Center (observation period, type of study)

Sub-group main characteristics*

No. of patients*

Treatment regimen

Median FUP (range)

Local Control

Overall Survival

Main Toxicity**

PMRC (1985-2006, R)

HCC >10 cm in maximal dimension

22

47 - 89.1 Gy in 10 - 35 f

13.4 m (1.5 - 85)

87% at 2 y

36% at 2 y

3 liver failures with no evidence of HCC

PMRC (1989-2000, R)

Pts receiving >1 course of PT

27 (68 T)

1st course: median dose = 72 Gy in 16 f, other courses median dose = 66 Gy in 16 f

62.2 m (8.6 - 148.5)

87.8% at 5 y

55.6% at 5 y

2 acute liver failures2 late bile duct stenoses

PMRC (1990-2000, R)

Pts unfit to receive other treatment modalities*** due to coexisting diseases

21

63 - 84 Gy in 13 - 27 f

3.3 y (0.3 - 10.7 y)

93% at 5 y

33% at 5 y

No ≥ G3 toxicities

PMRC (1990-2000, R)

Pts with deteriorated liver function (CP C)

19

50 - 84 Gy in 10 - 24 f of 3 - 5 Gy

17 m (3 - 63)

91% at 17 m

42% at 2 y

No ≥ G3 toxicities

No worsening of CP score

PMRC (1991-2005, R)

Pts with PVTT

35

55 - 77 Gy in 10 - 35 f of 2.2 - 5 Gy delivered to PVTT ± primary HCC

21 m (2 - 88)

91% at 2 y

48% at 2 y

21% at 5 y

1 transient late duodenal bleeding, 1 G4 thrombocytopenia

PMRC (2001-2007, R)

Pts with HCC located adjacent to the alimentary tract ( within 2 cm)

47

16 pts receiving 72.6 Gy in 22 f, 31 pts receiving 77Gy in 35 f. PTV reduced after 10 - 25 f to avoid excess radiation to the alimentary tract

23 m (2.8 - 52.4)

88.1% at 4 y

34.3% at 4 y

4 ≥ G2 GI toxicities (1surgical intervention required)

PMRC (2002-2004, R)

Pts with HCC located adjacent to PH

52

72.6 Gy in 22 f (3.3 Gy/f)

Not reported

86% at 3 y

45.1% at 3 y

83.9% at 3 y for solitary T, CP A pts

3 G2 skin toxicities

PMRC (2001-2006, R)

Aged pts (≥80 y)

21

various schedules = 60 Gy in 10 f, 66Gy in 22 f, 70 Gy in 35 f)

Not reported

100% at 3 y

OS = 62% at 3 y

CSS = 70% at 3y

2 G3 thrombocytopenia

PMRC (2001-2004, R)

Pts with HCC located ≥2 cm away from GI tract and PH

51

66 Gy in 10 f

34 m (1 - 76)

87.8% at 5 y

OS = 38.7% at 5 y CSS = 60.1 at 5 y

No RILD, 3 late rib fractures

PMRC (2001-2007, R)

3 group of pts = (1) peripheral tumors, (2) tumors located near GI tract and (3) tumors near PH

(1) = 104

(2) = 60

(3) = 95

66 Gy in 10 f

77 Gy in 35 f

72.6 Gy in 22 f

7 pts =>1 protocol

Not reported

81% at 5 y (overall)

OS = 48% at 5y PFS = 12% at 5y (overall)

2 G3 acute dermatitis

3 rib fractures 1 G3 late dermatitis 3G3 late GI toxicities

PMRC (1985-1998, R)

Review of all patients treated in the observation period

162

Various schedules = 72 Gy in 16 f, 78 Gy in 20 f, 84 Gy in 24 f, 50 Gy in 10 f

31.7 m

(3.1 - 133.2)

86.9% at 5 y for all T

23.5% at 5 y

53.5% at 5 y for CP A

and single T

Acute toxicity:

9.7% ↑ transaminase level (autoresolving)

Late toxicity: 1.1% Infection biloma

0.5% Biliary duct stenosis 1.1% GI bleeding

PMRC (2001-2007, R)

Review of all patients treated in the observation period

318

Various schedules = 77 Gy in 35 f, 72, 6 Gy in 22 f, 66 Gy in 10 f

19.3 m

(1.2 - 63.6)

83.3% at 5 y for peripheral, single T.

44.6% at 5 y for all pts

(55.9% at 5y CP A pts,

44.9% CP B pts) P < 0.01

3 (1.2%) G2 GI

1 pt G3 GI (→surgery)

3 rib fractures

28 G2 skin toxicities