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. 2009 Dec 11;115(7):1343–1350. doi: 10.1182/blood-2009-08-239046

Table 4.

Grade 3 or 4 adverse events

All patients
High-dose dexamethasone patients
thal/dex (n = 183), n (%) len/dex (n = 228), n (%) P thal/dex (n = 72), n (%) len/dex (n = 72), n (%) P
Treatment-related deaths 1 (0.5) 3 (1.3) .632 1 (1.4) 2 (2.8) > .999
At least one grade 3 or 4 adverse event 100 (54.6) 131 (57.5) .568 44 (61.1) 51 (70.8) .218
Hematologic
    Anemia 0 (0) 10 (4.4) .003 0 (0) 3 (4.2) .245
    Thrombocytopenia 0 (0) 11 (4.8) .002 0 (0) 3 (4.2) .245
    Neutropenia 1 (0.6) 32 (14.0) < .001 0 (0) 10 (13.9) .001
Extrahematologic
    Peripheral neuropathy 19 (10.4) 2 (0.9) < .001 3 (4.2) 0 (0) .245
    Fatigue 13 (7.1) 23 (10.1) .288 5 (6.9) 10 (13.9) .275
    Gastrointestinal toxicity 12 (6.6) 14 (6.1) .863 5 (6.9) 7 (9.7) .764
        Constipation 9 (4.9) 0 (0) .001 4 (5.6) 0 (0) .120
        Diarrhea 0 (0) 8 (3.5) .01 0 (0) 3 (4.2) .245
    Venous thromboembolism 28 (15.3) 21 (9.2) .058 14 (19.4) 8 (11.1) .165
        DVT 21* (11.5) 16 (7.0) .117 9* (12.5) 6 (8.3) .413
        Pulmonary embolism 7 (3.8) 5 (2.2) .385 5 (6.9) 2 (2.8) .441
    Dermatologic 12 (6.6) 21 (9.7) .258 6 (8.3) 5 (6.9) > .999
    Infections 15 (8.2) 30 (13.1) .109 6 (8.3) 10 (13.8) .289
        Pneumonia 5 (2.7) 16 (7.0) .070 1 (1.4) 8 (11.1) .033
        Sepsis 2 (1.1) 4 (1.8) .696 1 (1.4) 0 (0) > .999
    Cardiovascular 10 (5.5) 10 (4.4) .614 5 (6.9) 5 (6.9) > .999
    Transaminase increase 0 (0) 7 (3.1) .019 0 (0) 4 (5.6) .120
    Myopathy 4 (2.2) 1 (0.4) .177 2 (2.8) 1 (1.4) > .999
*

One plus hemorrhage.

One Steven-Johnson syndrome and 1 toxic epidermal necrolysis.

One Stevens-Johnson syndrome.