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Vaginal brachytherapy more toxic than pelvic RT in endometrial carcinoma
Key clinical point: Vaginal cuff brachytherapy plus chemotherapy showed higher acute toxicity compared with pelvic radiation therapy in patients with early-stage endometrial carcinoma.
Major finding: Vaginal brachytherapy plus chemotherapy was not superior over pelvic RT in terms of 60-month recurrence-free survival (HR, 0.92; 90% confidence limit, 0.69-1.23).
Study details: A phase 3 trial of 601 patients with early-stage endometrial cancer.
Disclosures: The study was supported by grant funding from the National Cancer Institute and the Memorial Sloan Kettering Cancer Center. The authors reported financial affiliations with AstraZeneca, Genentech, Genmab, Janssen, Johnson & Johnson, Tesaro, and several others.
Randall ME et al. J Clin Oncol. 2019 Apr 17. doi: 10.1200/JCO.18.01575.