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Table 3 Summary of previous studies on stereotactic body radiotherapy boost after external beam radiotherapy

From: Phase I/IIa trial of androgen deprivation therapy, external beam radiotherapy, and stereotactic body radiotherapy boost for high-risk prostate cancer (ADEBAR)

Author (Y)

Design

No.

Risk group (%)

EBRT (Gy/fx)

WPRT rate

Boost modality (%)

Boost (Gy/fx)

Administration of ADT/duration (M)

Median f/u (M)

Late toxicities

BCRFS

Pasquier (2020) [12]

P

76

I (100)

46/23

None

CK (79) Gantry-based (21)

18/3

None

62

5Y cumulative incidence G ≥ 2: 1.4% (GU), 9.3% (GI)

5Y 87.4%

Joseph (2019) [17]

P

237

I (14)

46/23

None

HDRB (100)

19.5/3

48%/6

126a

Absolute 1.3% of SAE

10Y LRFSa 97.8%

H (86)

52%/18

 

7.4Y urethral stricture: 12.7%

Pryor (2019) [18]

P

135

I (76)

46/23

8%

Gantry-based (100)

19 or 20/2

36%/ ≤6

24

2Y cumulative incidence G ≥ 2: 24.9% (GU), 4.5% (GI)

2Y 98.6%

H (24)

18%/> 6

Two G3 (GU), one G3 (GI)

Kim (2017) [11]

R

39

I (51)

45/25

100%

CK (100)

21/3

None

54

G2 10.3% (GU), 12.8% (GI)

5Y 94.7%

H (49)

No G ≥ 3

Mercado

(2016) [7]

R

108

L (4)

45–50.4/25–28

None

CK (100)

19.5/3

64%/median 6 M

53

2Y cumulative incidence (moderate to big by EPIC): 13.7% (GU), 5% (GI)

3Y 100%(I), 89.8%(H)

I (42)

H (54),

Anwar (2016) [9]

P

48

I (29)

45/25

100%

CK (100)

19 or 21/2

88%/median 6 M

43

G2 27% (GU), None (GI)

5Y 90%

H (71)

One G3 case

Lin (2014) [10]

R

41

H (100)

45/25

100%

CK (100)

21/3

100%/long-term

42

G2 3–11% (GU), None (GI)

4Y 91.9%

No G ≥ 3

Katz (2014) [8]

R

45

H (100)

45/25

100%

CK (100)

18–21/3

62%/NA

69

GU: G2 2.3%, G3 2.3%

6Y 69%

GI: G2 13.3%, No G3

Present

P

26

H (100)

44/20

100%

CK (100)

18 or 21/3

100%/median 25 M

35

No G ≥ 2 (GU), G2 4% (GI)

3Y 88.1%

  1. ADT androgen deprivation therapy, BCRFS biochemical recurrence-free survival, CK CyberKnife, EBRT external beam radiotherapy, EPIC expanded prostate cancer index composite, f/u follow-up, fx fractions, G grade, GI gastrointestinal, GU genitourinary, H high, HDRB high-dose-rate brachytherapy, I intermediate, L low, M months, LRFS local recurrence-free survival, NA not available, No. number, P prospective, R retrospective, SAE Serious adverse event, WPRT whole pelvic radiotherapy, Y year
  2. a Local progression was defined as recurrent prostatic mass diagnosed by digital rectal examination or imaging techniques