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Late Toxicity

RTOG G2+ bowel toxicity at 2yr 74Gy (3.8%) 60Gy( 2.9%) 57Gy (1.8%)

No significant difference at 5yr 74Gy (1.3%) 60Gy (2.3%) 57Gy (2.0%)

G2+ bladder toxicity showed NSD at 2yr or 5yr.

CHHiP Study

Analysis of LENT-SOM and PROs supported these results.

Conclusions: After 5 years follow-up treatment with 60Gy/20f is non-

inferior to 74Gy/37f for PCa progression and is not associated with

significant differences in late toxicity. 57Gy/19f has not been shown to

be non-inferior to 74Gy/37f. All schedules had a low side effect profile

using trial specified IMRT techniques. 60Gy/20f appears effective and

safe and may be recommended as a new standard of care.