Open Access

Erratum to: Characterizing plasma albumin concentration changes in TB/HIV patients on anti retroviral and anti –tuberculosis therapy

  • Kuteesa R Bisaso1Email author,
  • Joel S Owen2,
  • Francis W Ojara1,
  • Proscovia M Namuwenge3,
  • Apollo Mugisha4,
  • Lawrence Mbuagbaw5,
  • Livingstone S Luboobi6 and
  • Jackson K Mukonzo1, 3, 7
In Silico Pharmacology20153:2

DOI: 10.1186/s40203-014-0005-7

Received: 9 December 2014

Accepted: 10 December 2014

Published: 11 February 2015

The original article was published in In Silico Pharmacology 2014 2:3

Erratum

As a result of continuous review of the model published in (Bisaso et al. 2014) corrections, clarifications and comparisons have been made.
  1. 1.

    We would like to retract the relation between ABCB1c.3435C > T gene mutation and baseline albumin secretion rate. This is because, even though the mutation in the gene was identified as a significant covariate with our data, we are still unable to biologically explain the relationship.

     
  2. 2.

    The final model equation (equation 7), referred to here as the “Simplified Solution” is not the direct solution of the differential equations preceding it. We would therefore like replace it with the unsolved differential equation below and show a comparison of the results of the two equations.

     
The unsolved differential equation has the initial value of X being Q0/k
$$ \frac{dX}{dt}=\frac{Q_0{Q}_{SS}{e}^{Rt}}{Q_{SS}+{Q}_0\left({e}^{Rt}-1\right)}-kX $$

The equation was fit to the data in NONMEM version 7.2, using a differential equations solver specified by the ADVAN6 and TOL = 3 subroutines. The First Order Conditional Estimation with interaction (FOCEI) estimation method was used.

The Interaction term was not used in the previous analysis because it has been reported not to be useful when there are small number of observations per individual and therefore does not provide different results (Peter 2011).

The two models, i.e. the previously defined simplified solution and the unsolved differential equation above were compared with respect to fit, difference and precision of parameter estimates, goodness of fit, prediction bias and precision as well as length of runtimes given the same initial parameter estimates.

As shown in Table 1 below, there was no significant difference in the fit of the models as measured by Objective function value (OFV < 3.84). The range of absolute difference in parameter estimates was 0.28% to 18% of the parameter estimates of the unsolved differential equation model above. The two models had similar relative standard errors of the estimates. The prediction bias and precision were also similar for both models. Both models were able to identify TB disease status and ABCB1c.3435C > T genotype as significant covariates on baseline albumin secretion rate. The goodness of fit plots and visual predictive check plots for both models were indistinguishable. As shown in Figure 1 and 2 below, the individual and population predictions of models were similar.
Table 1

NONMEM estimated relative standard errors, percentage difference in parameter estimates, numerical predictive checks and other model comparison criteria for model1 and model2

 

The unsolved differential equation model

The previous simplified solution

% parameter difference

Relative standard errors

Q0

2.6

2.5

0.28

QSS

18.5

17.3

-0.16

R

48.2

46.0

17.78

Q0_TB = 1(proportional increase in Q0 with TB)

13.9

14.1

1.27

IIV_Q0

18.0

17.8

0.73

Residual error

5.4

5.4

-0.31

Other model criteria

OFV

57.151

58.457

NA

Condition Number

25.38

21.39

NA

runtime (seconds)

5.48

1.79

NA

Measures of model prediction

Bias (%PE)

-0.66478

-0.66329

NA

Precision( 1-RMSE)

0.72481

0.72464

NA

https://static-content.springer.com/image/art%3A10.1186%2Fs40203-014-0005-7/MediaObjects/40203_2014_5_Fig1_HTML.gif
Figure 1

Individual and population model predictions using model 1 (differential equation) versus using model 2 (simplified analytical solution. The solid black line is the line of identity.

https://static-content.springer.com/image/art%3A10.1186%2Fs40203-014-0005-7/MediaObjects/40203_2014_5_Fig2_HTML.gif
Figure 2

Visual predictive checks of the two models, stratified on TB disease status. Top panel has the VPC of the previous model and the bottom panel, the VPC of the unsolved equation.

The total run time (parameter estimation plus covariance) for the unsolved differential equations model above was more than three times that of the previously defined model and this ratio was higher during more intensive procedures like bootstrapping and stepwise covariate analysis.

Conclusion

We would like to change model equation to the unsolved differential equation model. The model provided here and the previously defined model differ mostly in one parameter, R (rate of change of albumin secretion) and the computation times, but the other outputs including parameters, predictions and goodness of fit plots were similar.

Notes

Authors’ Affiliations

(1)
Department of Pharmacology & Therapeutics, College of Health Sciences, Makerere University
(2)
School of pharmacy, Union University Tennessee
(3)
Centre for Operational Research in Africa
(4)
Department of Clinical Chemistry, Mulago National Referral Hospital
(5)
Department of Clinical Epidemiology and Biostatistics, McMaster University
(6)
Department of Mathematics, College of Natural Sciences, Makerere University
(7)
CIHR Canadian HIV Trials Network

References

  1. Bisaso KR, Owen JS, Ojara FW, Namuwenge PM, Mugisha A, Mbuagbaw L, et al. Characterizing plasma albumin concentration changes in TB/HIV patients on anti retroviral and anti -tuberculosis therapy. In Silico Pharmacol. 2014; 2(1):3. doi:10.1186/s40203-014-0003-93.View ArticlePubMed CentralPubMedGoogle Scholar
  2. Peter LB. Nonlinear Mixed Effects Models: Theory. In: Peter LB, editor. Pharmacokinetic-Pharmacodynamic Modeling and Simulation. 2nd ed. New York: Springer; 2011: p. 256.Google Scholar

Copyright

© Bisaso et al.; licensee Springer. 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.