Optimal Experimental Design Optimal Times to get Serum Samples: D - optimal experimental Design 4/29/2019 USC LAPK
4/29/2019 USC LAPK
4/29/2019 USC LAPK
4/29/2019 USC LAPK
4/29/2019 USC LAPK
4/29/2019 USC LAPK
4/29/2019 USC LAPK
4/29/2019 USC LAPK
4/29/2019 USC LAPK
An Example: Monitoring Lidocaine Optimally Loading infusion over 1 min, then 1.45 mg/min. 10 subjects. Conventional monitoring strategy – 8 measurements, at 5, 10, 30, 60, 120, 180, 360, and 720 min into the regimen. V=30L, Kel=.0242hr-1, Kcp=.066hr-1, and Kpc=.038hr-1. Assay SD = 0.0078 + 0.1236 x conc. D – Optimal strategy – 4 samples, each in duplicate, at 1, 10, 70, and 720 min. 4/29/2019 USC LAPK
4/29/2019 USC LAPK
4/29/2019 USC LAPK
4/29/2019 USC LAPK
Bottom line for research or for TDM Don’t wait for steady state Don’t wait for distribution after the dose Start TDM with 1st dose Use D-opt principles 4/29/2019 USC LAPK