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Table 3 Pharmacodynamic model estimates of the final model for [177Lu]Lu-PSMA-I&T

From: Quantification of biochemical PSA dynamics after radioligand therapy with [177Lu]Lu-PSMA-I&T using a population pharmacokinetic/pharmacodynamic model

Pharmacodynamic parameters

Estimate (RSE%)

95% CI

Structural parameters

  

Baseline PSA (µg/L)

140a

 

 Tumor volume on baseline PSA (µg/L)b

57.5 (38.9%)

15.5–101.6

PSA growth rate (kG) (h−1)

0.000408 (14.2%)

0.000286–0.000517

Direct drug-induced effect (kD, direct) (L·day−1·GBq−1)

0.00335 (40.1%)

0.000961–0.006147

Rate constant effect compartment (ke0) (h−1)

0.00128 (13.1%)

0.00105–0.00171

Delayed drug-induced effect (kD, delay) (L·day−1·MBq−1)

0.0000328 (17.4%)

0.0000235–0.0000450

Box-cox shape parameter

 −0.822 (28.3%)

 −1.24 to −0.414

Inter-individual variability

  

Baseline PSA (CV%)

179 (17.4%)

151–210

kG (CV%)

90.9 (32.6%)

64.2–121

kD, direct (CV%)

140 (51.2%)

61.0–206

kD, delay (CV%)

87.5 (26.1%)

66.1–109

Residual unexplained variability

  

Proportional error (CV%)

29.3 (9.2%)

27.0–32.2

  1. 95% CI and RSE values were obtained from the SIR
  2. CI confidence interval, CV% coefficient of variation, PSA prostate-specific antigen, RSE relative standard error, SIR sampling importance resampling
  3. aFixed parameter
  4. bAdded using a linear covariate function: \(P_{cov} = P_{pop} + \left( { \theta_{cov} *\left( {\frac{COV}{{COV_{median} }}} \right)} \right)\)