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Table 1 Review of SABR literature for primary RCC

From: TROG 15.03 phase II clinical trial of Focal Ablative STereotactic Radiosurgery for Cancers of the Kidney - FASTRACK II

Author / Year

Patients

Follow-up (months - Median or Mean)

Average marginal dose (Gy)

Outcome - Crude Local control

Estimated 2 year LC

Overall Survival Median

Toxicities

Chang et al. [7] 2016

16

19

30-40Gy in 5 fractions

100%

NR

NR

1 grade 2 acute toxicity and 2 grade 4 late toxicities

Gilson et al. [8] 2006

33

17

Median 40Gy in 5 fractions

94%

92

NR

NR

Lo et al. [9] 2014

3

21.7

40Gy in 5 fractions

100%

NR

NR

Early: 1 x Grade 1 nausea

Late: nil

McBride et al. [10] 2013 (abstract) [prospective]

15

36.7

Median 33Gy in 3 fractions

87%

1 failure at 30.7 mo

1 failure at 31.2 mo

NR

NR

1 x Grade 3 renal toxicity

5 x Grade 1 fatigue

2 x Grade 1 nausea

Nair et al. [27] 2013

3

13.3

39Gy in 3 fractions

100%

NR

NR

Early: 1 x Grade 1 nausea

Late: Nil

Nomiya et al. [28] 2008

10

57.5

Median 4.5Gy x 16fx

100%

100

5 year OS 74%

10% Grade 4 toxicity, no other toxicities > Grade 1

Qian et al. [29] 2003 (abstract)

20

12

40Gy in 5 fractions

93%

86

NR

NR

Pham et al. [15] 2014 [prospective]

20

6

26Gy in 1 fraction 42Gy in 3 fractions

NR

NR

NR

60% Grade 1–2

No Grade 3, Grade 4

Ponksy et al. [30] 2015 [prospective]

19

13.7

Max 48Gy in 4 fractions

NR

NR

NR

5.2% Grade 2, 15.8% Grade 3–4

Siva et al. [16] [prospective]

33

24

26Gy in 1 fraction 42Gy in 3 fractions

97%

100%

2 year OS 92%

78% Grade 1–2

3% Grade 3

Svedman et al. [31] 2006 [prospective]

5

52

40Gy in 4 or 5 fractions, 45Gy in 3 fractions

80%

91

Median survival 32 months

89% Grade 1–2, 4% Grade 3

Svedman et al. [32] 2008

7

39

40Gy in 4 fractions

86%

91

NR

58% Grade 1–2, nil else

Teh et al. [33] 2007 (abstract)

2

9

24Gy–48Gy in 3–6 fx

100%

100

NR

NR

Staehler et al. [18] 2015 b [prospective]

30a

28.1

25Gy in 1 fraction

98%

(at 9mo) b

NR

Not attained after median 28.1 months+

13% Grade 1–2

nil else

Wang et al. [13] 2014

9

38.3

36-51Gy to 50% isodose line at 3-5Gy per fraction

5 year LC 43%

NR

5 year OS 35%

Early: 44% Grade 1 (GI, haem.)

Late: 22% Grade 2 (GI)

Wersall et al. [34] 2005

8

37

40Gy in 4 or 5 fractions, 45Gy in 3 fractions

100%

100

Median survival 58+ months

20% Grade 1–2, 19% Grade 3, nil Grade 4+

  1. a report included an additional 15 patients with Transitional cell carcinoma;
  2. b pooled results with patients treated for TCC
  3. NR not reported, Gy Gray