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HD12 trial design for advanced stages

De-escalation of RT possible?

Arm D

4 + 4

Arm B

8 x B esc

Arm C

4 + 4

Arm A

8 x B esc

Randomisation

30 Gy

(initial bulk, residual)

„no RT“

30 Gy

(initial bulk, residual)

„no RT“

Central diagnostic panel