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ESTRO

RTOG 90-03: A Phase III Trial Assessing

Relative Efficacy of Altered Fractionations

1. Conventional Fractionation:

70 Gy / 35 F / 7 W

2. Hyperfractionation:

81.6 Gy / 68 F / 7 W (1.2 Gy/F)

3. Accelerated Fractionation (Split):

67.2 Gy / 42 F / 6 W (2 W Rest)

4. Accelerated Fractionation (CB):

72 Gy / 42 F / 6 W (1.8-1.5 Gy/F)

Stage III & IV

SCC of :

• Oral cavity

• Oropharynx

• Larynx

• Hypopharynx

Stratify :

• No vs N+

• KPS

60-80 VS 90-100

R

A

N

D

O

M

I

Z

E