March 24, 2026 · Lancet (London, England) · DOI: 10.1016/S0140-6736(26)00314-4

Proton beam therapy for oropharyngeal cancer (TORPEdO): a phase 3, randomised controlled trial

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The authors conducted a phase 3 trial (TORPEdO) to compare the clinical benefits of intensity-modulated proton therapy (IMPT) versus intensity-modulated radiation therapy (IMRT) in patients with locally advanced oropharyngeal squamous cell carcinoma, specifically assessing treatment-related effects on physical function and quality of life. The results indicated that both treatment modalities yielded similar outcomes regarding late physical quality of life, gastrostomy-tube dependence, disease control, and overall survival, suggesting that IMRT remains the standard of care in settings where IMPT is not routinely utilized.

David J Thomson, James M Price, Matthew Tyler, Matthew Beasley, Jim Lester, Christopher M Nutting, Nachi Palaniappan, Robin Prestwich, Shanmugasundaram Ramkumar, Anna Thompson, Guy Betts, Helen Bulbeck, Frances Charlwood, Matthew Clarke, Matthew Lowe, Justin Roe, Justine Tyler, Lorna Wilson, Jane L Wolstenholme, Kevin Chiu, Judith Christian, Clare Cruickshank, Deborah Gardiner, Holly Tovey, Catharine M West, Emma Hall

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