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