The researches find that the Cancer patients getting proton therapy instead of traditional photon radiation are at a significantly lower risk of experiencing side-effects from their radiation therapy; while cure rates are almost identical between the two groups. Researchers in the Perelman School of Medicine at the University of Pennsylvania conducted the largest review of its kind to evaluate whether or not patients undergoing radiation therapy at the same time as chemotherapy experienced serious adverse events within 90 days.
Undergoing radiation therapy
They will present their findings at the 2019 American Society of Clinical Oncology Annual Meeting in Chicago. “They looked at grade-three side effects including pain or difficulty swallowing; difficulty breathing, nausea; or diarrhea; among others – often severe enough for patients to be hospitalized;” said the study’s lead author Brian Baumann, MD; an adjunct assistant professor of Radiation Oncology in the Perelman School of Medicine at the University of Pennsylvania and an assistant professor of Radiation Oncology at Washington University School of Medicine in St. Louis.
“Our clinical experience is that concurrent chemo radiation therapy patients treated with protons, rather than photons; tend to have fewer side effects. While there is some literature supporting that finding for several disease sites; we did not expect the magnitude of the benefit to be this large.”
Several disease sites
The study’s senior author is James Metz, MD, chair of Radiation Oncology; leader of the Roberts Proton Therapy Center at Penn, and a member of Penn’s Abramson Cancer Center. Proton therapy has a few key differences from traditional photon radiation. Photon radiation typically uses multiple x-ray beams to attack a tumor target but unavoidably deposits radiation in the normal tissues beyond the target, potentially damaging those tissues as the beam exits the body.
Proton therapy is an FDA-approved treatment that is an alternative radiation treatment. It directs positively charged protons at the tumor target; where they deposit the bulk of the radiation dose, with minimal residual radiation delivered beyond the target, potentially reducing side effects and damage to surrounding tissue.
Importantly, overall survival and disease-free survival were similar between the two groups; suggesting that the reduction in toxicity seen with proton therapy did not come at the cost effectiveness. While researchers say more study is needed, they point out that this study is the best information we have so far as randomized controlled trials continue to prove difficult to complete. “There are several trials underway; but they are all dealing with a variety of barriers; so it will be years before we have that data. That’s why the information we do have is so critical, and our findings here point to a real benefit for our patients,” Metz said.