Table 1 –
Parameter Overview: Overview of key model parameters along with data sources used for model calibration and testing. Units in brackets, distributions in curly brackets, and 95% confidence intervals in parentheses for parameters fitted in this work.
Key Model Parameters – Estimated From Literature & Previous Studies | |||
Parameter | Description | Value | Source |
Ncells(0) | initial number of local clonogens | [9.1*106 – 6.7*1011] [cells] | Geng et al.(18) |
K | gompertzian carrying capacity | 8.2*1012 [cells] | Geng et al.(18) |
Vp(0) = Npersistent(0)/Ncells(0) Vr(0) = Npersistent(0)/Ncells(0) |
initial fraction of TKI persistent & TKI resistant clonogens | [0.05 – 0.5] [-] [10−4 – 10−1] [-] |
Grassberger et al.(12) |
μ | resistant mutation probability | 10−7 [-] | Grassberger et al.(12) |
βTKI | TKI cell kill parameter | trunc-norm {μ=2, σ=7} [ml/μg]; (>1) | Grassberger et al.(12) |
βc | chemotherapy cell kill parameter | trunc-norm {μ=.028, σ=6.8*10−4} [m2/mg]; (>0) | Geng et al.(18) |
t1/2 | chemotherapy plasma half life | 24 [hr] | Geng et al.(18) |
κ | TKI plasma decay factor | 0.0465 [hr−1] | Grassberger et al.(12), Foo et al.(30) |
rdeath | comorbidity death rate for regional lung cancer | 0.55 [%/mo] | SEER(20, 21) |
Key Model Parameters – Derived In Current Study | |||
Parameter | Description | Value | Source |
fmet | initial number of metastatic clonogens as a fraction of Ncells(0) | 2*10−6 (CI: 7.5*10−7 – 4*10−6) [-] | this work |
ρ | NSCLC growth rate | trunc-norm {μ=7*10−5, σ=.0055 (CI: .005–.007)} [day−1]; (>0) | this work |
α | WT NSCLC radiosensitivity | trunc-norm {μ=.10 (CI: .04–.18), σ=.17 (CI: .11–.2)} [Gy−1]; (>0) | this work |
αEGFR | EGFR-mutant NSCLC radiosensitivity | trunc-norm {μ=.16 (CI: .10–.26), σ=.32 (CI: .20–.44)} [Gy−1]; (>0) | this work |
Clinical Data used for Calibrating & Testing Model In Current Study | |||
Dataset | Description | Endpoint | Source |
Calibration (N=118, USA) | institutional LF & DF rates in EGFR-mutant/WT LA-NSCLC | FFLF & FFDF [mo] | Mak et al.(24) |
Calibration (N=95, Japan) | institutional LF & DF rates in EGFR-mutant /WT LA-NSCLC | FFLF & FFDF [mo] | Lim et al.(23) |
Calibration (N=185, S. Korea) | institutional LF & DF rates in EGFR-mutant /WT LA-NSCLC | FFLF & FFDF [mo] | Yagishita et al.(19) |
Testing (N=86, France, Italy, Spain) | phase III clinical trial of TKIs in metastatic NSCLC (NCT00446225) | PFS [mo] | EURTAC Trial, Rosell et al.(1) |
Testing (N=598, Worldwide) | phase III clinical trial of concurrent chemoradiation in locally advanced NSCLC (NCT00686959) | PFS [mo] | PROCLAIM Trial, Senan et al.(35) |
Testing (N=6 Clinical Trials) | meta-analysis of 6 clinical trials of sequential versus concurrent chemoradiotherapy in LA-NSCLC | FFLF & FFDF [mo] | Auperin et al.(36) |