Table 3.
Randomized, Controlled Trials Evaluating PCI
Study | No. of Patients | Primary Therapy | Dose (Gy) | CNS Metastases |
1-Year Survival (%) | Median Survival (months) | ||
---|---|---|---|---|---|---|---|---|
Observation (%) | PCI (%) | P | ||||||
VALG 19811 | 281 | RT only(all NSCLC) | 20 (2 Gy × 10) | 13 | 6 | .038 | NA | 7-8 |
MDACC 19843 | 97 | Multimodality (all NSCLC) | 30 (3 Gy × 10) | 27 | 4 | .002 | NA | NA |
RTOG 19912 | 187 | RT only (nonsquamous) | 30 (3 Gy × 10) | 19 | 9 | .10 | 13 (2-year) | 8 |
RTOG 2009 (this study) | 340 | Multimodality (all NSCLC) | 30 (2 Gy × 15) | 18 | 7.7 | .004 | 75 | 25 |
Abbreviations: PCI, prophylactic cranial irradiation; VALG, Veterans Affairs Lung Group; RT, radiation therapy; NSCLC, non–small-cell lung cancer; NA, not applicable; MDACC, MD Anderson Cancer Center; RTOG, Radiation Treatment Oncology Group.