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Clinical Outcomes of the Optimized Weekly 8-Gy Palliative Radiotherapy Regimen
Takeshi Fujisawa1,2, Kenji Makita3,4, Masaki Nakamura3
1Department of Radiation Oncology, National Cancer Center Hospital East, Kashiwa, Japan; takefujisawa33@gmail.com.
Anticancer Research
|March 27, 2026
Summary
The optimized weekly 8 regimen for palliative radiotherapy is well-tolerated and effective, offering symptom relief and tumor response in most patients, especially those with head and neck cancers.
Area of Science:
- Oncology
- Radiation Oncology
- Palliative Care
Background:
- The
- optimized weekly 8 regimen
- (8-Gy fraction once weekly for 3-4 fractions) is utilized for palliative radiotherapy.
- This retrospective study evaluates its efficacy and safety.
Purpose of the Study:
- To assess treatment outcomes of the
- optimized weekly 8 regimen
- in palliative radiotherapy.
- To evaluate adverse events and clinical responses.
Main Methods:
- Retrospective review of patients receiving the
- optimized weekly 8 regimen
- between August 2023 and June 2024.
- Assessment of symptom relief, objective tumor response, and adverse events.
Main Results:
- 45 lesions in 42 patients were analyzed; 26 in head and neck.
- Symptom relief in 76% (29/38) and objective tumor response in 48% (12/25) of evaluable lesions.
- Patients receiving ≥24 Gy showed 93% symptom relief and 75% tumor response in head and neck cancers. Grade 3 mucositis occurred in one patient; no grade ≥4 adverse events were observed.
Conclusions:
- The
- optimized weekly 8 regimen
- is a well-tolerated palliative radiotherapy option.
- It demonstrates significant symptom relief and tumor response, particularly in head and neck cancer patients.
- The regimen is associated with minimal severe adverse events.
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