TABLE 2

Overview of Administered Activities and Estimated Organ and Lymphoma Doses

Patient no.
Parameter123456
Pretherapy dosimetry
 177Lu-pentixather (MBq)224224200208200211
 Kidney max_mL (Gy/GBq 177Lu)0.82.91.30.8*1.3
 Liver (Gy/GBq 177Lu)0.20.60.70.40.60.9
 Spleen (Gy/GBq 177Lu)0.30.80.71.01.70.7
 Bone marrow max_mL (Gy/GBq 177Lu)*4.82.40.9
 Extramedullary lesion max_mL (Gy/GBq 177Lu)0.91.94.55.51.9
RLT
 90Y-pentixather (GBq)5.32.84.36.55.86.2
 Added RLT with 188Re-anti-CD66 (GBq)5.6
 Added RLT with 90Y-Zevalin (GBq)1.4
Posttherapy dosimetry
 Kidney max_mL (no protection) (Gy/GBq 90Y)3.511.34.93.8*5.7
 Liver (Gy/GBq 90Y)0.91.81.61.31.62.0
 Spleen (Gy/GBq 90Y)1.21.81.63.43.61.8
 Bone marrow (Gy/GBq 90Y)*11.45.11.9
 Extramedullary lesion max_mL (Gy/GBq 90Y)3.95.310.416.77.1
 Kidney max_mL (with protection) (Gy)11.219.212.914.6*20.9
 Liver (Gy)5.05.17.18.49.512.2
 Spleen (Gy)6.65.27.021.820.711.1
 Bone marrow max_mL (Gy)*73.829.411.7
 Extramedullary lesion max_mL (Gy)20.915.045.296.543.5
  • * Not evaluable because of malignant structures.

  • No visible tracer accumulation.

  • 90Y-pentixather, recalculated from pretherapeutic dosimetry.

  • 40% reduction of absorbed radiation dose of kidneys by coinfusion of amino acid solution (arginine/lysine).