Thursday, December 18, 2008

RT in the AM better than in the PM?

File this one under odd randomized trials:

This Candian Trial randomized 216 patients undergoing RT for head and neck cancer were randomized to recieve RT in the morning (8-10AM) vs RT in the afternoon (4-6PM).  Why, you ask?  This is based on observations that oral mucosal cells exhibit a circadian rhythm tend to be in G1 in the morning and in M by the afternoon.  Thus RT should be less toxic to the mucosa in the AM.  

They didn't quite find statistical significance on their main endpoint, they did find some subgroup signals.  

http://www.redjournal.org/article/PIIS0360301608030356/abstract?rss=yes

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