PCI99-01
Regimen
- Experimental
- Higher-dose PCI 36 Gy (18 fx of 2 Gy QD, or 24 fx of 1.5 Gy BID)
- Control
- Standard-dose PCI 25 Gy in 10 daily fractions of 2.5 Gy
Population
Limited-stage SCLC in complete remission after chemotherapy and thoracic radiotherapy
Key finding
2-yr brain mets 29% (25 Gy) vs 23% (36 Gy), HR 0.80 (95% CI 0.57-1.11, p=0.18, NS); 2-yr OS 42% vs 37%, HR 1.20 (95% CI 1.00-1.44, p=0.05) favoring 25 Gy; 25 Gy remains standard
Source: PMID 19386548
Timeline
Guideline citations
- NCCN SCLC (p.29)