This sounds like a good  case for a nonparametric method - if you use the one 
in NONMEM, you might try
expanding Omega to counter shrinkage.   The versions in USC*PACK and PHOENIX 
NLME optimize over
both support point positions and probabilities, so this is not necessary with 
those methods.
________________________________
From: owner-nmus...@globomaxnm.com [owner-nmus...@globomaxnm.com] on behalf of 
Mark Sale [ms...@nuventra.com]
Sent: Friday, February 19, 2016 4:30 PM
To: nmusers@globomaxnm.com
Subject: [NMusers] Mixture model with logistic regression


Has anyone every tried to use a mixture model with logistic regression? I have 
data on a AE in several hundred patients, measured multiple times (10-20 times 
per patient).  Examining the data it is clear that, independent of drug 
concentration, there is very wide distribution of this AE, 68% of the patients 
never have the AE, 25% have it about 20% of the time and the rest have it 
pretty much continuously, regardless of drug concentration.  (in ordinary 
logistic regression, just glm in R, there is also a nice concentration effect 
on the AE in addition).   Running the usual logistic model, not surprisingly, I 
get a really big ETA on the intercept, with 68% of the people having ETA small 
negative, 25% ETA ~ 1 and 7% ETA ~ 10. No covariates seem particularly 
predictive of the post hoc ETA.  I thought I could use a mixture model, with 3 
modes, but it refused to do that, giving me essentially 0% in the 2nd and 3rd 
distribution, still with the really large OMEGA for the intercept.  Even when I 
FIX the OMEGA to a reasonable number, I still get essentially no one in the 2nd 
and 3rd distribution.  I tried fixing the fraction in the 2nd and 3rd 
distribution (and OMEGA), and it still gave me a very small difference in the 
intercept for the 2nd and 3rd populations.

Is there an issue with using mixture models with logistic regression? I'm just 
using FOCE, Laplacian, without interaction, and LIKE.




Any ideas?


Mark


Mark Sale M.D.
Vice President, Modeling and Simulation
Nuventra, Inc. ™
2525 Meridian Parkway, Suite 280
Research Triangle Park, NC 27713
Office (919)-973-0383
ms...@nuventra.com<UrlBlockedError.aspx>
www.nuventra.com<http://www.nuventra.com>


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