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.