PK analysis was performed with the data of all subjects using the software
Phoenix WinNonlin® version 8.0 (Pharsight, St. Louis, MO, USA) and
SAS version 9.3 (SAS Institute, Cary, NC, USA). All concentration values that were below the limit of quantification were considered as zero. Missing values were not included in the PK analysis. The estimated C
max, T
max, T
1/2, and the elimination rate constant (Lambda_z). The area under the curve of plasma concentration versus time was also calculated from time zero to the AUC
last.
The area under the curve of concentration versus AUC
inf was calculated using the linear trapezoidal rule, and the extrapolated AUC percentage of total AUC was calculated as
Total CL was calculated as the total dose (mg) divided by AUC
inf (CL), and the V
d based on the terminal was calculated as
When AUC
ext was greater than 20%, AUC
inf and its associated parameters (T
1/2, CL, and V
d) were set as missing, and AUC
last was reported. A non-compartmental method (Model 200 of
Phoenix WinNonlin® 5.2, Pharsight, St. Louis, MO, USA) was used to estimate the PK parameters of T-DM1, total trastuzumab, and DM1.
López-Miranda E., Pérez-García J.M., Di Cosimo S., Brain E., Ravnik M., Escrivá-de-Romaní S., Vidal M., Gligorov J., Borštnar S., Calabuig L., Sampayo-Cordero M., Malfettone A., Llombart-Cussac A., Suter T.M, & Cortés J. (2020). Trastuzumab Emtansine Plus Non-Pegylated Liposomal Doxorubicin in HER2-Positive Metastatic Breast Cancer (Thelma): A Single-Arm, Multicenter, Phase Ib Trial. Cancers, 12(12), 3509.