Skip to main content

Table 5 Overview of literature on CSI

From: Craniospinal irradiation(CSI) in patients with leptomeningeal metastases: risk-benefit-profile and development of a prognostic score for decision making in the palliative setting

Trial

Design

Outcome

Grossman et al.

IT MTX versus thiotepa (59 patients; solid tumors and lymphoma)

OS, 15.9 (MTX) versus 14.1 weeks (thiotepa)

Hitchins et al.

IT MTX versus MTX + CYT (44 patients; solid tumors and lymphoma)

OS, 12 (MTX) versus 7 weeks (MTX + CYT)

Glantz et al.

LS-CYT versus MTX (61 patients; solid tumors)

OS, 105 (LS-CYT) versus 78 days (MTX), difference not significant

Glantz et al.

LS-CYT versus CYT (28 patients; lymphoma)

OS, 99.5 (LS-CYT) versus 63 days (CYT), difference not significant.Cytologic response rate 71% (LS-CYT) versus 15%

Boogerd et al.

IT versus no IT therapy, but systemic therapy and RT were given in both arms (35 patients; breast cancer)

OS, 18.3 (IT) versus 30.3 weeks (no IT)

Shapiro et al.

Lymphoma (25 patients)

LS-CYT versus all MTX and CYT-treated patients combined: PFS 35 versus 43 days (not significant)

LS-CYT versus MTX: PFS 35versus 37.5 days (notsignificant)

  1. From Leal at al. Abbreviations: IT intrathecal, LM leptomeningeal metastasis, MTX methotrexate, CYT cytarabine, LS-CYT liposomal cytarabine, PFS progression-free survival, RT radiotherapy. (Leal 2011)