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100 1 _ |a Forster, Tobias
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245 _ _ |a Non-inferiority of local control and comparable toxicity of intensity-modulated radiotherapy with simultaneous integrated boost in breast cancer: 5-year results of the IMRT-MC2 phase III trial: IMRT-SIB is non-inferior to 3-D-CRT-seqB in RT for BC patients.
260 _ _ |a Amsterdam [u.a.]
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500 _ _ |a 2023 Nov 15;117(4):857-868 / #LA:E050#
520 _ _ |a The IMRT-MC2 trial was conducted to demonstrate non-inferiority of conventionally fractionated intensity-modulated radiotherapy with simultaneous integrated boost (IMRT-SIB) to 3-D-conformal radiotherapy with sequential boost (3-D-CRT-seqB) for adjuvant breast radiotherapy.A total of 502 patients were randomized between 2011 and 2015 for the prospective, multicenter, phase-III-trial (NCT01322854). 5-year results of late toxicity (LENT-SOMA), overall survival, disease-free survival, distant disease-free survival, cosmesis (Harvard scale) and local control (non-inferiority margin at hazard ratio of 3.5) were analyzed after a median follow-up of 62 months.The 5-year LC rate for the IMRT-SIB arm was non-inferior to the control arm (98.7% vs. 98.3%, respectively; HR 0.582, 95%-CI: [0.119-2.375], p=0.4595). Furthermore, there was no significant difference in overall survival (97.1% versus 98.3%, respectively; HR 1.235, 95%-CI: [0.472-3.413], p=0.6697), disease-free survival (95.8% versus 96.1%, respectively; HR 1.130, 95%-CI: [0.487-2.679], p=0.7758) and distant disease-free survival (97.0% versus 97.8%, respectively; HR 1.667, 95%-CI: [0.575-5.434], p=0.3601). After 5 years, late toxicity evaluation and cosmetic assessment further showed no significant differences between treatment arms.The 5-year results of the IMRT-MC2 trial provide strong evidence, that the application of conventionally fractionated simultaneous integrated boost irradiation for breast cancer patients is both safe and effective with non-inferior local control compared to 3-D-conformal radiotherapy with sequential boost.
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650 _ 7 |a 3-D-conformal radiotherapy
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650 _ 7 |a 5-year follow-up
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650 _ 7 |a Breast cancer
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650 _ 7 |a intensity-modulated radiotherapy (IMRT)
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650 _ 7 |a local control
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650 _ 7 |a overall survival
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650 _ 7 |a sequential boost irradiation
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650 _ 7 |a simultaneously integrated boost (SIB)
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700 1 _ |a Köhler, Clara
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700 1 _ |a Dorn, Melissa
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700 1 _ |a Häfner, Matthias Felix
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700 1 _ |a Arians, Nathalie
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700 1 _ |a König, Laila
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700 1 _ |a Harrabi, Semi Ben
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700 1 _ |a Schlampp, Ingmar
|b 7
700 1 _ |a Weykamp, Fabian
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700 1 _ |a Meixner, Eva
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700 1 _ |a Lang, Kristin
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700 1 _ |a Heinrich, Vanessa
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700 1 _ |a Weidner, Nicola
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700 1 _ |a Hüsing, Johannes
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700 1 _ |a Wallwiener, Markus
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700 1 _ |a Golatta, Michael
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700 1 _ |a Hennigs, André
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700 1 _ |a Heil, Jörg
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700 1 _ |a Hof, Holger
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700 1 _ |a Krug, David
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700 1 _ |a Debus, Jürgen
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700 1 _ |a Hörner-Rieber, Juliane
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