TABLE 1.
Patient ID | 1 | 2 | 3 | 4 | 5 | Median (range) |
---|---|---|---|---|---|---|
Clinical characteristics | ||||||
Age (years) | 44 | 62 | 43 | 53 | 31 | 44 (31:62) |
Gender | F | M | M | M | M | |
Ethnicity | White | White | White | White | White | |
Overall survival (months) | 25 | 9 | 7 | 10 | 4 | 9 (4:25) |
Status | Alive | Alive | Alive | Dead | Dead | |
Stage | ||||||
AJCC classification | M1c | M1a | M1c | M1c | M1c | |
Sites of Metastatic Disease | Bone, lung, nodal, soft tissue | Lymph nodes | Soft tissue, liver lesion | Lung, stomach, soft tissue | Pleura | |
LDH UI/L | 141 | 169 | 233 | 442 | 365 | 233 (141:442) |
Treatment | ||||||
Drug | Pembrolizumab | Pembrolizumab | Pembrolizumab | Pembrolizumab | Pembrolizumab | |
Response 6 weeks (FLT-PET, PERCIST) | PR | PR | SD | SD | PD | |
Response – 12 weeks (CT, RECIST) | CR | PR | PR | SD | PD | |
Baseline FLT-PET | ||||||
Uptake | ||||||
SUV max | 12.1 | 5.9 | 5,5 | 8.4 | 5.2 | 5.9 (5.2:12.1) |
SUV peak | 9.7 | 4.8 | 3,7 | 7.4 | 3.9 | 4.8 (3.7:9.7) |
SUV mean | 3.7 | 3.8 | 3,1 | 5.2 | 2.8 | 3.7 (2.8:5.2) |
SUV SD | 1 | 0.7 | 0,8 | 1.1 | 0.5 | 0.8 (0.5:1.1) |
Tumor Burden | ||||||
TLP | 226 | 106 | 14 | 349 | 353 | 225 (14:353) |
PTV | 60 | 28 | 5 | 67 | 128 | 60 (5:128) |
Healthy Hematopoietic Tissue Metabolism | ||||||
SLR | 34% | 41% | 33% | 60% | 61% | 41% (33%:61%) |
BLR | 137% | 125% | 129% | 98% | 79% | 125% (79%:137%) |
6-week (Delta) FLT-PET | ||||||
Uptake | ||||||
Delta-SUV max | −75% | −40% | −22% | −14% | 233% | −22% (−75%:233%) |
Delta-SUV peak | −74% | −53% | −15% | −15% | 295% | −15% (−74%:295%) |
Delta-SUV mean | −54% | −52% | −17% | −17% | 203% | −17% (−54%:203%) |
Delta-SD | −89% | −63% | −17% | −31% | 5% | −31% (−89%:5%) |
Tumor Burden | ||||||
Delta- TLP | −91% | −85% | −32% | 63% | 8773% | −32% (−91%:8773%) |
Delta- PTV | −79% | −69% | −18% | 96% | 2830% | −18% (−79%:2830%) |
Healthy Hematopoietic Tissue Metabolism | ||||||
Delta-SLR | 47% | 0% | −9% | −27% | 4% | 0% (−27%:47%) |
Delta-BLR | −4% | 12% | 21% | 38% | 9% | 12% (−4%:38%) |