Table 7.

Selected prospective and retrospective series investigating VLDRT for iNHL

ReferenceYearDesignRT fieldsPathology summaryNo. of patientsNo. of sitesMedian follow-up
(mo)
ORR
(%)
CR
(%)
PR
(%)
Results
This study 2021 Retrospective ISRT 66% FL, 27% MZL, and 7% low-grade NOS 250 299 26 90 68 22 2-y cumulative incidence of LP for overall, 25%; non-curable, 29%; potentially curable, 9% 
24,25  2014, 2021 Randomized, phase 3, noninferiority of 4 Gy vs 24 Gy (FoRT) IFRT 56% FL, 7% MZL, 6% other (ie, CLL, DLBCL, HL), 12% no diagnosis possible, 21% with no central review 281 315 74 81 49 32 LPFS at 5 y: 89.9% after 24 Gy and 74.4% after 4 Gy (P < .001) 
21  2008 Phase 2 IFRT 62% indolent (mostly FL) and 36% aggressive lymphoma 36 47 86* 48* 38* Median time to LP for the entire group, 15 mo 
19  2005 Phase 2 IFRT SLL and CLL (n = 23), MZL (n = 18), MCL (n = 17), DLBCL (n = 13) 71 177 93* 56 37 Median time to LP for iNHL, 23 mo 
18  2003 Phase 2 (HORA-1) IFRT FL 90%, MZL 8%, lymphoplasmacytoid lymphoma 2% 109 304 92 61 31 Median time to LP, 25 mo 
17  2002 Phase 2 IFRT 68% iNHL, 32% CLL 22 31 87* 74* 13* Median time to LP for full group, 22 mo 
35  2018 Retrospective  57% FL, 43% MZL 47 50 21 90   LPFS at 2 y for all patients, 91.1%; curative, 96.7%; palliative, 83.8% 
34  2013 Retrospective IFRT 66% FL, 9% CLL or SLL, 10% MZL, 6% MCL, 8% other 127 187 23 82 57 25 Median time to first recurrence, 13.6 mo 
22  2011 Retrospective  56% indolent, 28% CLL, 13% aggressive, 2% of sites were other 54 85 16 88* 71 17 LPFS at 2 years, 50% 
20  2008 Retrospective IFRT FL 85%, MZL 6%, MCL 6%, CLL 3% 33 43 14 95 84 12 Median time to LP, 9 mo 
15  2001 Retrospective IFRT 100% low-grade lymphomas 48 135 54 81 57 24 LPFS at 2 y, 56% 
ReferenceYearDesignRT fieldsPathology summaryNo. of patientsNo. of sitesMedian follow-up
(mo)
ORR
(%)
CR
(%)
PR
(%)
Results
This study 2021 Retrospective ISRT 66% FL, 27% MZL, and 7% low-grade NOS 250 299 26 90 68 22 2-y cumulative incidence of LP for overall, 25%; non-curable, 29%; potentially curable, 9% 
24,25  2014, 2021 Randomized, phase 3, noninferiority of 4 Gy vs 24 Gy (FoRT) IFRT 56% FL, 7% MZL, 6% other (ie, CLL, DLBCL, HL), 12% no diagnosis possible, 21% with no central review 281 315 74 81 49 32 LPFS at 5 y: 89.9% after 24 Gy and 74.4% after 4 Gy (P < .001) 
21  2008 Phase 2 IFRT 62% indolent (mostly FL) and 36% aggressive lymphoma 36 47 86* 48* 38* Median time to LP for the entire group, 15 mo 
19  2005 Phase 2 IFRT SLL and CLL (n = 23), MZL (n = 18), MCL (n = 17), DLBCL (n = 13) 71 177 93* 56 37 Median time to LP for iNHL, 23 mo 
18  2003 Phase 2 (HORA-1) IFRT FL 90%, MZL 8%, lymphoplasmacytoid lymphoma 2% 109 304 92 61 31 Median time to LP, 25 mo 
17  2002 Phase 2 IFRT 68% iNHL, 32% CLL 22 31 87* 74* 13* Median time to LP for full group, 22 mo 
35  2018 Retrospective  57% FL, 43% MZL 47 50 21 90   LPFS at 2 y for all patients, 91.1%; curative, 96.7%; palliative, 83.8% 
34  2013 Retrospective IFRT 66% FL, 9% CLL or SLL, 10% MZL, 6% MCL, 8% other 127 187 23 82 57 25 Median time to first recurrence, 13.6 mo 
22  2011 Retrospective  56% indolent, 28% CLL, 13% aggressive, 2% of sites were other 54 85 16 88* 71 17 LPFS at 2 years, 50% 
20  2008 Retrospective IFRT FL 85%, MZL 6%, MCL 6%, CLL 3% 33 43 14 95 84 12 Median time to LP, 9 mo 
15  2001 Retrospective IFRT 100% low-grade lymphomas 48 135 54 81 57 24 LPFS at 2 y, 56% 

LPFS, local progression-f ree survival.

*

Outcomes of only the indolent subgroup of studied patients.

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