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Table 2 Overview of final model parameter differences for [68Ga]Ga-HA-DOTATATE and [177Lu]Lu-HA-DOTATATE, where compartments represent blood (1), spleen (2), kidney (3), tumor (4), a SSTR-expressing (5) and rest (6) compartment

From: Predicting [177Lu]Lu-HA-DOTATATE kidney and tumor accumulation based on [68Ga]Ga-HA-DOTATATE diagnostic imaging using semi-physiological population pharmacokinetic modeling

 

Parameter values (RSE% provided for estimated values*)

[68Ga]Ga-HA-DOTATATE

[177Lu]Lu-HA-DOTATATE

Structural parameters

  

 k10 (h−1)

0.25

0.575

 k12 (h−1)

0.21

0.0607 (0.29-fold difference (15%))

 k20 (h−1)

0.01

0.01

 k13 (h−1)

0.22

0.107 (0.49-fold difference (15%))

 k30 (h−1)

0.01

0.01

 k14 (h−1)

0.11

0.157 (1.43-fold difference (14%))

 k40 (h−1)

0.01

0.00375 (0.38-fold difference (35%))

 k15 (h−1)

2.5

2.5

 k50 (h−1)

0.01

0.01

 k16 (h−1)

1

1

 k60 (h−1)

0.01

0.01

 V1 (L)

4

4

 V2 (L)

0.21

0.21

 V3 (L)

0.3

0.3

 V5 (L)

4

4

 V6 (L)

50

50

 Fraction unbound in plasma

0.69

0.57

 BMAX compartment 2 (nmol/L)

16.7

16.7

 BMAX compartment 3 (nmol/L)

6.7

6.7

 BMAX compartment 4 (nmol/L)

30

30

 BMAX compartment 5 (nmol/L)

2.4

2.4

IIV (CV%)

 k10

31.6%

31.6%

 k12 or BMAX compartment 2**

50%

50%

k13 or BMAX compartment 3**

50%

50%

 k14 or BMAX compartment 4**

50%

50%

 k15 or BMAX compartment 5**

31.6%

31.6%

Structural effect

 Tumor volume on k14

1

0.67 (17%)

RUV

 Proportional error (CV%)

31.6%

31.6%

  1. RSEs were obtained from the NONMEM covariance step. The tumor compartment volume parameter (V4) was based on individually measured tumor volumes
  2. BMAX, maximum binding capacity; V, compartment volume; CV%, coefficient of variation; IIV, inter-individual variability; RSE, relative standard error; RUV, residual unexplained variability
  3. *PK parameters for [177Lu]Lu-HA-DOTATATE were estimated as a fold difference compared to the parameter for [68Ga]Ga-HA-DOTATATE
  4. **IIV was added to k parameters for [68Ga]Ga-HA-DOTATATE, while for [177Lu]Lu-HA-DOTATATE IIV was added to BMAX