Table 2.
Radiation recall reaction characteristics, single- and multidrug regimens containing cisplatin
| Drug regimen | Number of reported cases | Radiation recall reactions | Severity (CTCAE) median (range) | Body site(s) | Mean EQD2 dose (range) | Time range RT to trigger | Time range trigger to RRR |
|---|---|---|---|---|---|---|---|
| Cisplatin | 3 | Dermatitis | 1 (1–2) | Face, neck, trunk | 68 Gy (66–70) | 3–12 months | A few minutes–6 hours |
| Gemcitabine/cisplatin | 7 | Dermatitis, myositis, proctitis | 3 (2–3) | Neck, trunk, shoulder | 43 Gy (18–56) | 1 months–37 years | 1 weeks–3 months |
| Cisplatin/5-fluorouracil | 6 | Dermatitis, myositis, mucositis | 1 (1–3) | Scalp, oral, neck, trunk, perianal | 64 Gy (43–74) | 3 weeks–9 years | 3 days–3 months |
| Cisplatin/pemetrexed | 4 | Dermatitis | 2 (1–3) | Scalp, trunk | 42 Gy (N.A.) | 3–4 weeks | 2–5 days |
| Cisplatin/cytarabine ± rituximab | 2 | Dermatitis, esophagitis | 1 (1) | Thorax | N.A. | 3–4 weeks | 3–5 days |
| Paclitaxel/cisplatin | 3 | Dermatitis | 1 (1) | Breast, trunk | 56 Gy (50–67) | 4–8 months | 3 hours–5 days |
| Cisplatin/doxorubicin ± cyclophosphamide | 2 | Dermatitis | 1 (1–2) | Trunk | N.A. | 3 weeks–9 months | 3–5 days |
| Cisplatin/epirubicin ± mitomycin | 2 | Dermatitis | 2 (2) | Head | N.A. | 3–26 months | N.A. |
| Cisplatin/vinorelbine | 1 | Dermatitis | 2 (2) | Trunk | 73 Gy (N.A.) | 1 week | 2 weeks |
N.A. not available, CTCAE Common Terminology Criteria for Adverse Events, EQD2 equivalent dose at 2 Gy, RT radiation therapy, RRR radiation recall reaction, Gy Gray