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Table 4 Overview of the biodistribution of 223Ra after intravenous injection in patients from four clinical trials [8, 10, 11, 17] in comparison to the modelled data of the present work; data expressed as percentage of administered 223Ra; values given as range, median or mean ± SD; n = patient number

From: Radiopharmacokinetic modelling and radiation dose assessment of 223Ra used for treatment of metastatic castration-resistant prostate cancer

Region

Time post-injection

Present work

Nilsson et al. [17]

n = 25

Carrasquillo et al. [11]

n = 10

Chittenden et al. [10]

n = 6

Yoshida et al. [8]

n = 6

Plasma

10-15 min

55

12

  

9-28 (22)

 

4 h

2.0

 

1.6-3.9 (2)

 

1-6 (4)

 

24 h

0.5

< 1

0.37-1.0 (0.55)

0.6-5.1 (1.1)

 
 

3 d

0.2

   

0-0.9 (0.3)

Bonea

2 h

28.2

   

41-57 (52)

 

4 h

29.8

  

61 ± 10

 

Urine (cumulative)

4 h

0.83

 

5 (first void)

  
 

2 d

1.58

  

2 ± 2

2

Faeces (cumulative)

1 d

12.9

 

40-61 (52)

  
 

2 d

35.3

  

13 ± 12

 
 

3 d

47.4

   

29-95 (64)

 

7 d

52.1

  

60-80

 

RC/ULI* content

1 d

11.6

  

45 ± 16

 
 

7 d

0.53

  

0-18 (4)

 

LC/LLI** content

2 d

7.4

  

17 ± 11

 
 

7 d

0.64

  

6 ± 4

 

HATM/GI tract*** content

6 h

40.9

   

22-85 (64)

 

1 d

39.3

 

50.8 ± 7.5

 

32-78 (52)

 

2 d

22.0

   

4-76 (31)

 

3 d

11.8

   

5-53 (21)

 

7-8 d

1.9

   

0-9 (3)

  1. aTotal bone, i.e. surface, volume and bone marrow
  2. *RC/ULI, right colon/upper large intestine
  3. **LC/LLI, left colon/lower large intestine
  4. ***HATM, human alimentary tract model (HATM) [21] referring in the present model to the RC, LC and recto sigmoid; GI tract, gastrointestinal tract (ICRP 30, [26]) representing small intestine, ULI and LLI. The present work refers to RC/LC/HATM content, whereas the clinical studies refer to ULI/LLI/GI tract content