Table 2:
Prospective trials in oligometastatic prostate cancer
| Study | Population | Outcome |
|---|---|---|
| Palma et al. | Oligorecurrent disease (≤ 5 metastases) Randomized SOC palliation +/− MDT | Median OS (41 vs 28 months) |
| Median PFS (12 vs 6 months) | ||
| Ost et al. | Oligorecurrent HSPC (≤ 3 metastases), No ADT, Randomized MDT vs observation |
Median ADT-FS (21 vs 13 months) |
| Siva et al. | Oligorecurrent HSPC and CRPC (≤ 3 metastases), Single arm SABR, No ADT for HSPC | One (58%) and two year (39%) DPFS |
| Two year ADT-FS (48%) | ||
| Kneebone et al. | Oligorecurrent HSPC (≤ 3 metastases), Single arm SABR, PSMA scan used, No ADT | Median bDFS (11 months) |
| Bowden et al. | Oligorecurrent (≤ 5 metastases), majority HSPC; single arm SABR, no ADT for HSPC | Two year FFTE (51.7%) |
| ORIOLE | Oligorecurrent HSPC (≤ 3 metastases), Randomized SABR vs observation; No ADT | Pending |
| Boeve et al. | De novo metastatic PCa randomized to ADT +/− RT to prostate primary | Median OS (45 vs 43 months) |
| Trend to improved OS with < 5 lesions | ||
| Parker et al | De novo metastatic PCa randomized to ADT +/− RT to prostate primary | Median OS (46 vs 48 months) |
| Three year OS improved in low (81 vs 73%), but not high volume disease* |
NSCLC – Non small cell lung cancer; LC – local consolidation; chemo – chemotherapy, OS – overall survival; PFS – progression free survival; MDT – metastasis directed therapy; SOC – standard of care; bDFS – biochemical disease free survival, FFTE – freedom from treatment escalation
High volume defined as four or more bone metastases with at least one outside the vertebrae/pelvis or visceral metastases