SUMMARY Neutron therapy with a p(66)Be isocentric beam started at the National Accelerator Centre WAC) in September 1988 and proton therapy with a 200 MeV horizontal beam started in September 1993. A total of 608 patients have been treated in the neutron therapy program and the preliminary results show: 1) no statistical differences in survival and disease-free probability between 6oCo, neutron therapy, and accelerated neutron therapy for head and neck cancer; 2) 1-and 2-year complete response rates of 63% and 51% and survival probabilities of 90% and 73%, respectively, for advanced salivary gland tumours; 3) complete response rates of 67% for macroscopic residual soft tissue sarcomas, 60% for irresectable tumours of less than 10 cm in diameter, and 0% for tumours of more than 10 c m in diameter; 4) local control rates of 64% and 76% for advanced breast carcinomas treated with 17 and 19 Gy, respectively; 5) complete response rate of 50% for macroscopic residual uterine sarcomas; and 6) complete response rates of 45% for advanced maxillary antral carcinomas, 33% for irresectable osteosarcomas, and 38% for chondrosarcomas. With the constant patient accrual and reliable operation of the therapy facilities the NAC could play a major role in defining the future of high-energy neutrons in radiation treatment. Radiat Oncol Invest 1995;2:245-255. 0 1995 Wdey-Liss, hc.