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. 2014 Apr;6(4):287–302. doi: 10.3978/j.issn.2072-1439.2014.01.14

Table 2. Reported clinical trials combining LDFRT with chemotherapy in solid tumors.

Clinical trial parameters Induction regimen Phase I Phase II
Site Locally advanced SCCHN Recurrent ovarian fallopian tube/peritoneal cancers Locally advanced pancreatic or small bowel adenocarcinoma Stage III/IV endometrial carcinoma Recurrent/progressive GBM Stage IIA/B-IIIA breast cancer Recurrent NSCLC
Design Paclitaxel (225 mg/m2), carboplatin (area under the curve of 6), and four 80-cGy fractions of radiotherapy (two each on days 1 and 2). This sequence was repeated on days 22 and 23 One of three dose levels of docetaxel (20, 25, or 30 mg/m2) weekly with concurrent LDFRT given as 60 cGy bid 2 days weekly for 6 weeks Gemcitabine 1,250 mg/m2 at 10 mg/m2/min on days 1 and 8 of a 3-week cycle. LDFRT at two dose levels: 60 cGy per fraction and 70 cGy per fraction on days 1, 2, 8, and 9 for 4 weeks Six weekly cycles of FD-CDDP (40 mg/m2, maximum 70 mg IV) + LDFRT at 0.5 Gy/fx (total 3 Gy) and 0.75 Gy/fx (total 4.5 Gy) LDFRT 0.3 Gy twice daily with cisplatin and fotemustine if progressing on temozolomide, or 0.4 Gy twice daily with temozolomide if recurrent LDFRT 0.4 Gy/per fraction, 2 fractions per day, for 2 days, every 21 days for 6-8 cycles) with non-pegylated liposomal doxorubicin and docetaxel Pemetrexed (500mg/m2 IV) and concurrent LDFRT (40cGy bid on days 1 and 2) was repeated fourfold every 21 days
Duration 5 years 2 years 37 months 27 months 20 months 2 years
Recruitment 40 13 10 12 26 10 19
References Arnold et al. (34); Gleason Jr et al. (35) Kunos et al. (36) Regine et al. (37) Wrenn et al. (38) Balducci et al. (39) Nardone et al. (40) Mantini et al. (41)

LDFRT, Low Doses Fractionated Radiation Therapy.

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