Welcome
Why nlmixr?
The goal of nlmixr, or more accurately nlmixr2, is to support easy and robust nonlinear mixed effects models (NLMEMs) in R.
NLMEMs are used to help identify and explain the relationships between drug exposure, safety, and efficacy and the differences among population subgroups. Most often, they are built using longitudinal PK and pharmacodynamic (PD) data collected during clinical studies. These models characterize the relationships between dose, exposure and biomarker and/or clinical endpoint response over time, variability between individuals and groups, residual variability, and uncertainty.
NLMEM development in the pharmaceutical space is dominated by a small number of proprietary, commercial software tools. Although this kind of approach to software has some advantages, adopting an open-source, open-science paradigm also has benefits - third-party auditing or adjustments are possible, and the precise model-fitting methodology employed can be determined by anyone with the time and energy to review the source code. We see nlmixr2 being especially useful in being able to integrate into the rich R ecosystem, and it is well suited for use in scripted, literate-programming workflows of the kind flourishing in the R ecosystem by means of packages such as knitr and rmarkdown.
The nlmixr2 blog
Fitting PK/PD models to published data with admixr2
Usually, pharmacometric modelling starts with a dataset with individual patient data: one row per observation, in a software-ready format. To model these data, you would first need to get access to the data, which means data-sharing agreements, trial access, or in-house studies. This process is often slow or even not possible due to privacy or competition. However, researchers do publish their model and sometimes summary metrics. The published reports do contain useful information.
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