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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Hypofractionated conformal radiotherapy for pediatric diffuse intrinsic pontine glioma (DIPG): A randomized controlled trial
Radiotherapy and Oncology, Volume 111, No. 1, Year 2014
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Description
Background The pediatric diffuse intrinsic pontine glioma (DIPG) outcome remains dismal despite multiple therapeutic attempts. Purpose To compare the results of treatment of pediatric diffuse intrinsic pontine glioma (DIPG) using hypofractionated versus conventional radiotherapy. Patients and methods Seventy-one newly diagnosed DIPG children were randomized into hypofractionated (HF) (39 Gy/13 fractions in 2.6 weeks) and conventional (CF) arm (54 Gy/30 fractions in 6 weeks). Results The median and one-year overall survival (OS) was 7.8 months and 36.4 ± 8.2% for the hypofractionated arm, and 9.5 and 26.2 ± 7.4% for the conventional arm respectively. The 18-month OS difference was 2.2%. The OS hazard ratio (HR) was 1.14 (95% CI: 0.70-1.89) (p = 0.59). The hypofractionated arm had a median and one-year progression-free survival (PFS) of 6.6 months and 22.5 ± 7.1%, compared to 7.3 and 17.9 ± 7.1% for the conventional arm. The PFS HR was 1.10 (95% CI: 0.67-1.90) (p = 0.71). The 18-month PFS difference was 1.1%. These differences exceed the non-inferiority margin. The immediate and delayed side effects were not different in the 2 arms. Conclusions Hypofractionated radiotherapy offers lesser burden on the patients, their families and the treating departments, with nearly comparable results to conventional fractionation, though not fulfilling the non-inferiority assumption. © 2014 Elsevier Ireland Ltd. All rights reserved.
Authors & Co-Authors
Zaghloul, Mohamed S.
Egypt, Giza
Cairo University
Eldebawy, Eman
Egypt, Giza
Cairo University
Ahmed, Soha A.
Egypt, Giza
Cairo University
Mousa, Amr Gaber
Egypt, Giza
Cairo University
Amin, Amr A.
Egypt, Giza
Cairo University
Refaat, Amal M.
Egypt, Cairo
Faculty of Medicine
Zaky, Iman Mohamed
Egypt, Cairo
Faculty of Medicine
Elkhateeb, Nada
Egypt, Cairo
Children's Cancer Hospital 57357
Bakry, Mohamed Sabry
Egypt, Cairo
Children's Cancer Hospital 57357
Statistics
Citations: 76
Authors: 9
Affiliations: 3
Identifiers
Doi:
10.1016/j.radonc.2014.01.013
e-ISSN:
18790887
Research Areas
Cancer
Environmental
Maternal And Child Health
Study Approach
Quantitative