PLATO - PersonaLising Anal cancer
RadioTherapy dOse
53.2Gy 28F
58.8Gy
28F
61.6Gy
28F
T3/4 Nany,T2N2-3
ACT5
ACT3
T1 N0 Anal margin
Local excision
ACT4
T1,T2<4cm N0
Ph II
Ph III
Pilot
Pilot/Ph II/PhIII
N=677
Primary end point :- 3yr locoregional failure
Obs
n
Margin ≤1mm
41.4Gy 23F
Phase II trial
N=90
50.4Gy
28F
41.4Gy
23F
Randomised 2:1
Phase II trial
N=162