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Bone Protection Resource Center

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Prophylactic radiation for asymptomatic bone metastases may reduce pain and extend survival

Last Updated: Friday, July 17, 2026

Data from a randomized phase 2 trial—presented during the 2022 American Society for Radiation Oncology (ASTRO) Annual Meeting—showed that prophylactic radiation therapy for high-risk, asymptomatic bone metastases in patients with solid tumors may reduce the incidence of skeletal-related events (SREs). After 1 year, SREs occurred in 1 of 62 lesions (1.6%) in those receiving RT, compared to 14 of 49 lesions (29%) for those receiving standard of care (P < .001).

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