Table 3. Initial RT dose and schedule of randomised trials of chemotherapy with RT vs RT alone in locally advanced NPC.
Author | Weekly fractions | Primary tumour dose | Involved nodes dose | Remaining nodal area (Gy) |
---|---|---|---|---|
Neoadjuvant chemotherapy+RT vs RT alone | ||||
VUMCA (1996) | 5 × 2 Gy d−1 | 65–70 Gy | 65 Gy | 50 |
Hareyama et al (2002) | 5 × 2.0 Gy d−1 or4 × 2.2 Gy d−1 | 66–68 Gy | 66–68 Gy | 50 |
Chua et al (1998) | 5 × 2 Gy d−1 (n=110) orhypofractionated (n=176) | 66–70 Gy (36%)>70–74 Gy (64%) | 60–66 Gy (82.5%)>66–76 Gy (17.5%) | 60 |
Ma et al (2001) | 5 × 2.0 Gy d−1 | 68–72 Gy | 60–62 Gy | 50 |
Concurrent chemotherapy+RT vs RT alone | ||||
Lin et al (2003) | 5 × 2.0 Gy d−1 (n=240) orhyperfractionated (n=44) | 70–74 Gy | 70–74 Gy | 50–60 |
Chan et al (2002, 2004 | 5 × 2 Gy d−1 | 66 Gy | N/A | N/A |
Adjuvant chemotherapy+RT vs RT alone | ||||
Rossi et al (1988) | 1.8 Gy d−1 (n=103) orhyperfractionated (n=13) | 60–70 Gy | 60–70 Gy | 50 |
Chi et al (2002) | 5 × 1.8–2.0 Gy d−1 | 70–72 Gy | 70–72 Gy | 50 |
Neoadjuvant and adjuvant chemotherapy+RT vs RT alone | ||||
Chan et al (1995) | N/A | 66 Gy±boost | 58 Gy+7.5 Gy boost | 58 |
Concurrent and adjuvant chemotherapy+RT vs RT alone | ||||
Al-Sarraf et al (1998, 2001) | 5 × 1.8–2.0 Gy d−1 | 70 Gy | 66–70 Gy | 50 |
Wee et al (2004) | 2.0 Gy d−1 | 70 Gy | N/A | N/A |
Lee et al (2004) | 5 × 2.0 Gy d−1 | 66 Gy | 66 Gy | N/A |
Kwong et al (2004) | 4 × 2.5 Gy d−1 to40 Gy then5 × 2.5 Gy d−1 or | 62.5 Gy | 62.5 Gy | N/A |
5 × 2.0 Gy d−1 | 68 Gy | 66 Gy | N/A |
Gy=Grays; d=day; N/A=not applicable; RT=radiotherapy; NPC=nasopharyngeal carcinoma; a(a1, a2, a3)=combined therapy arm, b=radiotherapy alone arm.