33% we get ~45%!

    Let’t subtract the baseline:

    [image]

    As expected everything matches the theoretical values. No bias for any PK metric. Mission accomplished.

  2. A circadian rhythm in the baseline

    I followed your example (if I understood it correctly). The maximum of the base­line is at 6 a.m (50) and the minimum at 6 p.m. (20). The baseline at 8 a.m (administration) is 48 and at 8 p.m 22. The theoretical T/R for AUC and Cmax is 50%; tmax for both at 2.56.

    [image]

    The thin green line is the baseline. Thin blue/red lines are theoretical profiles of R and T. Thick lines are observed profiles.

    Let’s see what we get for the two baseline-correction methods.

    [image]

    If we subtract the pre-dose (that’s ~48 at 8 a.m.) we get the thin lines. Humbug. T/R for AUCt is 33.30% (worse than the true value). The T/R for Cmax is 44.92%. Good luck with extra­polation. Not only AUC and Cmax are affected but tmax is shifted towards earlier time points (T 1.8, R 2.1).

    If we subtract the entire baseline, we get the theoretical profiles (thick lines) and no bias in PK-metrics.

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Helmut Schütz
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