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IMRT & GI toxicity

- But….negative report from a controlled trial

- NRG Oncology RTOG0822 study (IMRT to decrease acute GI tox 45Gy +

boost 5.4Gy concomitant with Capecitabine/Oxaliplatin)

- Sampled to detect ≥12% reduction of acute grade 2-5 CTC_AEv.3.0

compared to RTOG0247

- Rate 51 % vs 40% (RTOG0247) vs 28% (provisional)

- Rate grade 3 diarrhea similar to studies using 3DCRT

Hong 2015