Guidelines about radiotherapy and oncologic systemic treatments: Stop or continue?

Cancer Radiother. 2025 Nov-Dec;29(7-8):104757. doi: 10.1016/j.canrad.2025.104757. Epub 2025 Oct 16.

Abstract

The combination of radiotherapy and oncologic systemic treatments has become clinical routine. We publish the first edition of the French guidelines to summarize the opportunities and risks of these combinations, aiming to harmonize standard practices. We first review the radiobiological principles underlying these associations. We also describe combinations known to be toxic and that should be avoided. Finally, we provide guidelines on the optimal timing for combining radiotherapy with chemotherapies, hormone therapies, targeted therapies and immunotherapy. These data are available on the website https://www.radio-sync.com.

Keywords: Association; Radiotherapy; Radiothérapie; Systemic treatments; Traitements systémiques.

Publication types

  • Review

MeSH terms

  • Chemoradiotherapy* / adverse effects
  • Chemoradiotherapy* / methods
  • Chemoradiotherapy* / standards
  • Combined Modality Therapy
  • France
  • Humans
  • Immunotherapy
  • Molecular Targeted Therapy
  • Neoplasms* / radiotherapy
  • Neoplasms* / therapy
  • Practice Guidelines as Topic*