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Single and multifraction SBRT found comparable for lung metastases

Key clinical point: Single-fraction stereotactic body radiotherapy may offer a safe, efficacious alternative to multifraction SBRT for treating lung oligometastases.

Major finding: The single-fraction regimen and the multifraction regimen yielded similar rates of grade 3 or worse toxicity within a year (5% and 3%, respectively) and similar rates of freedom from local failure (93% and 95%, respectively).

Study details: A phase 2, randomized trial of two SBRT regimens (28 Gy in one fraction vs. 48 Gy in four fractions) in 90 patients with one to three metastases in the lung from nonhematologic malignancies.

Disclosures: The trial is sponsored by the Trans-Tasman Radiation Oncology Group and the Australasian Lung Cancer Trials Group. Dr. Siva disclosed relationships with Varian Industries, Merck, AstraZeneca, Bayer Pharmaceuticals, Bristol-Meyers Squibb, and Reflexion.

Citation:

Siva S et al. ASTRO 2020, Abstract 5.