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Combination Radionuclide Therapy Using 177Lu- and 90Y-Labeled Somatostatin Analogs

Marion de Jong, PhD;, Wout A.P. Breeman, PhD;, Roelf Valkema, MD;, Bert F. Bernard and Eric P. Krenning, MD

Department of Nuclear Medicine, Erasmus Medical College, Rotterdam, The Netherlands



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FIGURE 1. Structures of the somatostatin analogs Tyr3-octreotide and Tyr3-octreotate and of the chelator DOTA.

 


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FIGURE 2. (A) Survival curves of groups of rats (n = 8–15), each bearing both a small (approximately 0.5 cm2) and a large (7–9 cm2) somatostatin receptor-positive rat pancreatic CA20948 tumor in the flanks. Rats were treated with single intravenous administrations of 370 MBq 90Y-DOTATOC (indicated as 90Y), 370 MBq 90Y-DOTA, 555 MBq 177Lu-DOTATATE (indicated as 177Lu), or 185 MBq 90Y-DOTATOC plus 278 MBq 177Lu-DOTATATE (indicated as 177Lu + 90Y). Control rats did not receive radioactivity. (B) Bars indicate the criteria for euthanasia. Rats were sacrificed when size of large tumors, small tumors, or both tumors exceeded 15 cm2. When neither tumor grew, animals were sacrificed at day 150 after therapy.

 


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FIGURE 3. (A) Survival curves of groups of rats (n = 8–15), each bearing both a small (approximately 0.5 cm2) and a large (7–9 cm2) somatostatin receptor-positive rat pancreatic CA20948 tumor in the flanks. Rats were treated with 2 intravenous administrations (2 wk apart) of 2 x 111 MBq 90Y-DOTATOC (indicated as 90Y), 2 x 278 MBq 177Lu-DOTATATE (indicated as 177Lu), or 2 x 56 MBq 90Y-DOTATOC plus 2 x 140 MBq 177Lu-DOTATATE (indicated as 177Lu + 90Y). Control rats did not receive radioactivity. (B) Bars indicate the criteria for euthanasia. Rats were sacrificed when size of large tumors, small tumors, or both tumors exceeded 15 cm2. When neither tumor grew, animals were sacrificed at day 150 after therapy.

 





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