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Showing 28 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⇅ median follow-up [months]⇅ 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 — 19 62 18 Breast cancer, Lung cancer, Prostate cancer, Colorectal cancer, Head and neck cancer, Esophagus cancer, Melanoma, Kidney cancer, Bladder cancer, Sarcoma, other oligometastatic, metastatic Multi-target TKI Axitinib, Cabozantinib, Nintedanib, Pazopanib, Sunitinib — Missing intra-cranial brain — — — — Missing 1 10 — — — RT-related — — 0 — —
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Looman et al. 2026 Prospective Adverse Events After Metastases-Directed Stereotactic Radiotherapy and Biological Cancer Therapy 10.1001/jamanetworkopen.2025.53809 — 6 62 18 Breast cancer, Lung cancer, Prostate cancer, Colorectal cancer, Head and neck cancer, Esophagus cancer, Melanoma, Kidney cancer, Bladder cancer, Sarcoma, other oligometastatic, metastatic Multi-target TKI Axitinib, Nintedanib, Sunitinib, Vandetanib — Missing extra-cranial lung — — — — Missing 1 10 — — — RT-related — — 2 Missing G3 or higher: 2 pts
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Looman et al. 2026 Prospective Adverse Events After Metastases-Directed Stereotactic Radiotherapy and Biological Cancer Therapy 10.1001/jamanetworkopen.2025.53809 — 1 62 18 Breast cancer, Lung cancer, Prostate cancer, Colorectal cancer, Head and neck cancer, Esophagus cancer, Melanoma, Kidney cancer, Bladder cancer, Sarcoma, other oligometastatic, metastatic Multi-target TKI Axitinib — Missing extra-cranial other Abdomen — — — Missing 1 10 — — — RT-related — — 0 — —
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Looman et al. 2026 Prospective Adverse Events After Metastases-Directed Stereotactic Radiotherapy and Biological Cancer Therapy 10.1001/jamanetworkopen.2025.53809 — 2 62 18 Breast cancer, Lung cancer, Prostate cancer, Colorectal cancer, Head and neck cancer, Esophagus cancer, Melanoma, Kidney cancer, Bladder cancer, Sarcoma, other oligometastatic, metastatic Multi-target TKI Pazopanib, Sunitinib — Missing extra-cranial other Pelvis — — — Missing 1 10 — — — RT-related — — 1 Missing G3 or higher: 1 pt
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Looman et al. 2026 Prospective Adverse Events After Metastases-Directed Stereotactic Radiotherapy and Biological Cancer Therapy 10.1001/jamanetworkopen.2025.53809 — 1 62 18 Breast cancer, Lung cancer, Prostate cancer, Colorectal cancer, Head and neck cancer, Esophagus cancer, Melanoma, Kidney cancer, Bladder cancer, Sarcoma, other oligometastatic, metastatic Multi-target TKI Pazopanib — Missing extra-cranial other Extremities — — — Missing 1 10 — — — RT-related — — 0 — —
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Looman et al. 2026 Prospective Adverse Events After Metastases-Directed Stereotactic Radiotherapy and Biological Cancer Therapy 10.1001/jamanetworkopen.2025.53809 — 6 62 18 Breast cancer, Lung cancer, Prostate cancer, Colorectal cancer, Head and neck cancer, Esophagus cancer, Melanoma, Kidney cancer, Bladder cancer, Sarcoma, other oligometastatic, metastatic Multi-target TKI Crizotinib — Missing intra-cranial brain — — — — Missing 1 10 — — — RT-related — — 0 — —
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Looman et al. 2026 Prospective Adverse Events After Metastases-Directed Stereotactic Radiotherapy and Biological Cancer Therapy 10.1001/jamanetworkopen.2025.53809 — 1 62 18 Breast cancer, Lung cancer, Prostate cancer, Colorectal cancer, Head and neck cancer, Esophagus cancer, Melanoma, Kidney cancer, Bladder cancer, Sarcoma, other oligometastatic, metastatic Multi-target TKI Crizotinib — Missing extra-cranial lung — — — — Missing 1 10 — — — RT-related — — 0 — —
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Looman et al. 2026 Prospective Adverse Events After Metastases-Directed Stereotactic Radiotherapy and Biological Cancer Therapy 10.1001/jamanetworkopen.2025.53809 — 1 62 18 Breast cancer, Lung cancer, Prostate cancer, Colorectal cancer, Head and neck cancer, Esophagus cancer, Melanoma, Kidney cancer, Bladder cancer, Sarcoma, other oligometastatic, metastatic Multi-target TKI Lapatinib — Missing intra-cranial brain — — — — Missing 1 10 — — — RT-related — — 1 Missing G3 or higher: 1 pt
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Looman et al. 2026 Prospective Adverse Events After Metastases-Directed Stereotactic Radiotherapy and Biological Cancer Therapy 10.1001/jamanetworkopen.2025.53809 — 1 62 18 Breast cancer, Lung cancer, Prostate cancer, Colorectal cancer, Head and neck cancer, Esophagus cancer, Melanoma, Kidney cancer, Bladder cancer, Sarcoma, other oligometastatic, metastatic Multi-target TKI Unknown drug Imatinib Missing extra-cranial other Abdomen — — — Missing 1 10 — — — RT-related — — 0 — —
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Yang et al. 2026 Retrospective Safety and Efficacy of Combining Metastasis-Directed Stereotactic Ablative Radiation Therapy with Tyrosine Kinase Inhibitors Versus Immune Checkpoint Inhibitors in Metastatic Hepatocellular Carcinoma 10.4143/crt.2025.966 — 72 59 13.2 HCC oligometastatic, metastatic Multi-target TKI Cabozantinib, Lenvatinib, Regorafenib, Sorafenib — 90 extra-cranial lung, spine, bone, LN unspecified, other Missing 20 20 40 Missing Missing Missing 18 12 20 Treatment-rel. 0 1 — late G3: 1 AE late G3: 1 pt
late G3: fracture spine
late G3: fracture spine
Dawson et al. 2025 Prospective Stereotactic Body Radiotherapy vs Sorafenib Alone in Hepatocellular Carcinoma: The NRG Oncology/RTOG 1112 Phase 3 Randomized Clinical Trial. 10.1001/jamaoncol.2024.5403 NCT01730937 83 66 13.2 HCC primary Multi-target TKI Sorafenib — 83 extra-cranial liver — Missing 20 50 Missing 2 5 Missing 6 10 Treatment-rel. — — 39 any G3: 35 AEs, any G4: 3 AEs, any G5: 1 AE any G3: 35 pts, any G4: 3 pts, any G5: 1 pt
any G3: nausea, vomiting, diarrhea, duodenal perforation, duodenal ulcer, ascites, gastric/upper GI hemorrhage, lower GI hemorrhage, alanine aminotransferase increased, aspartatte aminotrasnferase increased, blood bilirubin increased, platelet count decreased, skin, hypertension, any G4: hepatic failure, hepatic hemorrhage, platelet count decreased, any G5: lung infection
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Keane et al. 2025 Prospective Phase 2 Trial of Consolidative Stereotactic Body Radiation Therapy in Patients With Metastatic Oncogene-driven Non-small Cell Lung Carcinoma Treated With Tyrosine Kinase Inhibitors. 10.1016/j.ijrobp.2024.10.022 NCT02314364 1 59 57.1 Lung cancer metastatic Multi-target TKI Crizotinib — 1 extra-cranial spine, lung — 44 35 50 5 4 6 Missing Missing Missing RT-related — — 0 — —
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Goldsmith et al. 2024 Retrospective Stereotactic Body Radiation Therapy and Concurrent Targeted Therapy for Lung Metastases in Pediatric Sarcoma 10.1016/j.adro.2024.101517 — 4 15 12.7 Sarcoma oligometastatic, metastatic Multi-target TKI Pazopanib, Regorafenib — 14 extra-cranial lung — Missing 30 60 5 5 5 Missing 6 12 RT-related 0 0 — — —
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Franzese et al. 2023 Retrospective The impact of stereotactic ablative radiotherapy on oligoprogressive metastases from renal cell carcinoma 10.1007/s00432-022-04352-z — 40 63.4 19 Kidney cancer oligometastatic Multi-target TKI Pazopanib, Sunitinib — 74 both brain, lung, liver, adrenal gland, bone, muscle, LN unspecified, other pancreas 40 16 60 Missing 1 6 Missing Missing Missing Treatment-rel. 0 0 — 0 0
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Ji et al. 2023 Retrospective Lenvatinib with or without stereotactic body radiotherapy for hepatocellular carcinoma with portal vein tumor thrombosis: a retrospective study 10.1186/s13014-023-02270-z — 37 Missing 39.6 HCC primary Multi-target TKI Lenvatinib — Missing extra-cranial liver — Missing 45 55 Missing 5 10 Missing Missing Missing Treatment-rel. — — 7 any G3: 7AEs any G3: unknown pts
any G3: Hypertension, Nausea/vomiting, Anorexia, Abdominal pain, Diarrhea, AST/ALT elevation
unknown
Loo Gan et al. 2023 Retrospective Real-world Practice Patterns and Safety of Concurrent Radiotherapy and Cabozantinib in Metastatic Renal Cell Carcinoma: Results from the International Metastatic Renal Cell Carcinoma Database Consortium 10.1016/j.euo.2022.10.004 — 50 Missing 15.6 Kidney cancer metastatic Multi-target TKI Cabozantinib — Missing both brain, lung, adrenal gland, bone, LN unspecified, other soft tissue, other sites not specified 27.25 8 50 5 1 13 Missing Missing Missing Treatment-rel. — — 3 any G3: 2 AEs, any G4: 1 AE any G3: 2 pts, any G4: 1 pt
any G3: vasogenic edema, colitis, any G4: pneumonitis
unknown
Guan et al. 2022 Retrospective Safety and Efficacy of Hypofractionated Stereotactic Radiotherapy with Anlotinib Targeted Therapy for Glioblastoma at the First Recurrence: A Preliminary Report 10.3390/brainsci12040471 — 5 51 Missing brain primary Multi-target TKI Unknown drug Anlotinib 5 intra-cranial brain — 25 25 25 5 5 5 5 5 5 Treatment-rel. — — 0 — —
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Cheung et al. 2021 Prospective Stereotactic Radiotherapy for Oligoprogression in Metastatic Renal Cell Cancer Patients Receiving Tyrosine Kinase Inhibitor Therapy: A Phase 2 Prospective Multicenter Study 10.1016/j.eururo.2021.07.026 NCT02019576 37 62 11.8 Kidney cancer metastatic Multi-target TKI Pazopanib, Sunitinib — 57 both brain, lung, liver, adrenal gland, spine, bone, LN unspecified, other spleen, pancreas Missing 27.5 49.5 Missing 2 5 Missing Missing Missing Treatment-rel. — — 0 — —
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Franzese et al. 2021 Retrospective The role of stereotactic body radiation therapy and its integration with systemic therapies in metastatic kidney cancer: a multicenter study on behalf of the AIRO (Italian Association of Radiotherapy and Clinical Oncology) genitourinary study group 10.1007/s10585-021-10131-w — 59 Missing 18.6 Kidney cancer oligometastatic Multi-target TKI Axitinib, Cabozantinib, Pazopanib, Sunitinib, Tivozanib — Missing extra-cranial lung, liver, adrenal gland, bone, muscle, LN unspecified, other Renal bed, Pancreas 36 10 75 5 1 10 Missing Missing Missing Treatment-rel. 0 0 0 0 0
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Gebbia et al. 2020 Retrospective Stereotactic Radiotherapy for the Treatment of Patients With Oligo-progressive Metastatic Renal Cell Carcinoma Receiving Vascular Endothelial Growth Factor Receptor Tyrosine Kinase Inhibitor: Data From the Real World 10.21873/anticanres.14730 — 28 64 Missing Kidney cancer oligometastatic, metastatic Multi-target TKI Pazopanib — Missing both brain, lung, liver, bone, LN unspecified, other kidney, skin Missing 21 50 Missing Missing Missing Missing Missing Missing Treatment-rel. — — 7 any G3-4: 7 AEs any G3-4: unknown pts
any G3-4: Hypertension, diarrhea, anemia, liver, pneumonitis
unknown
He et al. 2020 Retrospective Survival Outcomes After Adding Stereotactic Body Radiotherapy to Metastatic Renal Cell Carcinoma Patients Treated With Tyrosine Kinase Inhibitors 10.1097/coc.0000000000000622 — 56 55 21, 7 Kidney cancer oligometastatic Multi-target TKI Axitinib, Sorafenib, Sunitinib — — both brain, lung, adrenal gland, bone, abdominal LN, other kidney Missing 25 45 5 5 5 Missing 5 9 Treatment-rel. — — 4 any G3: 5 AEs any G3: 4 pts
acute G3: anemia (60%), neuropathy, skin perforation
unknown
Dengina et al. 2019 Prospective Stereotactic body radiation therapy in combination with systemic therapy for metastatic renal cell carcinoma: a prospective multicentre study 10.1136/esmoopen-2019-000535 NCT02864615 7 54.5 8 Kidney cancer any Multi-target TKI Sorafenib, Sunitinib — 7 extra-cranial lung, liver, bone, LN unspecified, other kidney Missing Missing Missing Missing Missing Missing Missing Missing Missing Treatment-rel. — — 0 0 0
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De Wolf et al. 2017 Prospective Combined high dose radiation and pazopanib in metastatic renal cell carcinoma: a phase I dose escalation trial 10.1186/s13014-017-0893-x NCT02334709 13 66 Missing Kidney cancer metastatic Multi-target TKI Pazopanib — 13 extra-cranial lung, liver, bone, LN unspecified, other soft tissue, pancreas 30 24 36 3 3 3 10 8 12 Treatment-rel. — — 5 any G3-4: 6 AEs any G3-4: 5 pts
any G3-4: hypoglycemie, increased ALT and increased AST, hypertension
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Goody et al. 2017 Prospective Phase I trial of radiation therapy and sorafenib in unresectable liver metastases 10.1016/j.radonc.2017.01.018 NCT00892424 18 62 Missing Breast cancer, Colorectal cancer, Melanoma, other primary, metastatic Multi-target TKI Sorafenib — 18 extra-cranial liver — Missing 30 60 6 6 6 Missing 5 10 Treatment-rel. 10 — — acute G3: 8, acute G4: 1 acute G3: unknown pts, acute G4: 1 pt
acute G3: generalized skin toxicity, hand foot syndrome, musculoskeletal, abdominal pain, hyponatremia, hypophosphatemia, acute G4: abdominal pain
acute G3: abdominal pain
Miller et al. 2016 Retrospective Spine stereotactic radiosurgery with concurrent tyrosine kinase inhibitors for metastatic renal cell carcinoma 10.3171/2016.4.Spine16229 — 25 57 15 Kidney cancer metastatic Multi-target TKI Axitinib, Pazopanib, Sorafenib, Sunitinib — 25 extra-cranial spine — 16 10 16 1 1 1 Missing 10 16 RT-related — — 0 — —
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Miller et al. 2016 Retrospective Spine stereotactic radiosurgery with concurrent tyrosine kinase inhibitors for metastatic renal cell carcinoma 10.3171/2016.4.Spine16229 — 45 61 13 Kidney cancer metastatic Multi-target TKI Axitinib, Pazopanib, Sorafenib, Sunitinib — 45 extra-cranial spine — 16 10 18 1 1 1 Missing 10 18 RT-related — — 0 — —
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Kao et al. 2014 Prospective Concurrent sunitinib and stereotactic body radiotherapy for patients with oligometastases: final report of a prospective clinical trial 10.1007/s11523-013-0280-y Missing 46 64 43.2 Lung cancer, Prostate cancer, Colorectal cancer, Head and neck cancer, Melanoma, Kidney cancer, other, HCC, pancreas oligometastatic Multi-target TKI Sunitinib — 85 extra-cranial lung, liver, bone, LN unspecified, other visceral (adrenal, thyroid, inferior vena cava, chest wall) 50 40 50 10 10 10 5 4 5 Treatment-rel. — — 15 any G3: 21 AEs, any G4: 3 AEs, any G5: 2 AEs any G3: unknown pts, any G4: unknown pts, any G5: 2 pts
any G3: anemia, neutropenia, LFT abnormalities, thrombocytopenia, nausea/vomiting, bleeding, metabolic abnormalities, increased creatinine, any G4: anemia, thrombocytopenia, any G5: bleeding (of whom 1 pt due to reirradiation given prior to study treatment, not due to SBRT given in study)
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Staehler et al. 2011 Retrospective Simultaneous anti-angiogenic therapy and single-fraction radiosurgery in clinically relevant metastases from renal cell carcinoma 10.1111/j.1464-410X.2010.09895.x — 106 63.6 14.7 Kidney cancer metastatic Multi-target TKI Sorafenib, Sunitinib — Missing both brain, spine — 20 19 20 1 1 1 20 19 20 RT-related 0 0 — — —
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