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Table 5 Grade 3+ acute toxicity and locoregional control: review of the literature for IMRT

From: Does gap-free intensity modulated chemoradiation therapy provide a greater clinical benefit than 3D conformal chemoradiation in patients with anal cancer?

 

Number of patients

Follow-up (months)

Locoregional control (%)

Treatment breaks (%)

Breaks (days)

Rates of grade 3+ GI toxicity (%)

Rates of grade 3+ skin toxicity (%)

Rate of grade 3 and 4 haematological toxicity (%)

Scale

Pepek et al.[13]

47

Median 14

90 (2-y)

18 (AT)

Median 5 (2-7)

10

0

24

CTC V3

Bazan et al.[6]

46

Median

      

CTC V3

17 (3D)

3D : 26

3D : 56.7 (3-y)

3D : 88 (AT)

3D : 12

3D : 29

3D : 41

3D : 29

29(IMRT

IMRT: 32

IMRT : 91.9 (3-y) (P<0.01)

IMRT : 34.5 (90% AT, 10% NC) (P=0.001)

IMRT : 1.5 (P<0.0001)

IMRT: 7

IMRT: 21

IMRT : 21

Salama et al.[14]

53

Median

83.9 (1.5-y)

41.5

Median

15

38

59

CTC V3

 

14.5

 

(AT)

4 (2-14)

   

RTOG 0529 .[19]

43

24

95 (2-y)

40

Median

7

10

61

CTC V3

   

(AT+NC) 35 (toxicity)

2 (2-24)

   

Kachnic et al.[20]

52

23.2

80 (2-y)

NR

NR

22

20

NR

CTC V3

Milano et al.[12]

17

20.3

82 (2-y)

24 (AT)

NR

0

0

38

RTOG

Hodges et al.[17]

6

25

100 (3-y)

50

1- 3

67

0

 

CTC V3

Vautravers-Dewas et al.

51

Median

 

17.6

Median

3D : 3.7

35.3

4

CTC V3

  

3D : 60

88 (2-y)

(AT)

15 (1-43)

IMRT : 20.8

   
  

IMRT : 23

65.8 (2-y)

  

(P=0.088)

   
  1. GI: gastrointestinal; AT: acute toxicity; NC: not compliant; CTC: Common Toxicity Criteria; NR : not reported; MMC: Mitomycin C.