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. 2020 Dec 10;13:12705–12720. doi: 10.2147/OTT.S220971

Table 4.

Particle Therapy Studies

Authors Type of Study Particle Number of Patients Dose/Fractionation/Chemotherapy Overall Survival Toxicity > G3
(Number of Patients)
Terashima et al, 2012125 Mono-centric Prospective; Phase I–II, Proton 50 P1: 50 GyE/25 fractions (5),
P2: 70.2 GyE/26 fractions (5),
P3: 67.5 GyE/25 fractions (40),
All with concurrent gemcitabine

1-year:76.8%
P3 patients:
1-year:78.8%
P1
G3 Anorexia (1)
G3 Epigastralgia (1)
P2
G3 Anorexia (1)
G3 gastric ulcer (1),
P3:
G3 Anorexia (4)
G3 GI ulcer (3);
G5: death from GI
bleeding (1)
Shinoto et al, 2016129 Mono-centric Prospective, Phase I Carbon ions 71 43.2–55.2 GyE/12 fractions, Gemcitabine 1-year: 73%,
2-year: 35%
Median:19.6 months
G3 Anorexia (6),
G3 gastrointestinal (1)
Shinoto et al, 2018128 Mono-centric retrospective study Carbon ions 46 55.2 GyE/12fractions, Gemcitabine 2-year: 53%
Median:25.1 months
G3 anorexia (1);
G3 gastrointestinal (2)
Kawashiro et al, 2018119 Multi-centric retrospective study Carbon ions 72 52.8 GyE or 55.2 GyE 12 fractions
Concurrent Gemcitabine (in 78% pts)
1 -year: 73%
2 -year: 46%
Median:
21.5 months
G3 anorexia (2);
G3 duodenal-ulcer (1)