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Showing 6 study arms with grade ≥3 adverse event data (treatment-related and RT-related). Click a column header to sort.
Note on patient counts: some articles reported only percentages rather than absolute numbers. Where this occurred, the number of patients — including those with grade ≥3 adverse events — was derived by applying the reported percentage to the total arm size, which may produce a non-integer value. These figures have been rounded to the nearest integer for display.
1st Author Year Study Type Title DOI clinical trial number number of patients median/mean age tumor type treatment setting drug group drug name if other, please specify number of SBRT courses intracranial / extracranial treated site If other treated site, please specify median/mean total RT dose [Gy] minimum total RT dose [Gy] maximum total RT dose [Gy] median/mean number of fractions minimum number of fractions maximum number of fractions median/mean dose per fraction [Gy] minimum dose per fraction [Gy] maximum dose per fraction [Gy] toxicity type patients with acute G>=3 toxicity patients with late G>=3 toxicity patients with G>=3 toxicity, timing unspecified G>=3 AEs patients with G>=3 AEs details on G>=3 toxicity details on G>=3 toxicity in RT field
Looman et al. 2026 Prospective Adverse Events After Metastases-Directed Stereotactic Radiotherapy and Biological Cancer Therapy 10.1001/jamanetworkopen.2025.53809 3 62 Breast cancer, Lung cancer, Prostate cancer, Colorectal cancer, Head and neck cancer, Esophagus cancer, Melanoma, Kidney cancer, Bladder cancer, Sarcoma, other oligometastatic, metastatic ADC Trastuzumab Emtansine Missing intra-cranial brain Missing 1 10 RT-related 0
Alati et al. 2025 Retrospective Multicenter Retrospective Analysis of the Safety and Efficacy of Sacituzumab Govitecan Combined With Radiation Therapy: The French ATTENTION Study 10.1016/j.ijrobp.2025.11.060 25 55.8 Breast cancer any ADC Sacituzumab Govitecan Missing both Missing 25 13 42 3 1 5 8 5 21 RT-related 1 any G3: 1 AE any G3: 1 pt any G3: nausea any G3: nausea
Ippolito et al. 2025 Prospective Breast CancerTrastuzumab-deruxtecan and radiotherapy: a safety sub-analysis of combart prospective cohort study 10.1093/oncolo/oyaf229 Missing 22 Missing Breast cancer any ADC Trastuzumab Deruxtecan 52 both brain, lung, bone, other Missing Missing Missing Missing Missing Missing Missing Missing 3 5 RT-related 0 1 late G3: 1 AE late G3: 1 pt late G3: radionecrosis late G3: radionecrosis
Khatri et al. 2025 Retrospective Sacituzumab govitecan and stereotactic radiosurgery in the management of HER2 negative breast cancer brain metastases: a multi-institutional report 10.1007/s11060-025-05230-7 26 24 Breast cancer metastatic ADC Sacituzumab Govitecan 135 intra-cranial brain 24 16 30 Missing 1 5 Missing 5 24 Radiation necrosis 0
Lebow et al. 2025 Retrospective Local Therapy for Isolated Central Nervous System Progression Among Patients Receiving Antibody-Drug Conjugate Therapy. 10.1016/j.adro.2025.101714 13 57.3 Breast cancer metastatic ADC Sacituzumab Govitecan, Trastuzumab Deruxtecan, Trastuzumab Emtansine 13 intra-cranial brain 21 21 23 1 1 3 21 9 21 RT-related 3 any G4: 5 AEs, any G5: 1 AE any G4: 2 pts, any G5: 1 pt any G4: Radiation necrosis, gait instability, any G5: intracranial hemorrhage any G3: headache, aphasia, any G4: Radiation necrosis, gait instability, any G5: intracranial hemorrhage
Stumpf et al. 2019 Retrospective Combination of Trastuzumab Emtansine and Stereotactic Radiosurgery Results in High Rates of Clinically Significant Radionecrosis and Dysregulation of Aquaporin-4 10.1158/1078-0432.Ccr-18-2851 16 45 Breast cancer metastatic ADC Trastuzumab Emtansine Missing intra-cranial brain Missing Missing Missing Missing Missing Missing Missing Missing Missing Radiation necrosis 6 clinically significant radiation necrosis was defined as neurologic symptoms warranting hospital admission and treatment. clinically significant radiation necrosis was defined as neurologic symptoms warranting hospital admission and treatment.