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. 2024 Feb;86(1):43–51. doi: 10.18999/nagjms.86.1.43

Table 1.

Criteria for modification of chemotherapy

Adverse events Suspension criteria Resumption criteria Dose reduction criteria
FTD/TPI Ramucirumab FTD/TPI Ramucirumab
Neutrophil count < 1,000/mm3
≥ 1,500/mm3
< 500/mm3 and
delayed for
more than 7 days
Platelet count < 50,000/mm3
≥ 75,000/mm3
< 50,000/mm3

and delayed for
more than 7 days
Febrile neutropenia Grade ≥ 3 resolved Grade ≥ 3
Other adverse eventsa
Grade ≥ 3 Grade ≤ 1 or baseline Grade ≥ 3
Urinary
protein
≥ 2 g and < 3 g / day,
or UPC ≥ 2.0 and < 3.0
≤ 1+ on dipstick
or < 2 g/day,
or UPC < 2.0
≥ 2 g and < 3 g / day,
or UPC ≥ 2.0 and < 3.0
Hypertension Symptomatic grade 2 or grade ≥ 3 Can be controlled
with
antihypertensive drugs
Symptomatic grade 2 or grade ≥ 3
Other adverse eventsb
Grade ≥ 3 Grade ≤ 1 or baseline Grade ≥ 3 Grade ≥ 3
(second episode)

FTD/TPI: trifluridine tipiracil

UPC: urine protein/urine creatinine ratio

a : FTD/TPI related, except in the case where the event is not serious and where safe use of the drug can continue.

b : Ramucirumab related, except in the case where the event is not serious and safe use of the drug can continue.