Table 4.
Hypofractionation for prostate.
Trial | Sample Size | Inclusion Criteria | RT Technique | Fractionation | Outcomes | Median Follow-Up | Results |
---|---|---|---|---|---|---|---|
PROFIT [79] | 1206 | Intermediate-risk | 3D/IMRT | 78 Gy/39 fx 60 Gy/20 fx |
BCF | 6 years | 5-year BCF DFS was 85% in both arms (HR [short v standard], 0.96; 90% CI, 0.77 to 1.2) |
CHHIP [76,78] | 3216 | Localized prostate cancer (pT1b–T3N0) Mostly intermediate 73% |
3D/IMRT | 74 Gy/37 fx 60 Gy/20 fx 57 Gy/19 fx ADT allowed |
Time to biochemical or clinical failure | 5.2 years | 5 yr BCF 74 Gy: 88.3% failure-free at 5 years. 60 Gy: 90.6%, HR vs. 74 Gy: 0.84, pNI = 0.0018. 57 Gy: 85.9%, HR vs. 74 Gy: 1.20, pNI = 0.48. |
Legend: BCF: biochemical–clinical failure; HR: hazard ratio; fx: fractions; DFS: disease-free survival.