Evidence map›Paper›PMID 41708965›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

Feasibility, safety, and clinical outcomes analysis of dense-lattice radiation therapy in palliative care for cancer patients´.

David Macias-Verde, Javier Burgos-Burgos, Pedro C Lara

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Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

David Macias-VerdeDepartment of Clinical Sciences, Universidad de Las Palmas de Gran Canaria (ULPGC), Juan de Quesada, 30, 35001, Las Palmas de Gran Canaria, Spain.
Javier Burgos-BurgosOncology Department, Centro Oncologico Integral Canario (COIC), Hospitales Universitarios San Roque (HUSR), Dolores dela Rocha 5, 35001, Las Palmas de Gran Canaria, Spain.
Pedro C LaraDepartment of Clinical Sciences, Universidad de Las Palmas de Gran Canaria (ULPGC), Juan de Quesada, 30, 35001, Las Palmas de Gran Canaria, Spain. plara@ufpcanarias.es.ORCID http://orcid.org/0000-0003-1709-6232

Funding

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6 · The paper itself

Abstract

aimThe management of patients with advanced cancer, especially in the presence of bulky tumors, presents significant challenges for oncology practice, despite advances in conventional RT. Considering the dosimetry advantages of our dense-LRT protocol, we aimed for the first time to assess the safety and feasibility of the use of dense-LRT as exclusive radiation treatment for palliative care in locally advanced/metastatic cancer patients.

methodsPatients diagnosed with locally advanced and/or metastatic tumors and/or inoperable patients with a high burden of disease with cancers of different etiologies were included in this prospective study of dense-Lattice Radiotherapy from October-2022, until February-2025. The dense-LRT treatment characteristics have been already published. Our study aimed to analyze the use of dense-LRT as exclusive radiation treatment, which was designed as preplanned 3 patients' cohorts in a 1:1:1 protocol. Cohort 1: 24 Gy-LRT + EBRT. Cohort 2: exclusive 24 Gy-LRT. Cohort 3: exclusive 36 Gy-LRT. The primary endpoints of the study were the feasibility and safety of the proposed treatment protocol.

resultsThe dense-LRT protocol was feasible and safe with no grade 3 acute or late toxicity reported. The 3 month CR and PR response rates were 2/20 (10%) and 14/20(70%), resulting in an objective response rate of 80%. The 1-year actuarial survival was 52.1%. The Hybrid and the accelerated cohorts showed better clinical response rates. The hybrid protocol showed a slightly increase in mild adverse effects.

conclusionOur preliminary results could suggest that a high-dose accelerated LRT protocol (36 Gy/3fractions/5 days) is effective and a safe in the palliative treatment of bulky tumors. Further study is needed to define its role in palliative cancer care.

Indexed as

NeoplasmsPalliative CareRadiotherapy, Intensity-ModulatedAdultAgedAged, 80 and overFeasibility StudiesFemaleHumansMaleMiddle AgedProspective StudiesRadiotherapy DosageTreatment OutcomeAcceleratedDenseEBRTLattice radiotherapySystemic therapy

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.