Executive summary

Fifteen patients received proton therapy delivered 40.5 GyRBE in 18 fractions to the gross disease and elective nodal volumes followed by 22.5 GyRBE as a 10-fraction boost to the gross disease for a cumulative dose of 63 GyRBE over 28 fractions. The 1-year OS rate was 47%. One patient experienced grade 3 nausea requiring cessation of capecitabine, which ultimately resolved by treatment completion. The primary objective of 1-year OS of 75% for this phase II trial was not reached. 

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