Unit Assignment and Conversion with PKNCA"
In PKNCA: Perform Pharmacokinetic Non-Compartmental Analysis

knitr::opts_chunk$set(
  collapse = TRUE,
  comment = "#>"
)

suppressPackageStartupMessages(
  library(PKNCA)
)

Introduction

PKNCA can assign and convert units for reporting. There are two ways to provide units to PKNCA: via the units argument to PKNCAdata() or by specifying units with PKNCAconc() and/or PKNCAdose(). If you provide the units argument to PKNCAdata(), units given to PKNCAconc() or PKNCAdose() are ignored.

Examples of each way to add units

Steps to add units to an NCA analysis from the data

For more details on parts of this NCA calculation example unrelated to units, see the theophylline example vignette.

Provide the units for concentration (concu), time (timeu), and amount (amountu) to the PKNCAconc() function and for dose (doseu) to the PKNCAdose() function.

d_conc <- as.data.frame(datasets::Theoph)
d_conc$concu_col <- "mg/L"
d_conc$timeu_col <- "hr"
d_dose <- datasets::Theoph[datasets::Theoph$Time == 0, c("Dose", "Time", "Subject")]
d_dose$doseu_col <- "mg/kg"
o_conc <- PKNCAconc(d_conc, conc~Time|Subject, concu = "concu_col", timeu = "timeu_col")
o_dose <- PKNCAdose(d_dose, Dose~Time|Subject, doseu = "doseu_col")

Then, create the data object the same way as typical. Results will have units.

o_data <- PKNCAdata(o_conc, o_dose)
o_nca <- pk.nca(o_data)
summary(o_nca)

It is also possible to specify the units without them coming from columns in the data.

d_conc <- as.data.frame(datasets::Theoph)
d_dose <- datasets::Theoph[datasets::Theoph$Time == 0, c("Dose", "Time", "Subject")]
o_conc <- PKNCAconc(d_conc, conc~Time|Subject, concu = "mg/L", timeu = "hr")
o_dose <- PKNCAdose(d_dose, Dose~Time|Subject, doseu = "mg/kg")
o_data <- PKNCAdata(o_conc, o_dose)
o_nca <- pk.nca(o_data)
summary(o_nca)

And, you can perform automatic unit conversions as long as the unit conversions are defined without more information (e.g. convert between mass or time units). For more complex conversions, see the information below.

d_conc <- as.data.frame(datasets::Theoph)
d_dose <- datasets::Theoph[datasets::Theoph$Time == 0, c("Dose", "Time", "Subject")]
o_conc <- PKNCAconc(d_conc, conc~Time|Subject, concu = "mg/L", timeu = "hr", concu_pref = "ug/L", timeu_pref = "day")
o_dose <- PKNCAdose(d_dose, Dose~Time|Subject, doseu = "mg/kg")
o_data <- PKNCAdata(o_conc, o_dose)
o_nca <- pk.nca(o_data)
summary(o_nca)

Steps to manually add units to an NCA analysis

For more details on parts of this NCA calculation example unrelated to units, see the theophylline example vignette.

o_conc <- PKNCAconc(as.data.frame(datasets::Theoph), conc~Time|Subject)
d_dose <- datasets::Theoph[datasets::Theoph$Time == 0, c("Dose", "Time", "Subject")]
o_dose <- PKNCAdose(d_dose, Dose~Time|Subject)

The difference from a calculation without units comes when setting up the PKNCAdata object. You will add the units with the units argument.

Since no urine or other similar collection is performed, the amountu argument is omitted for pknca_units_table().

d_units <-
  pknca_units_table(
    concu="mg/L", doseu="mg/kg", timeu="hr",
    # use molar units for concentrations and AUCs
    conversions=
      data.frame(
        PPORRESU=c("(mg/kg)/(hr*mg/L)", "(mg/kg)/(mg/L)", "mg/L", "hr*mg/L"),
        PPSTRESU=c("L/hr/kg", "L/kg", "mmol/L", "hr*mmol/L"),
        conversion_factor=c(NA, NA, 1/180.164, 1/180.164)
      )
  )

o_data <- PKNCAdata(o_conc, o_dose, units=d_units)
o_nca <- pk.nca(o_data)
summary(o_nca)

Prepare a Unit Assignment and Conversion Table

A unit assignment and conversion table can be generated as a data.frame to use with the pknca_units_table() function or manually.

The simplest method each of the types of units for inputs and automatically generates the units for each NCA parameter.

d_units_auto <- pknca_units_table(concu="ng/mL", doseu="mg", amountu="mg", timeu="hr")
# Show a selection of the units generated
d_units_auto[d_units_auto$PPTESTCD %in% c("cmax", "tmax", "auclast", "cl.obs", "vd.obs"), ]

As you see above, the default units table has a column for the PPTESTCD indicating the parameter. And, the column PPORRESU indicates what the default units are.

Without unit conversion, the units for some parameters (notably clearances and volumes) are not so useful. You can add a conversion table to make any units into the desired units. For automatic conversion to work, the units must always be convertible (by the units library). Notably for automatic conversion, you cannot go from mass to molar units since there is not a unique conversion from mass to moles.

d_units_clean <-
  pknca_units_table(
    concu="ng/mL", doseu="mg", amountu="mg", timeu="hr",
    conversions=
      data.frame(
        PPORRESU=c("mg/(hr*ng/mL)", "mg/(ng/mL)", "hr"),
        PPSTRESU=c("L/hr", "L", "day")
      )
  )
# Show a selection of the units generated
d_units_clean[d_units_clean$PPTESTCD %in% c("cmax", "tmax", "auclast", "cl.obs", "vd.obs"), ]

Now, the units are much cleaner to look at.

To do a conversion that is not possible directly with the units library, you can add the conversion factor manually by adding the conversion_factor column. You can mix-and-match manual and automatic modification by setting the conversion_factor column to NA when you want automatic conversion. In the example below, we convert concentration units to molar. Note that AUC units are not set to molar because we did not specify that conversion; all conversions must be specified.

d_units_clean_manual <-
  pknca_units_table(
    concu="ng/mL", doseu="mg", amountu="mg", timeu="hr",
    conversions=
      data.frame(
        PPORRESU=c("mg/(hr*ng/mL)", "mg/(ng/mL)", "hr", "ng/mL"),
        PPSTRESU=c("L/hr", "L", "day", "nmol/L"),
        conversion_factor=c(NA, NA, NA, 1000/123)
      )
  )
# Show a selection of the units generated
d_units_clean_manual[d_units_clean_manual$PPTESTCD %in% c("cmax", "tmax", "auclast", "cl.obs", "vd.obs"), ]

How do I add different unit conversions for different analytes?

Sometimes, when multiple analytes are used and, for example, molar outputs are desired while inputs are in mass units. Different unit conversions may be required for different inputs.

Different unit conversions can be used by adding the grouping column to the units specification.

Start by setting up a concentration dataset with two analytes. Since the dosing doesn't have an "Analyte" column, it will be matched to all concentration measures for the subject.

d_conc_theoph <- as.data.frame(datasets::Theoph)
d_conc_theoph$Analyte <- "Theophylline"
# Approximately 6% of theophylline is metabolized to caffeine
# (https://www.pharmgkb.org/pathway/PA165958541).  Let's pretend that means it
# has 6% of the theophylline concentration at all times.
d_conc_caffeine <- as.data.frame(datasets::Theoph)
d_conc_caffeine$conc <- 0.06*d_conc_caffeine$conc
d_conc_caffeine$Analyte <- "Caffeine"
d_conc <- rbind(d_conc_theoph, d_conc_caffeine)

d_dose <- unique(datasets::Theoph[datasets::Theoph$Time == 0,
                                  c("Dose", "Time", "Subject")])

Setup the units with an "Analyte" column to separate the units used.

d_units_theoph <-
  pknca_units_table(
    concu="mg/L", doseu="mg/kg", timeu="hr",
    # use molar units for concentrations and AUCs
    conversions=
      data.frame(
        PPORRESU=c("(mg/kg)/(hr*mg/L)", "(mg/kg)/(mg/L)", "mg/L", "hr*mg/L"),
        PPSTRESU=c("L/hr/kg", "L/kg", "mmol/L", "hr*mmol/L"),
        conversion_factor=c(NA, NA, 1/180.164, 1/180.164)
      )
  )
d_units_theoph$Analyte <- "Theophylline"
d_units_caffeine <-
  pknca_units_table(
    concu="mg/L", doseu="mg/kg", timeu="hr",
    # use molar units for concentrations and AUCs
    conversions=
      data.frame(
        PPORRESU=c("(mg/kg)/(hr*mg/L)", "(mg/kg)/(mg/L)", "mg/L", "hr*mg/L"),
        PPSTRESU=c("L/hr/kg", "L/kg", "mmol/L", "hr*mmol/L"),
        conversion_factor=c(NA, NA, 1/194.19, 1/194.19)
      )
  )
d_units_caffeine$Analyte <- "Caffeine"
d_units <- rbind(d_units_theoph, d_units_caffeine)

Now, calculate adding the different units per analyte to the data object.

o_conc <- PKNCAconc(d_conc, conc~Time|Subject/Analyte)
o_dose <- PKNCAdose(d_dose, Dose~Time|Subject)
o_data <- PKNCAdata(o_conc, o_dose, units=d_units)
o_nca <- pk.nca(o_data)
summary(o_nca)