Clinical Studies
Clinical studies from researchers around the world have demonstrated the benefits of proton therapy for a variety of cancer diagnoses. This research covers a range of proton therapy advantages, from its effectiveness in destroying cancer cells to its ability to lower the patient’s risk of side effects.
Proton Therapy Clinical Studies
- Ares C, Hug EB, Lomax AJ, et al. Effectiveness and safety of spot scanning proton radiation therapy for chordomas and chondrosarcomas of the skull base: first long-term report. Int J Radiat Oncol Biol Phys. 2009;75(4):1111-1118. doi:10.1016/j.ijrobp.2008.12.055
- Dennis ER, Bussiere MR, Niemierko A, et al. A comparison of critical structure dose and toxicity risks in patients with low grade gliomas treated with IMRT versus proton radiation therapy. Technol Cancer Res Treat. 2013;12(1):1-9. doi:10.7785/tcrt.2012.500276
- Arvold ND, Niemierko A, Broussard GP, et al. Projected second tumor risk and dose to neurocognitive structures after proton versus photon radiotherapy for benign meningioma. Int J Radiat Oncol Biol Phys. 2012;83(4):e495-e500. doi:10.1016/j.ijrobp.2011.10.056
- Frank S, Rosenthal DI, Ang K, et al. Gastrostomy Tubes Decrease by Over 50% With Intensity Modulated Proton Therapy (IMPT) During the Treatment of Oropharyngeal Cancer Patients: A Case–Control Study. Int J Radiat Oncol Biol Phys. 2013;87(2):S144. doi:10.1016/j.ijrobp.2013.06.371
- Sio TT, Lin HK, Shi Q, et al. Intensity Modulated Proton Therapy Versus Intensity Modulated Photon Radiation Therapy for Oropharyngeal Cancer: First Comparative Results of Patient-Reported Outcomes. Int J Radiat Oncol Biol Phys. 2016;95(4):1107-1114. doi:10.1016/j.ijrobp.2016.02.044
- Holliday EB, Garden AS, Rosenthal DI, et al. Proton Therapy Reduces Treatment-Related Toxicities for Patients with Nasopharyngeal Cancer: A Case-Match Control Study of Intensity-Modulated Proton Therapy and Intensity-Modulated Photon Therapy. Int J Part Ther. 2015;2(1):19-28. doi:10.14338/IJPT-15-00011.1
- Romesser PB, Cahlon O, Scher E, et al. Proton beam radiation therapy results in significantly reduced toxicity compared with intensity-modulated radiation therapy for head and neck tumors that require ipsilateral radiation. Radiother Oncol. 2016;118(2):286-292. doi:10.1016/j.radonc.2015.12.008
- Patel SH, Wang Z, Wong WW, et al. Charged particle therapy versus photon therapy for paranasal sinus and nasal cavity malignant diseases: a systematic review and meta-analysis. Lancet Oncol. 2014;15(9):1027-1038. doi:10.1016/S1470-2045(14)70268-2
- Bekelman JE, Lu H, Pugh S, et al. Pragmatic randomised clinical trial of proton versus photon therapy for patients with non-metastatic breast cancer: the Radiotherapy Comparative Effectiveness (RadComp) Consortium trial protocol. BMJ Open. 2019;9(10):e025556. Published 2019 Oct 15. doi:10.1136/bmjopen-2018-025556
- Cuaron JJ, Chon B, Tsai H, et al. Early toxicity in patients treated with postoperative proton therapy for locally advanced breast cancer. Int J Radiat Oncol Biol Phys. 2015;92(2):284-291. doi:10.1016/j.ijrobp.2015.01.005
- Bush DA, Do S, Lum S, et al. Partial breast radiation therapy with proton beam: 5-year results with cosmetic outcomes. Int J Radiat Oncol Biol Phys. 2014;90(3):501-505. doi:10.1016/j.ijrobp.2014.05.1308
- Hong TS, Wo JY, Yeap BY, et al. Multi-Institutional Phase II Study of High-Dose Hypofractionated Proton Beam Therapy in Patients With Localized, Unresectable Hepatocellular Carcinoma and Intrahepatic Cholangiocarcinoma. J Clin Oncol. 2016;34(5):460-468. doi:10.1200/JCO.2015.64.2710
- Higgins KA, O’Connell K, Liu Y, et al. National Cancer Database Analysis of Proton Versus Photon Radiation Therapy in Non-Small Cell Lung Cancer. Int J Radiat Oncol Biol Phys. 2017;97(1):128-137. doi:10.1016/j.ijrobp.2016.10.001
- Chang JY, Verma V, Li M, et al. Proton Beam Radiotherapy and Concurrent Chemotherapy for Unresectable Stage III Non-Small Cell Lung Cancer: Final Results of a Phase 2 Study [published correction appears in JAMA Oncol. 2017 Sep 1;3(9):1286] [published correction appears in JAMA Oncol. 2017 Dec 1;3(12):1742]. JAMA Oncol. 2017;3(8):e172032. doi:10.1001/jamaoncol.2017.2032
- Bush DA, Cheek G, Zaheer S, et al. High-dose hypofractionated proton beam radiation therapy is safe and effective for central and peripheral early-stage non-small cell lung cancer: results of a 12-year experience at Loma Linda University Medical Center. Int J Radiat Oncol Biol Phys. 2013;86(5):964-968. doi:10.1016/j.ijrobp.2013.05.002
- Xi M, Xu C, Liao Z, et al. Comparative Outcomes After Definitive Chemoradiotherapy Using Proton Beam Therapy Versus Intensity Modulated Radiation Therapy for Esophageal Cancer: A Retrospective, Single-Institutional Analysis. Int J Radiat Oncol Biol Phys. 2017;99(3):667-676. doi:10.1016/j.ijrobp.2017.06.2450
- Lester SC, Lin SH, Chuong M, et al. A Multi-institutional Analysis of Trimodality Therapy for Esophageal Cancer in Elderly Patients. Int J Radiat Oncol Biol Phys. 2017;98(4):820-828. doi:10.1016/j.ijrobp.2017.02.021
- Fang P, Shiraishi Y, Verma V, et al. Lymphocyte-Sparing Effect of Proton Therapy in Patients with Esophageal Cancer Treated with Definitive Chemoradiation. Int J Part Ther. 2018;4(3):23-32. doi:10.14338/IJPT-17-00033.1
- Lin SH, Merrell KW, Shen J, et al. Multi-institutional analysis of radiation modality use and postoperative outcomes of neoadjuvant chemoradiation for esophageal cancer. Radiother Oncol. 2017;123(3):376-381. doi:10.1016/j.radonc.2017.04.013
- Hartsell W, Bentefour H, Dooling D, Mendenhall N. Proton Therapy is Associated with Superior Survival and Decreased Risk of Complications Compared to IMRT for Intermediate Risk Prostate Cancer: A Medicare/SEER Database Study. Proceedings to the 4th Annual Conference of the Particle Therapy Cooperative Group North America (PTCOG-NA), Abstract 34. Int J Part Ther. 2018;4(4):47-109. doi:10.14338/IJPT.18-PTCOG-2.1
- Bryant Research. Awareness and Impressions of Selected Prostate Cancer Treatment Options Survey. 2013. Read More
- Vargas C, Fryer A, Mahajan C, et al. Dose-volume comparison of proton therapy and intensity-modulated radiotherapy for prostate cancer. Int J Radiat Oncol Biol Phys. 2008;70(3):744-751. doi:10.1016/j.ijrobp.2007.07.2335
- Hoppe BS, Michalski JM, Mendenhall NP, et al. Comparative effectiveness study of patient-reported outcomes after proton therapy or intensity-modulated radiotherapy for prostate cancer. Cancer. 2014;120(7):1076-1082. doi:10.1002/cncr.28536
- Pan HY, Jiang J, Hoffman KE, et al. Comparative Toxicities and Cost of Intensity-Modulated Radiotherapy, Proton Radiation, and Stereotactic Body Radiotherapy Among Younger Men With Prostate Cancer. J Clin Oncol. 2018;36(18):1823-1830. doi:10.1200/JCO.2017.75.5371
- Anand A, Bues M, Rule WG, et al. Scanning proton beam therapy reduces normal tissue exposure in pelvic radiotherapy for anal cancer. Radiother Oncol. 2015;117(3):505-508. doi:10.1016/j.radonc.2015.10.027
- Chung CS, Yock TI, Nelson K, et al. Incidence of Second Malignancies Among Patients Treated With Proton Versus Photon Radiation. Int J Radiation Oncol Bio Physician. 2013;87(1):46-52. doi:10.1016/j.ijrobp.2013.04.030
- Bryant C, Smith TL, Henderson RH, et al. Five-Year Biochemical Results, Toxicity, and Patient-Reported Quality of Life After Delivery of Dose-Escalated Image Guided Proton Therapy for Prostate Cancer. Int J Radiat Oncol Biol Phys. 2016;95(1):422-434. doi:10.1016/j.ijrobp.2016.02.038
- Press Ganey Associates. Total mean score for consultation and graduation surveys combined. Medical Practice Survey. 2020 Jan 1 – 2021 Jun 30.
- Baumann BC, Mitra N, Harton JG, et al. Comparative Effectiveness of Proton vs Photon Therapy as Part of Concurrent Chemoradiotherapy for Locally Advanced Cancer. JAMA Oncol. 2020;6(2):237-246. doi:10.1001/jamaoncol.2019.4889
- Taylor CW, Wang Z, Macaulay E, Jagsi R, Duane F, Darby SC. Exposure of the Heart in Breast Cancer Radiation Therapy: A Systematic Review of Heart Doses Published During 2003 to 2013. Int J Radiat Oncol Biol Phys. 2015;93(4):845-853. doi:10.1016/j.ijrobp.2015.07.2292
- Lin LL, Vennarini S, Dimofte A, et al. Proton beam versus photon beam dose to the heart and left anterior descending artery for left-sided breast cancer. Acta Oncol. 2015;54(7):1032-1039. doi:10.3109/0284186X.2015.1011756
- General Studies
- Brain & Spine Cancer
- Head, Neck & Oral Cancer
- Breast Cancer
- Liver Cancer
- Lung Cancer
- Esophageal Cancer
- Prostate Cancer
- Rectal/Anal Cancer