Oligometastatic / Mets
2026-05-17
OLIGOCARE — EORTC e2irradiate prospective SABR registry for oligometastases
OLIGOCARE (n~2500 pts, ~3500 mets): SABR local failure 5% at 1y and 11% at 3y; CRC carries higher progression risk; minimum PTV dose correlates with LC.
- Local failure: 5% at 1 year, 11% at 3 years across all histologies.
- Colorectal cancer subgroup: higher local/systemic progression risk vs other histologies — consistent with radiobiologic resistance and liver/lung metastatic propensity in CRC.
- Minimum PTV dose (cold-spot dosimetry) correlates with local control — a dosimetric quality-assurance signal with direct planning optimization implications.
- RCC SBRT (tweet 6): ~100% LC at 5 years reported via commentary link — sharply contrasts with CRC data and supports histology-stratified SABR eligibility frameworks.
- Registry design without randomised comparator; performance-status selection bias and variable systemic therapy backgrounds limit efficacy inference; toxicity data not reported in source tweets.
- At ~2500 patients, OLIGOCARE substantially exceeds prior randomised oligomets trials (SABR-COMET ~99 pts, ORIOLE ~54 pts) in sample size, though design differences preclude direct comparison.
📚 Sources (2)
📣 #ESTRO26 - @UmbertoRicardo e2irradiate @EORTC prospective OLIGOCARE registry of SABR for oligomets. ~2500 patients, ~3500 mets.
— Shankar Siva (@_ShankarSiva) May 17, 2026
➡️ local failure 5% at 1 year and 11% at 3 years
➡️ Colorectal cancer has higher risk of progression
➡️ minimum PTV dose correlated with outcome… pic.twitter.com/cx4zERqHhK
These results are so impressive!! 💯 local control at 5 years for RCC treated with SBRT@DrRanaMcKay @AdityaBagrodia @DrTylerStewart @DrYukselUrun @OncoAlert https://t.co/fUB3airM5g
— Tyler Seibert MD PhD (@TylerSbrt) May 17, 2026