Table 5.
Study | Study design | Inclusion criteria | Adjuvant therapy | no. of pts | Median follow-up months | Proportion with | bDFS | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
pN1 | Preop. PSA > 10 | Postop. PSA> 0.2 | R1 | Gleason score > 7 | All pts | N0 | N1 | R0 | R1 | ||||||
Cozzarini C et al., 2009 | Retrosp. | pT3-4 R0/1; pT2 R1; pN0 | RT: 55.8–72 Gy to prostatic fossa ± HT | 334 | 108 | 0.0% | NO | NO | 66.0% | 16.2% | 83.0% ( ≥ 70.2 Gy) 71.0% (<70.2 Gy) (5-y) | NO | NO | 96.0% ( ≥ 70.2 Gy) 81.0% (<70.2 Gy) (98 pts hormone-naive) | 86.0% ( ≥ 70.2 Gy) 82.0% (<70. 2 Gy) (64 pts hormone-naive) |
Bellavita R et al., 2012 | Retrosp. | pT3-4 R0/1; any T R1; pN0 | RT: 50–70 Gy (1.8–2 Gy/fraction) to prostatic fossa ± region of seminal vesicles (only pT3b) ± HT | 182 | 55.6 | 0.0% | NO | 30.0% | 75.0% | 43.5% | 87.0% (3-y) 81.0% (5-y) 75.0% 10-y) | NO | NO | NO | NO |
Ost P et al., 2012 | Retrosp. | pT3-4 R0/1; any T R1; pN0 | RT: 70–77 Gy (1.8–2.0 Gy/fraction) to prostatic fossa ± HT | 225 | 60 | 0.0% | 40.0% | NO | 72.0% | 20.0% | 84.0% (7-y) | NO | NO | 77.0% | 86.0% |
Katayama S et al., 2014 | Phase II | pT3 R0/1; pT2 R1; pN + ; postop PSA recurrence; Roach nodal risk > 20.0% with inadequate nodal dissection (<10) | RT: 68 Gy (2 Gy/fraction) to prostatic fossa ± PNI 51 Gy (1.5 Gy/fraction) + HT | 40 | 24 | 57.5% | NO | NO | NO | 70.0% | 90% (2-y) | NO | NO | NO | NO |
Present series | Phase II | ≤ 79 y; ECOG scale 0–2; pT2-4 N0-1 M0 | RT: 64.8–70.2 Gy (1.8 Gy/fraction) to prostatic fossa + PNI 45 Gy ± HT | 123 | 67 | 14.6% | 56.1% | 7.3% | 58.5% | 25.2% | 92.9% (5-y) | 93.6% | 90.0% | 93.1% | 92.9% |
bDFS biochemical disease-free survival, preop preoperative, postop postoperative, y years, ECOG Eastern Cooperative Oncology Group, HT hormone therapy, NR not reported, PNI prophylactic irradiation, PSA prostate-specific antigen, pts number of patients, RT radiotherapy, Retrosp retrospective