Table 1.
Study (year; country) |
Type |
N |
Modality |
Prescribed dose |
No. fraction |
Systemic therapy |
Stage |
Median FU, mo |
Outcomes at 2 y |
|||||||
% NACT |
% Con |
% Adj |
T1-2 |
T3-4 |
N0-1 |
N2-3 |
LRFS |
PFS |
OS |
|||||||
Holliday et al (2015; USA) [17] | Retrospective, matched | 10 20 | IMPT IMRT | 70 GyE 70 Gy | 33–35 33–35 | 80 85 | 100 90 | 10 0 | 60 55 | 40 45 | 40 35 | 60 65 | 21.6 25.8 | N = 10a N = 19a | N = 9a N = 19a | |
Lewis et al (2016; USA) [18] | Retrospective | 10 | IMPT | 70 GyE | 33–35 | 77.8 | 100 | 22.2 | 66.6 | 33.3 | 44.4 | 55.6 | 24.5 | 100 | 88.9 | 88.9 |
McDonald et al (2016; USA) [16]b | Retrospective, matched | 26 (15 NPC) 14 (2 NPC) | IMRT 3D-PT | 71.4 Gy 71.8 GyE | 0 21.4 | 88.5 50 | 0 14.2 | 19.2 7.1 | 80.8 92.9 | 57.7 78.6 | 42.3 21.4 | |||||
Beddok et al (2019; France) [19] | Retrospective | 17 | Mixed-beam EBRTc/ DS-PT | 70–78 GyE | 35–39 | 65 | 100 | 0 | 100 | 100 | 0 | 98 | 94 | 88 | 88 | |
Dionisi et al (2019; Italy) [20] | Retrospective | 17 rNPC | 3D-PT | 60 GyE (30.6–66) | 1.8–2 Gy/Fx | 11.8 | 47 | 0 | 5.9 | 88.2 | 0 | 0 | 10 | 72.9 | 59.3 | |
Park et al (2019; Korea) [21] | Retrospective | 63 35 | IMRT Mixed-beam IMRT/IMPT | 68.4 GyE 68.4 GyE | 30 30 | 0 0 | 100 100 | 0 0 | Stage: II 12.7%, III 36.5%, IV 50.8% Stage: II 45.7%, III 22.9%, IV 31.4% | 81 (1 y) 87.1 (1 y) | ||||||
Sanford et al (2019; USA) [22] | Retrospective | 12 61 | IMRT DS-PT | 70 Gy 70 GyE | 29 | 92 | 38 | 28 | 72 | 90 90 | 96 | 85 | 92 | |||
Alterio et al (2020; Italy) [23] | Retrospective | 17 27 | IMRT Mixed-beam IMRT/IMPT | 69.96–70 Gy 70–74 GyE | 33–35 35–37 | 15 (88.2) 16 (59.3) | 16 (94.1) 27 (100) | 0 0 | 17 (100) 27 (100) | 8 (47.1) 12 (44.4) | 9 (52.9) 15 (55.6) | 51 25 | 89 94 | 69 76 | N = 15a N = 22a | |
Jiri et al (2020; Czech Republic) [24] | Retrospective | 40 | IMPT | 70–76 GyE | 35–38 | 34 (85) | 19 (44.5) | 24 (56.5) | 14 (32.5) | 29 (67.5) | 24 | 84 | 75 | 80 |
Abbreviations: NPC, nasopharyngeal cancer; GyE, Gray equivalent; FU, follow-up; NACT, neoadjuvant chemotherapy; Con, concurrent chemotherapy; Adj, adjuvant chemotherapy; LRFS, local and regional progression-free survival; PFS, progression-free survival; OS, overall survival; IMPT, intensity-modulated proton therapy; -, no information; IMRT, intensity-modulated radiation therapy; 3D-PT, 3-dimensional conformal proton therapy; EBRT, external beam radiation therapy; DS-PT, double-scattering proton therapy; rNPC, recurrent nasopharyngeal cancer; 3DCRT, 3-dimensional conformal radiation therapy.
At the time of last follow-up.
The study included nasopharyngeal and paranasal sinus sites. No separate outcome for each site was reported. The values shown in the table therefore represent the entire cohort.
EBRT = 3DCRT or IMRT.