CHHiP: conventional versus hypofractionated high-dose intensity-modulated radiotherapy for prostate cancer
Delivering prostate radiotherapy in 20 larger daily doses over four weeks was as effective as 37 smaller doses over seven and a half weeks, with no more side effects, and became the standard schedule in many countries.
Overview
Phase 3 non-inferiority trial of 3,216 men with localised prostate cancer (mostly intermediate risk) randomised to 74 Gy in 37 fractions, 60 Gy in 20 fractions or 57 Gy in 19 fractions of intensity-modulated radiotherapy with short-course androgen deprivation.
Five-year biochemical or clinical failure-free rates were 88.3 percent (74 Gy), 90.6 percent (60 Gy) and 85.9 percent (57 Gy); 60 Gy in 20 fractions was non-inferior and toxicity was similar.
- Five-year failure-free rate 90.6 percent (60 Gy/20) vs 88.3 percent (74 Gy/37); non-inferior.
- 57 Gy in 19 fractions did not meet non-inferiority.
Moderate hypofractionation (60 Gy in 20 fractions) is a standard of care for localised prostate cancer, halving the number of hospital visits.
- Most men received short-course androgen deprivation.
- Ultra-hypofractionation (five fractions) was tested separately in PACE-B.
Similar pages
not linked directly; found by shared links- TechnologyHypofractionated radiotherapy