Local Control Rate, Side Effect
Conditions
Brief summary
The investigators performed the present study to evaluate the role of proton beam therapy for liver metastasis which is unresectable and unsuitable for radiofrequency ablation (RFA) in terms of local control and safety.
Interventions
Proton beam radiotherapy 70 gray relative biological equivalent (GyRBE)/10 fractions (Fx) or 60 GyRBE/5 Fx
Sponsors
Study design
Intervention model description
Proton beam radiotherapy : 5 fractions of 12 GyRBE or 10 fractions of 7 GyRBE
Eligibility
Inclusion criteria
* pathologically diagnosed cancer patient * confirmed liver metastasis via computed tomography (CT) or magnetic resonance imaging (MRI) or biopsy * unresectable or unsuitable for RFA * solitary liver metastasis or less than 3 metastatic lesions if the distance is less than 3 cm between metastatic lesions * case discussed by surgeon, radiologist, and radiation oncologist * Eastern cooperative oncology group performance status 0 to 2 * optimal liver and renal function (Child-Pugh score 10 or less) * informed consent * agree to be contraceptive for the duration of the study and for the next 6 months
Exclusion criteria
* uncontrolled ascites or hepatorenal syndrome * status of pregnancy or breast-feeding * less than 12 weeks of expected survival * combined disease known to have high radiation side effects * serious acute illness that is not treated other than liver disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6 month local control rate | at the point of 6 month follow-up after proton beam therapy | local control rate (except local progression) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival rate | at the point of 2 year follow-up after proton beam therapy | overall survival rate |
| 6 month side effect | at the point of 6 month follow-up after proton beam therapy | side effect |
Countries
South Korea