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. 2019 Feb;8(1):58–69. doi: 10.21037/tlcr.2018.10.07

Table 1. Prospective studies reporting toxicity and outcomes of SBRT for patients with centrally located NSCLC.

Reference Central only Stage and patient number Definition of “Central Tumors” SBRT dose Heterogeneity correction Median follow-up (months) Survival Local control Grade 3+ toxicities (%) Grade 5 toxicities
Timmerman et al. [2006] (11); Phase II No T1-2N0, N=70 GTV within central zone (RTOG 0236) 20 Gy ×3; 22 Gy ×3 No 18 MS: 32.6 months; central vs. peripheral: no difference 2 y-LC: 95% 46 1× hemorrhage; 1× pericardial effusion; 4× bacterial pneumonia
Xia et al. [2006] (4); Phase II No T1-2N0, N=43 7 Gy ×10 No 27 3 y-OS: Stage 1, 91%; Stage 2, 64% 3 y-LC: 95% 0 0%
Fakiris et al. [2009] (Update of Timmerman study) (3); Phase II No T1-2N0, N=70 Same as Timmerman et al. [2006] 20 Gy ×3; 22 Gy ×3 No 50 3 y-OS: 42.7%; MS: 32.4 months; central vs. peripheral: 24.4 vs. 33.2 months, P=0.697 3 y-LC: 88% 27 1× hemorrhage; 1× respiratory failure; 3× bacterial pneumonia
Bral et al. [2011] (20); Phase II No T1-2N0, N=40 RTOG 0813 15 Gy ×4; 20 Gy ×3 (peripheral) No 16 2 y-OS: 52%; 2 y-PFS: 64%; central vs. peripheral (1-y metastasis-free survival): 79% vs. 91%, P=0.54 2 y-LC: 84% 29 0%; (Patient with grade 3 stenosis died of hemoptysis after stenting)
RTOG 0813; Bezjak et al. [2016] (13); Phase I/II Yes T1-2aN0, N=120 GTV within central zone, PTV overlapping w mediastinum (RTOG 0813) 10 Gy ×5; 10.5 Gy ×5; 11 Gy ×5; 11.5 Gy ×5; 12 Gy ×5 Yes 33 2 y-OS: 72.7%;
2 y-PFS: 54.5%
2 y-LC: 87.7% 18 6%; 3× hemorrhage; 1× esophageal ulcer
Roach et al. [2018] (21); Phase I/II Yes T1-3N0, N=64 RTOG 0236 9 Gy ×5; 10 Gy ×5; 11 Gy ×5; 12 Gy ×5 12 1 y-OS: 81.2% 1 y-LC: 95.4% 17 2%; 1× hemorrhage

SBRT, stereotactic body radiation therapy; NSCLC, non-small cell lung cancer; GTV, gross tumor volume; RTOG, Radiation Therapy Oncology Group; Gy, gray; MS, median survival; LC, local control; OS, overall survival; PFS, progression-free survival; PTV, planning target volume.