Mixed-Beam Approach for High-Risk Prostate Cancer Carbon-Ion Boost Followed by Photon Intensity-Modulated Radiotherapy: Preliminary Results of Phase II Trial AIRC-IG-14300

PurposeThis study represents a descriptive analysis of preliminary results of a Phase II trial on a novel mixed beam radiotherapy (RT) approach, consisting of carbon ions RT (CIRT) followed by intensity-modulated photon RT, in combination with hormonal therapy, for high-risk prostate cancer (HR PCa)...

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Autores principales: Giulia Marvaso, Barbara Vischioni, Matteo Pepa, Mattia Zaffaroni, Stefania Volpe, Filippo Patti, Federica Bellerba, Sara Gandini, Stefania Comi, Giulia Corrao, Dario Zerini, Matteo Augugliaro, Cristiana Fodor, Stefania Russo, Silvia Molinelli, Mario Ciocca, Rosalinda Ricotti, Francesca Valvo, Tommaso Giandini, Barbara Avuzzi, Riccardo Valdagni, Ottavio De Cobelli, Federica Cattani, Ester Orlandi, Barbara Alicja Jereczek-Fossa, Roberto Orecchia
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:fe76b859e37540c1ac9f11af84dce1fc2021-11-17T07:04:12ZMixed-Beam Approach for High-Risk Prostate Cancer Carbon-Ion Boost Followed by Photon Intensity-Modulated Radiotherapy: Preliminary Results of Phase II Trial AIRC-IG-143002234-943X10.3389/fonc.2021.778729https://doaj.org/article/fe76b859e37540c1ac9f11af84dce1fc2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.778729/fullhttps://doaj.org/toc/2234-943XPurposeThis study represents a descriptive analysis of preliminary results of a Phase II trial on a novel mixed beam radiotherapy (RT) approach, consisting of carbon ions RT (CIRT) followed by intensity-modulated photon RT, in combination with hormonal therapy, for high-risk prostate cancer (HR PCa) with a special focus on acute toxicity.MethodsPrimary endpoint was the evaluation of safety in terms of acute toxicity. Secondary endpoints were early and long-term tolerability of treatment, quality of life (QoL), and efficacy. Data on acute and late toxicities were collected according to RTOG/EORTC. QoL of enrolled patients was assessed by IPSS, EORTC QLQ-C30, EORTC QLQ-PR25, and sexual activity by IIEF-5.ResultsTwenty-six patients were enrolled in the study, but only 15 completed so far the RT course and were included. Immediately after CIRT, no patients experienced GI/GU toxicity. At 1 and 3 months from the whole course RT completion, no GI/GU toxicities greater than grade 2 were observed. QoL scores were overall satisfactory.ConclusionsThe feasibility of the proposed mixed treatment schedule was assessed, and an excellent acute toxicity profile was recorded. Such findings instil confidence in the continuation of this mixed approach, with evaluation of long-term tolerability and efficacy.Giulia MarvasoGiulia MarvasoBarbara VischioniMatteo PepaMattia ZaffaroniStefania VolpeStefania VolpeFilippo PattiFilippo PattiFederica BellerbaSara GandiniStefania ComiGiulia CorraoGiulia CorraoDario ZeriniMatteo AugugliaroCristiana FodorStefania RussoSilvia MolinelliMario CioccaRosalinda RicottiFrancesca ValvoTommaso GiandiniBarbara AvuzziRiccardo ValdagniRiccardo ValdagniOttavio De CobelliOttavio De CobelliFederica CattaniEster OrlandiBarbara Alicja Jereczek-FossaBarbara Alicja Jereczek-FossaRoberto OrecchiaFrontiers Media S.A.articlecarbon-ion radiotherapyintensity modulated radiotherapyhigh-risk prostate cancerphase II studymixed-beam approachNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic carbon-ion radiotherapy
intensity modulated radiotherapy
high-risk prostate cancer
phase II study
mixed-beam approach
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle carbon-ion radiotherapy
intensity modulated radiotherapy
high-risk prostate cancer
phase II study
mixed-beam approach
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Giulia Marvaso
Giulia Marvaso
Barbara Vischioni
Matteo Pepa
Mattia Zaffaroni
Stefania Volpe
Stefania Volpe
Filippo Patti
Filippo Patti
Federica Bellerba
Sara Gandini
Stefania Comi
Giulia Corrao
Giulia Corrao
Dario Zerini
Matteo Augugliaro
Cristiana Fodor
Stefania Russo
Silvia Molinelli
Mario Ciocca
Rosalinda Ricotti
Francesca Valvo
Tommaso Giandini
Barbara Avuzzi
Riccardo Valdagni
Riccardo Valdagni
Ottavio De Cobelli
Ottavio De Cobelli
Federica Cattani
Ester Orlandi
Barbara Alicja Jereczek-Fossa
Barbara Alicja Jereczek-Fossa
Roberto Orecchia
Mixed-Beam Approach for High-Risk Prostate Cancer Carbon-Ion Boost Followed by Photon Intensity-Modulated Radiotherapy: Preliminary Results of Phase II Trial AIRC-IG-14300
description PurposeThis study represents a descriptive analysis of preliminary results of a Phase II trial on a novel mixed beam radiotherapy (RT) approach, consisting of carbon ions RT (CIRT) followed by intensity-modulated photon RT, in combination with hormonal therapy, for high-risk prostate cancer (HR PCa) with a special focus on acute toxicity.MethodsPrimary endpoint was the evaluation of safety in terms of acute toxicity. Secondary endpoints were early and long-term tolerability of treatment, quality of life (QoL), and efficacy. Data on acute and late toxicities were collected according to RTOG/EORTC. QoL of enrolled patients was assessed by IPSS, EORTC QLQ-C30, EORTC QLQ-PR25, and sexual activity by IIEF-5.ResultsTwenty-six patients were enrolled in the study, but only 15 completed so far the RT course and were included. Immediately after CIRT, no patients experienced GI/GU toxicity. At 1 and 3 months from the whole course RT completion, no GI/GU toxicities greater than grade 2 were observed. QoL scores were overall satisfactory.ConclusionsThe feasibility of the proposed mixed treatment schedule was assessed, and an excellent acute toxicity profile was recorded. Such findings instil confidence in the continuation of this mixed approach, with evaluation of long-term tolerability and efficacy.
format article
author Giulia Marvaso
Giulia Marvaso
Barbara Vischioni
Matteo Pepa
Mattia Zaffaroni
Stefania Volpe
Stefania Volpe
Filippo Patti
Filippo Patti
Federica Bellerba
Sara Gandini
Stefania Comi
Giulia Corrao
Giulia Corrao
Dario Zerini
Matteo Augugliaro
Cristiana Fodor
Stefania Russo
Silvia Molinelli
Mario Ciocca
Rosalinda Ricotti
Francesca Valvo
Tommaso Giandini
Barbara Avuzzi
Riccardo Valdagni
Riccardo Valdagni
Ottavio De Cobelli
Ottavio De Cobelli
Federica Cattani
Ester Orlandi
Barbara Alicja Jereczek-Fossa
Barbara Alicja Jereczek-Fossa
Roberto Orecchia
author_facet Giulia Marvaso
Giulia Marvaso
Barbara Vischioni
Matteo Pepa
Mattia Zaffaroni
Stefania Volpe
Stefania Volpe
Filippo Patti
Filippo Patti
Federica Bellerba
Sara Gandini
Stefania Comi
Giulia Corrao
Giulia Corrao
Dario Zerini
Matteo Augugliaro
Cristiana Fodor
Stefania Russo
Silvia Molinelli
Mario Ciocca
Rosalinda Ricotti
Francesca Valvo
Tommaso Giandini
Barbara Avuzzi
Riccardo Valdagni
Riccardo Valdagni
Ottavio De Cobelli
Ottavio De Cobelli
Federica Cattani
Ester Orlandi
Barbara Alicja Jereczek-Fossa
Barbara Alicja Jereczek-Fossa
Roberto Orecchia
author_sort Giulia Marvaso
title Mixed-Beam Approach for High-Risk Prostate Cancer Carbon-Ion Boost Followed by Photon Intensity-Modulated Radiotherapy: Preliminary Results of Phase II Trial AIRC-IG-14300
title_short Mixed-Beam Approach for High-Risk Prostate Cancer Carbon-Ion Boost Followed by Photon Intensity-Modulated Radiotherapy: Preliminary Results of Phase II Trial AIRC-IG-14300
title_full Mixed-Beam Approach for High-Risk Prostate Cancer Carbon-Ion Boost Followed by Photon Intensity-Modulated Radiotherapy: Preliminary Results of Phase II Trial AIRC-IG-14300
title_fullStr Mixed-Beam Approach for High-Risk Prostate Cancer Carbon-Ion Boost Followed by Photon Intensity-Modulated Radiotherapy: Preliminary Results of Phase II Trial AIRC-IG-14300
title_full_unstemmed Mixed-Beam Approach for High-Risk Prostate Cancer Carbon-Ion Boost Followed by Photon Intensity-Modulated Radiotherapy: Preliminary Results of Phase II Trial AIRC-IG-14300
title_sort mixed-beam approach for high-risk prostate cancer carbon-ion boost followed by photon intensity-modulated radiotherapy: preliminary results of phase ii trial airc-ig-14300
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/fe76b859e37540c1ac9f11af84dce1fc
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