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RECIST and CTCAE Reporting: Tumour Response and Toxicity

DE By Directive Editorial Team, Directive Publications ·9 Sep 2026 ·6 min read
RECIST and CTCAE Reporting: Tumour Response and Toxicity

RECIST and CTCAE reporting means stating two things precisely: which version of RECIST you used to measure tumour response, and which version of CTCAE you used to grade adverse events. Name the criterion and version, say who assessed the imaging, give the confirmation interval, and report adverse events per grade with attribution and a stated denominator.

What RECIST and CTCAE each cover, and where the boundary sits

RECIST — Response Evaluation Criteria in Solid Tumours — is a rule set for measuring solid-tumour burden on imaging and converting change from baseline into a response category. CTCAE — the Common Terminology Criteria for Adverse Events, from the US National Cancer Institute — is a graded dictionary of adverse-event terms, graded from 1 to 5, with the grades that apply defined term by term.

The two do not overlap. RECIST answers whether measured tumour burden shrank, grew or held; CTCAE answers what harm occurred and how severe it was. Progression is a RECIST outcome, not a CTCAE adverse event; treatment-related pneumonitis is a CTCAE event, not a response category.

The RECIST 1.1 response categories

CategoryDefinition for target lesions in RECIST 1.1
Complete response (CR)All target lesions disappear; any pathological lymph node reduced to under 10 mm in short axis.
Partial response (PR)At least a 30% decrease in the sum of target-lesion diameters, against the baseline sum.
Progressive disease (PD)At least a 20% increase in the sum, against the smallest sum on study, with an absolute increase of at least 5 mm; or any new lesion.
Stable disease (SD)Neither enough shrinkage for PR nor enough increase for PD.

Under RECIST 1.1, measurability thresholds are fixed:

  • Non-nodal lesion: 10 mm or more in longest diameter on CT with slices of 5 mm or less.
  • Lymph node: 15 mm or more in short axis.
  • Target lesions: up to five, no more than two per organ.

State the threshold, the modality and the slice thickness, or your target-lesion selection cannot be reproduced.

When a criterion other than RECIST 1.1 applies

SettingCriterion that fits the setting
Immune checkpoint inhibitors, where pseudoprogression is possibleiRECIST, alongside RECIST 1.1
Hepatocellular carcinoma after locoregional therapymRECIST, which measures viable enhancing tumour
LymphomaLugano classification, including PET-based metabolic response
Primary brain tumoursRANO criteria
Multiple myelomaInternational Myeloma Working Group criteria
Metabolic response on PETPERCIST

Name one criterion as primary and say why it fits the disease and treatment.

CTCAE grades severity; it does not decide causality

A CTCAE grade describes how severe an event was. It says nothing about whether treatment caused it. Attribution is a separate judgement, made by a named role and reported separately from the grade.

GradeWhat the grade means in CTCAE
1Mild; asymptomatic or mild symptoms; clinical or diagnostic observation only; intervention not indicated.
2Moderate; minimal, local or non-invasive intervention indicated; limiting age-appropriate instrumental activities of daily living.
3Severe or medically significant but not immediately life-threatening; hospitalisation or prolongation of hospitalisation indicated; disabling.
4Life-threatening consequences; urgent intervention indicated.
5Death related to the adverse event.

Attribution scales vary: a five-point scale — definite, probable, possible, unlikely, unrelated — and a collapsed related versus unrelated are both in use. Either is acceptable; leaving it implicit is not. State the scale, who applied it (investigator, safety committee, adjudication panel), and whether it was applied blind to allocation.

The version problem: a response rate is meaningless without a version number

Criteria change, and the numbers change with them. RECIST 1.1 cut the target-lesion maximum from ten to five, changed how lymph nodes are measured, and required progression to carry an absolute increase of at least 5 mm as well as a 20% relative increase. A partial response under RECIST 1.0 is not the same measurement as one under 1.1.

The same applies to toxicity. CTCAE v5.0 was published by the National Cancer Institute in 2017 and superseded v4.03; terms were added, retired and remapped to a newer version of MedDRA, and some grade boundaries moved. The National Cancer Institute then released CTCAE v6.0 in 2025, with a mapping of every v5.0 term and grade to its v6.0 equivalent, so v5.0 and v6.0 are both in circulation and neither can be assumed from the bare word CTCAE. Reporting on v4.03 because the protocol ran on v4.03 is fine — say so. Regrading old records against a newer version is a methods decision that has to be declared.

Write the version into the methods, every table legend, and the trial registration record where one exists. The CONSORT Harms 2022 extension, listed in the reporting-guideline library of the EQUATOR Network, sets out what a harms table carries; the CONSORT, PRISMA and STROBE guidelines cover the wider principle.

Who assessed the response, and over what confirmation interval

Response assessment is a reading, and readings differ between readers. Investigator assessment and blinded central review can produce different numbers, so a paper that does not name which produced the headline response rate has omitted part of its method. Report both where both exist, and name the primary one.

Confirmation is the other half. Under RECIST 1.1, where objective response is the primary endpoint of a non-randomised trial, a complete or partial response is confirmed by a repeat assessment no fewer than four weeks later. Say whether responses were confirmed and at what interval, how often scans were scheduled, and how patients with no post-baseline scan were counted — as non-responders or excluded, which changes the denominator.

A RECIST and CTCAE reporting template to fill in

Fill in both tables before writing the results paragraph. Anything you cannot complete is a missing method or a limitation. The counts in Table 2 are illustrative only, from a notional safety population of 40 patients.

Table 1: eight fields every response section must state

FieldWhat to stateWorked example
Criterion and versionThe criterion and its version numberRECIST version 1.1
Secondary criterionIts name and the analyses it applies toiRECIST, sensitivity analysis only
Imaging techniqueModality, contrast, slice thicknessContrast-enhanced CT, 5 mm slices
Assessment scheduleInterval from first dose, and the window allowedEvery 8 weeks, plus or minus 7 days
AssessorInvestigator, central review or both; how discordance was resolvedInvestigator-assessed; central review as sensitivity analysis
Confirmation intervalWhether CR and PR were confirmed, and after how longRepeat scan 4 weeks or more later
Population and denominatorWho enters the response rate; how missing scans were handledAll treated patients; no post-baseline scan counted as non-response
Resultn/N and percentage per category, with a confidence intervalObjective response 12/40 (30.0%, 95% CI 16.6-46.5)

Table 2: grade and attribute every adverse event

Adverse event (CTCAE v6.0 term)Grade 1 n (%)Grade 2 n (%)Grade 3 n (%)Grade 4 n (%)Grade 5 n (%)Any grade n (%)Grade 3 or above attributed to treatment n (%)
Neutropenia6 (15.0)9 (22.5)5 (12.5)1 (2.5)021 (52.5)6 (15.0)
Fatigue11 (27.5)7 (17.5)2 (5.0)0020 (50.0)2 (5.0)
Pneumonitis1 (2.5)2 (5.0)1 (2.5)01 (2.5)5 (12.5)2 (5.0)

Four statements belong in that legend: the safety population and its size, the N behind every percentage; that each patient is counted once per term at their worst grade; the CTCAE version; and the attribution scale with the role that applied it. Add rows for discontinuations, dose reductions, dose delays and each grade 5 event.

What changes when the paper is a case series rather than a trial

RECIST and CTCAE do not change for a case series; the denominator does. A case series has no protocol-defined schedule, so state the intervals at which imaging actually happened and say they were clinically driven. Response in five patients is reported as counts, not percentages. Toxicity is graded with CTCAE the same way, version named, and attribution is yours as the treating team, not an adjudication that never happened. See also writing and publishing a case report.

Reporting gaps that generate reviewer queries

  • A response rate given as a percentage with no numerator, denominator or confidence interval.
  • Toxicity called "well tolerated" or "manageable" with no grade distribution behind the adjective.
  • Only grade 3 and above reported, hiding the low-grade burden that can drive dose reduction or discontinuation.
  • Grade 5 events folded into overall mortality instead of listed individually with attribution.
  • A criterion named but not versioned, or versioned only in the methods.
  • Waterfall or spider plots with no underlying numbers, which belong in the paper or in the supplementary materials.
  • No statement of who assessed response, and no confirmation interval.

Our Author Guidelines ask you to match the manuscript to the relevant EQUATOR checklist. We publish no oncology-specific criteria policy, so RECIST and CTCAE are not named there — naming your criterion and version is the author's job. Measurement data belong in a data availability statement, and the ICMJE Recommendations ask for data on all the primary and secondary outcomes identified in the methods. See also statistical reporting of p-values and confidence intervals and preparing figures and tables.

Frequently Asked Questions

Which version of RECIST should I state in my manuscript?
RECIST 1.1, published in 2009, is the current general criterion for solid tumours, and it is the one to name unless the disease or treatment calls for a variant or a separate disease-specific criterion, such as iRECIST, mRECIST or the Lugano classification. Write it as RECIST version 1.1 in the methods and in every table legend. If an older version was used because the study ran under an older protocol, say so rather than relabelling the data.
Do I report every adverse event, or only the worst grade per patient?
Report the worst grade each patient reached for each adverse-event term, so a patient appears once per term, and state that convention in the table legend alongside the safety population size that forms the denominator. Where the number of episodes matters, such as recurrent infusion reactions, give event counts in a separate row. Mixing the two counting rules in one column makes the table unreadable.
Can CTCAE be used in a case report or a small case series?
Yes. CTCAE grading applies to a single patient as readily as to a trial cohort, and it converts a vague description such as severe fatigue into a grade another clinician can interpret. Name the version — CTCAE v6.0, released in 2025, or v5.0 if that is what you graded against — and state your attribution as the treating team. Report counts rather than percentages in a small series.
Does Directive Publications require RECIST or CTCAE by name?
No. Our Author Guidelines ask you to match the manuscript to the relevant EQUATOR reporting checklist, and we publish no oncology-specific criteria policy that names RECIST or CTCAE. Naming the criterion and its version is still part of a complete oncology methods section, so state it whether or not a policy page asks for it.
DE
Directive Editorial Team
Directive Publications

The editorial team at Directive Publications — an international open-access publisher of peer-reviewed medical and scientific journals.

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