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Takahashi T. et al. Lancet Oncol 2017

Brain mets @ 12 months:

58% vs 32.4%

Study early terminated because of futility after 1

st

interim analysis

PCI did not result in longer OS compared with observation in patients with any response to

initial chemotherapy and a confirmed absence of brain metastases when patients receive

periodic MRI examination during follow-up.

OS @ 12 months:

11.6% vs 13.7%

Japanese trial: futility of PCI when mets are excluded by MRI