Table 2.
Contemporary series of systemic therapy (temozolomide or bevacizumab) and radiotherapy in single (SRS) or multi-fraction (FSRT) for recurrent high-grade gliomas.
Author | Year | N | Therapeutic approach | Median fraction number, prescription dose | Median OS after reRT (months) | Toxicity |
---|---|---|---|---|---|---|
Gutin et al. [18] | 2009 | 25 | FSRS + BEV | 5 fx, 30 Gy | 12.5 | RTOG G3 = 1 (hemorrhage); G4 3 (1 bowel perforation; 1 wound dehiscence; 1 GI bleed) |
Torcuator et al. [45] | 2010 | 23 | SRS/FSRT +BEV | SRS 18–20 Gy FSRT 6fx, 36 Gy |
7.2 | Not reported |
Minniti et al. [21] | 2011 | 36 | FSRT + TMZ | 15 fx, 37.5 Gy | 9.7 | Neurologic deterioration 3 |
Cuneo et al. [28]. | 2012 | 63 | SRS/FSRT ± BEV | SRS 18 Gy FSRT 5 fx, 25 Gy |
11 | RTOG G3 = 11%; RN 10% |
Niyazi et al. [31] | 2012 | 30 | FSRT +/− BEV | 18 fx, 36 Gy | Not reached | RTOG G3 = 1; G4 = 1 (wound dehiscence); 2 RN |
Park et al. [27] | 2012 | 11 | SRS + BEV | 1 fx, 16 Gy | 18 | RTOG G3 = 1 |
Cabrera et al. [26] | 2013 | 15 | SRS/FSRT + BEV | SRS 18 or 24 Gy FSRT 5 fx, 25 Gy |
13 | RTOG G3 = 1 |
Greenspoon et al. [46] | 2014 | 31 | SRS + TMZ | 5 fx, 25–35 Gy | 9 | RN RTOG G3 = 3, G4 = 1 |
ReRT: Re-irradiation, SRS: radiosurgery, FSRT: fractionated stereotactic radiotherapy (multisession radiosurgery), RTOG: radiation therapy oncology group, G: toxicity grade, NA: not available, RN: Radionecrosis, fx: fraction(s).