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Table 6 Summary of past CCRT studies for LAPC

From: Hypofractionated intensity-modulated radiotherapy with concurrent chemotherapy for elderly patients with locally advanced pancreatic carcinoma

Study (ref.)

Phase

No. of patients

Median age (y)

Radiotherapy technique

Radiotherapy dose (Gy)

Concurrent chemotherapy

MST (mo)

Median PFS (mo)

Local relapse rate (%)

1-year LRPFS (%)

Distant metastasis rate (%)

1-year DMFS (%)

Hammel et al. [2]

 Chemotherapy alone

III

136

63

–

–

–

16.5

8.4

46

N/A

44

N/A

 CRT

133

5

3D-CRT

54

Cap 800 mg/m2

15.2

9.9

32

60

Loehrer et al. [27]

 GEM alone

III

37

69

–

–

–

9.2

6.7

29.7

N/A

N/A

N/A

 CRT

34

66

3D-CRT

50.4

GEM 600 mg/m2

11.1

6

11.7

Chauffert et al. [29]

 GEM alone

III

60

62

–

–

–

13

N/A

N/A

N/A

N/A

N/A

 CRT

59

60

3D-CRT

60

5-FU/CDDP

8.6

Mukherjee et al. [28]

 GEM + RT

II

38

66

3D-CRT

50.4

GEM 300 mg/m2

13.4

10.4

55

N/A

68

N/A

 Cap + RT

 

34

63.1

  

Cap 830 mg/m2

15.2

12

47

47

Shibuya et al. [30]

 

II

21

65

3D-CRT

54

GEM 250 mg/m2

16.6

12

29

N/A

48

N/A

Miyamoto et al. [24]

 

Retro

24

78

3D-CRT (91.7%)

51.3 ± 2.0

5-FU (83.3%), 5-FU/GEM (12.5%)

8.6

N/A

20.8

N/A

66.7

N/A

Goto et al. [8]

 3D-CRT arm

Retro

80

65

3D-CRT

48.6–55.8

GEM 300 mg/m2

17.5

N/A

N/A

63.2

N/A

48.4

 IMRT arm

27

66

IMRT

39–51

GEM 1000 mg/m2

73.1

49.3

Krishnan et al. [31]

 BED > 70 Gy

Retro

47

64

IMRT (96%)

83.11 (BED)

Cap (79%), GEM (16%)

17.8

8.6

N/A

21

N/A

N/A

 BED ≤ 70 Gy

153

64

3D-CRT (91%)

59.47 (BED)

Cap (88%), GEM (11%)

15

5.3

9

Current study

 

Retro

15

78

IMRT

48

GEM 1000 mg/m2

20.4

13.5

26.7

73.3

53.3

66.7

  1. CRT, chemoradiotherapy; GEM, gemcitabine; RT, radiotherapy; Cap, capecitabine; 3D-CRT, three-dimensional conformal radiotherapy; IMRT, intensity-modulated radiotherapy; BED, biological equivalent dose; MST, median survival time; PFS, progression free survival; LRPFS, locoregional progression free survival; DMFS, distant metastasis free survival