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. Author manuscript; available in PMC: 2021 Mar 1.
Published in final edited form as: Cancer J. 2020 Mar-Apr;26(2):137–143. doi: 10.1097/PPO.0000000000000432

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