Table 3.
Dose escalation CFRT studies used as a benchmark for HFRT studies.
Reference | n | risk groups | BED (Gy), at α/β = |
FFBF | RTOG late toxicity Grade ≥2 (%) |
||||||
---|---|---|---|---|---|---|---|---|---|---|---|
median FU (months) |
total dose (Gy or GyE) |
total fractions | Gy/ fraction | 1.5 | 10 | GU | GI | ||||
MD Anderson / Kuban2 |
151 | mostly low, intermediate |
43.5 | 78 | 39 | 2 | 182 | 94 | 8-year Phoenix: 78% (p = 0.001) | 8 | 26 |
150 | 70 | 35 | 2 | 163 | 84 | 8-year Phoenix: 59% (p = 0.001) | 13 | 13 | |||
| |||||||||||
Dutch / Al- Mamgani3 |
333 | low, intermediate, |
70 | 78 | 39 | 2 | 182 | 94 | 7-year ASTRO: 54% (p = 0.04) 7-year Phoenix: 56% (p = 0.03) |
40 | 35 |
331 | high | 68 | 34 | 2 | 159 | 82 | 7-year ASTRO: 47% (p = 0.04) 7-year Phoenix: 45% (p = 0.03) |
41 | 25 | ||
| |||||||||||
MGH / Zietman4, 5 |
195 | low, intermediate, |
66 | 79.2 | 44 | 1.8 | 174 | 93 | 5-year ASTRO: 80% (p < 0.001) 10-year ASTRO: 83% (p < 0.001) |
21 | 19 |
197 | high | 70.2 | 39 | 1.8 | 154 | 83 | 5-year ASTRO: 61% (p < 0.001) 10-year ASTRO: 68% (p < 0.001) |
20 | 9 | ||
| |||||||||||
UK MRC / Dearnaley 6 |
63 | low, intermediate, |
64 | 74 | 37 | 2 | 173 | 89 | 5-year ASTRO: 71% (p = 0.1) | 18 | 23 |
64 | high | 64 | 32 | 2 | 149 | 77 | 5-year ASTRO: 59% (p = 0.1) | 11 | 11 |
Abbreviations: ASTRO: American Society of Therapeutic Radiology and Oncology; BED: biologically equivalent dose; CFRT: conventionally fractionated radiotherapy; DM: distant metastasis; FFBF: freedom from biochemical failure; FU: follow-up; GI: gastrointestinal; GU: genitourinary; HFRT: hypofractionated radiation therapy; NS: not significant; NR: not reported; OS: overall survival