Hypofractionated split-course versus standard radiotherapy in frail older patients with head and neck squamous-cell carcinoma (ELAN-RT trial): a non-inferiority, multicentre, open-label, randomised controlled trial.

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Title: Hypofractionated split-course versus standard radiotherapy in frail older patients with head and neck squamous-cell carcinoma (ELAN-RT trial): a non-inferiority, multicentre, open-label, randomised controlled trial.
Authors: Ortholan C; Oncology and Radiotherapy Unit, Centre Hospitalier Princesse Grace, Monaco. Electronic address: cecile.ortholan@chpg.mc., Aupérin A; Biostatistics and Epidemiology Office, Gustave Roussy, Inserm U1018 Oncostat labelled Ligue Contre le Cancer, University Paris-Saclay, Villejuif, France., Tao Y; Oncology and Radiotherapy Unit, Institut Gustave Roussy, Villejuif, France., Renard S; Oncology and Radiotherapy Unit, Institut de Cancérologie de Lorraine, Nancy, France., Pointreau Y; Oncology and Radiotherapy Unit, Clinique Victor Hugo, Le Mans, France., Lafond C; Oncology and Radiotherapy Unit, Clinique Victor Hugo, Le Mans, France., Bera G; Oncology and Radiotherapy Unit, Centre Hospitalier de Bretagne Sud, Lorient, France., Boisselier P; Oncology and Radiotherapy Unit, CRLC Val d'Aurelle, Montpellier, France., Benezery K; Oncology and Radiotherapy Unit, Centre Antoine Lacassagne, Nice, France., Racadot S; Oncology and Radiotherapy Unit, Centre Leon Berard, Lyon, France., Huguet F; 10 Oncology and Radiotherapy Unit, Centre Hospitalier Universitaire Tenon APHP, Paris, France., Bollet M; Oncology and Radiotherapy Unit, Groupe hospitalier privé Ambroise Pare-Hartmann, Neuilly sur Seine, France., Braccini AL; Oncology and Radiotherapy Unit, Centre Azuréen de Cancérologie, Mougins, France., Khoury C; Oncology and Radiotherapy Unit, Centre de Radiothérapie Saint-Louis Croix-Rouge française, Toulon, France., Jacquot S; Oncology and Radiotherapy Unit, Centre de Cancérologie du Grand Montpellier, Montpellier, France., Villa J; Oncology and Radiotherapy Unit, Centre Hospitalier Universitaire, Grenoble, France., Martin L; Oncology and Radiotherapy Unit, Centre de radiothérapie Guillaume le Conquérent, Le Havre, France., Di Rito A; Oncology and Radiotherapy Unit, Centre Medical de Forcilles, Férolles-Attilly, France., Wiazzane N; Oncology and Radiotherapy Unit, Institut de Cancérologie de l'Ouest, Centre René Gauducheau, Saint-Herblain, France., Goineau A; Oncology and Radiotherapy Unit, Centre Paul Papin, Angers, France., Dupin C; Oncology and Radiotherapy Unit, Centre Hospitalier Universitaire Saint André, Bordeaux, France., Cartier L; Oncology and Radiotherapy Unit, Institut Sainte-Catherine, Avignon, France., Ruffier A; Oncology and Radiotherapy Unit, Centre Hospitalier Universitaire Bretonneau-CORAD (Clinique d'Oncologie et de Radiothérapie), Tours, France., Cheurfa N; Biostatistics and Epidemiology Office, Gustave Roussy, Inserm U1018 Oncostat labelled Ligue Contre le Cancer, University Paris-Saclay, Villejuif, France., Schwob D; Biostatistics and Epidemiology Office, Gustave Roussy, Inserm U1018 Oncostat labelled Ligue Contre le Cancer, University Paris-Saclay, Villejuif, France., Mertens C; Oncogeriatrics Unit, Bergonié Institute, Bordeaux, France., Le Caer H; Medical Oncology Unit, Centre Hospitalier de Saint-Brieuc, France., Bourhis J; Radiotherapy Unit, Centre Hospitalier Universitaire de Vaudois, Lausanne, Switzerland., Guigay J; Université Côte d'Azur, Nice, France., Sun XS; Oncology and Radiotherapy Unit, CHRU de Besançon and Hôpital Nord France Comté, Montbéliard, France.
Corporate Authors: ELAN Group including Gustave Roussy, Unicancer GERICO and the H&N groups, and the GORTEC
Source: The lancet. Healthy longevity [Lancet Healthy Longev] 2026 Jan; Vol. 7 (1), pp. 100812. Date of Electronic Publication: 2026 Feb 16.
Publication Type: Journal Article; Randomized Controlled Trial; Multicenter Study; Equivalence Trial; Comparative Study
Journal Info: Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101773309 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2666-7568 (Electronic) Linking ISSN: 26667568 NLM ISO Abbreviation: Lancet Healthy Longev Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: Hypofractionated split-course versus standard radiotherapy in frail older patients with head and neck squamous-cell carcinoma (ELAN-RT trial): a non-inferiority, multicentre, open-label, randomised controlled trial.
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  Data: <searchLink fieldCode="AU" term="%22Ortholan+C%22">Ortholan C</searchLink>; Oncology and Radiotherapy Unit, Centre Hospitalier Princesse Grace, Monaco. Electronic address: cecile.ortholan@chpg.mc.<br /><searchLink fieldCode="AU" term="%22Aupérin+A%22">Aupérin A</searchLink>; Biostatistics and Epidemiology Office, Gustave Roussy, Inserm U1018 Oncostat labelled Ligue Contre le Cancer, University Paris-Saclay, Villejuif, France.<br /><searchLink fieldCode="AU" term="%22Tao+Y%22">Tao Y</searchLink>; Oncology and Radiotherapy Unit, Institut Gustave Roussy, Villejuif, France.<br /><searchLink fieldCode="AU" term="%22Renard+S%22">Renard S</searchLink>; Oncology and Radiotherapy Unit, Institut de Cancérologie de Lorraine, Nancy, France.<br /><searchLink fieldCode="AU" term="%22Pointreau+Y%22">Pointreau Y</searchLink>; Oncology and Radiotherapy Unit, Clinique Victor Hugo, Le Mans, France.<br /><searchLink fieldCode="AU" term="%22Lafond+C%22">Lafond C</searchLink>; Oncology and Radiotherapy Unit, Clinique Victor Hugo, Le Mans, France.<br /><searchLink fieldCode="AU" term="%22Bera+G%22">Bera G</searchLink>; Oncology and Radiotherapy Unit, Centre Hospitalier de Bretagne Sud, Lorient, France.<br /><searchLink fieldCode="AU" term="%22Boisselier+P%22">Boisselier P</searchLink>; Oncology and Radiotherapy Unit, CRLC Val d'Aurelle, Montpellier, France.<br /><searchLink fieldCode="AU" term="%22Benezery+K%22">Benezery K</searchLink>; Oncology and Radiotherapy Unit, Centre Antoine Lacassagne, Nice, France.<br /><searchLink fieldCode="AU" term="%22Racadot+S%22">Racadot S</searchLink>; Oncology and Radiotherapy Unit, Centre Leon Berard, Lyon, France.<br /><searchLink fieldCode="AU" term="%22Huguet+F%22">Huguet F</searchLink>; 10 Oncology and Radiotherapy Unit, Centre Hospitalier Universitaire Tenon APHP, Paris, France.<br /><searchLink fieldCode="AU" term="%22Bollet+M%22">Bollet M</searchLink>; Oncology and Radiotherapy Unit, Groupe hospitalier privé Ambroise Pare-Hartmann, Neuilly sur Seine, France.<br /><searchLink fieldCode="AU" term="%22Braccini+AL%22">Braccini AL</searchLink>; Oncology and Radiotherapy Unit, Centre Azuréen de Cancérologie, Mougins, France.<br /><searchLink fieldCode="AU" term="%22Khoury+C%22">Khoury C</searchLink>; Oncology and Radiotherapy Unit, Centre de Radiothérapie Saint-Louis Croix-Rouge française, Toulon, France.<br /><searchLink fieldCode="AU" term="%22Jacquot+S%22">Jacquot S</searchLink>; Oncology and Radiotherapy Unit, Centre de Cancérologie du Grand Montpellier, Montpellier, France.<br /><searchLink fieldCode="AU" term="%22Villa+J%22">Villa J</searchLink>; Oncology and Radiotherapy Unit, Centre Hospitalier Universitaire, Grenoble, France.<br /><searchLink fieldCode="AU" term="%22Martin+L%22">Martin L</searchLink>; Oncology and Radiotherapy Unit, Centre de radiothérapie Guillaume le Conquérent, Le Havre, France.<br /><searchLink fieldCode="AU" term="%22Di+Rito+A%22">Di Rito A</searchLink>; Oncology and Radiotherapy Unit, Centre Medical de Forcilles, Férolles-Attilly, France.<br /><searchLink fieldCode="AU" term="%22Wiazzane+N%22">Wiazzane N</searchLink>; Oncology and Radiotherapy Unit, Institut de Cancérologie de l'Ouest, Centre René Gauducheau, Saint-Herblain, France.<br /><searchLink fieldCode="AU" term="%22Goineau+A%22">Goineau A</searchLink>; Oncology and Radiotherapy Unit, Centre Paul Papin, Angers, France.<br /><searchLink fieldCode="AU" term="%22Dupin+C%22">Dupin C</searchLink>; Oncology and Radiotherapy Unit, Centre Hospitalier Universitaire Saint André, Bordeaux, France.<br /><searchLink fieldCode="AU" term="%22Cartier+L%22">Cartier L</searchLink>; Oncology and Radiotherapy Unit, Institut Sainte-Catherine, Avignon, France.<br /><searchLink fieldCode="AU" term="%22Ruffier+A%22">Ruffier A</searchLink>; Oncology and Radiotherapy Unit, Centre Hospitalier Universitaire Bretonneau-CORAD (Clinique d'Oncologie et de Radiothérapie), Tours, France.<br /><searchLink fieldCode="AU" term="%22Cheurfa+N%22">Cheurfa N</searchLink>; Biostatistics and Epidemiology Office, Gustave Roussy, Inserm U1018 Oncostat labelled Ligue Contre le Cancer, University Paris-Saclay, Villejuif, France.<br /><searchLink fieldCode="AU" term="%22Schwob+D%22">Schwob D</searchLink>; Biostatistics and Epidemiology Office, Gustave Roussy, Inserm U1018 Oncostat labelled Ligue Contre le Cancer, University Paris-Saclay, Villejuif, France.<br /><searchLink fieldCode="AU" term="%22Mertens+C%22">Mertens C</searchLink>; Oncogeriatrics Unit, Bergonié Institute, Bordeaux, France.<br /><searchLink fieldCode="AU" term="%22Le+Caer+H%22">Le Caer H</searchLink>; Medical Oncology Unit, Centre Hospitalier de Saint-Brieuc, France.<br /><searchLink fieldCode="AU" term="%22Bourhis+J%22">Bourhis J</searchLink>; Radiotherapy Unit, Centre Hospitalier Universitaire de Vaudois, Lausanne, Switzerland.<br /><searchLink fieldCode="AU" term="%22Guigay+J%22">Guigay J</searchLink>; Université Côte d'Azur, Nice, France.<br /><searchLink fieldCode="AU" term="%22Sun+XS%22">Sun XS</searchLink>; Oncology and Radiotherapy Unit, CHRU de Besançon and Hôpital Nord France Comté, Montbéliard, France.
– Name: AuthorCorporate
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  Data: <searchLink fieldCode="CA" term="%22ELAN+Group+including+Gustave+Roussy%2C+Unicancer+GERICO+and+the+H%26N+groups%2C+and+the+GORTEC%22">ELAN Group including Gustave Roussy, Unicancer GERICO and the H&N groups, and the GORTEC</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22101773309%22">The lancet. Healthy longevity</searchLink> [Lancet Healthy Longev] 2026 Jan; Vol. 7 (1), pp. 100812. <i>Date of Electronic Publication: </i>2026 Feb 16.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Elsevier+Ltd%22">Elsevier Ltd </searchLink><i>Country of Publication: </i>England <i>NLM ID: </i>101773309 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>2666-7568 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2226667568%22">26667568 </searchLink><i>NLM ISO Abbreviation: </i>Lancet Healthy Longev <i>Subsets: </i>MEDLINE
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