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. 2018 Jul 23;21(4):564–572. doi: 10.1038/s41391-018-0064-7

Table 5.

Results (biochemical disease-free survival): comparison with non-randomized studies using high-dose radiotherapy

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