Table 3.
Most Common Treatment-Related Adverse Events and Hematologic Abnormalities
Adverse Event* | Ixabepilone Plus Capecitabine (n = 595) |
Capecitabine (n = 603) |
||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Grade 1 |
Grade 2 |
Grade 3 |
Grade 4 |
Any Grade |
Grade 1 |
Grade 2 |
Grade 3 |
Grade 4 |
Any Grade |
|||||||||||
No. | % | No. | % | No. | % | No. | % | No. | % | No. | % | No. | % | No. | % | No. | % | No. | % | |
Nonhematologic abnormality | ||||||||||||||||||||
Peripheral neuropathy | 98 | 17 | 151 | 25 | 140 | 24 | 4 | 0.7 | 393 | 66 | 103 | 17 | 14 | 2.3 | 7 | 1.2 | 0 | 0 | 124 | 21 |
Peripheral sensory neuropathy† | 97 | 16 | 154 | 26 | 130 | 22 | 4 | 0.7 | 385 | 65 | 101 | 17 | 14 | 2.3 | 5 | 0.8 | 0 | 0 | 120 | 20 |
Peripheral motor neuropathy | 16 | 3 | 15 | 3 | 22 | 4 | 0 | 0 | 53 | 9 | 6 | 1 | 2 | 0.3 | 2 | 0.3 | 0 | 0 | 10 | 2 |
Hand-foot syndrome | 122 | 21 | 136 | 23 | 125 | 21 | NA | 383 | 64 | 123 | 20 | 168 | 28 | 121 | 20 | NA | 412 | 68 | ||
Nausea | 156 | 26 | 117 | 20 | 29 | 5 | 0 | 0 | 302 | 51 | 148 | 25 | 61 | 10 | 10 | 2 | 1 | 0.2 | 220 | 37 |
Diarrhea | 129 | 22 | 83 | 14 | 41 | 7 | 1 | 0.2 | 254 | 43 | 111 | 18 | 66 | 11 | 52 | 9 | 3 | 0.5 | 232 | 39 |
Fatigue | 94 | 16 | 85 | 14 | 64 | 11 | 5 | 0.8 | 248 | 42 | 72 | 12 | 45 | 8 | 17 | 3 | 1 | 0.2 | 135 | 22 |
Vomiting | 104 | 18 | 93 | 16 | 36 | 6 | 0 | 0 | 233 | 39 | 90 | 15 | 39 | 7 | 12 | 2 | 0 | 0 | 141 | 23 |
Alopecia | 69 | 12 | 174 | 29 | NA | NA | 243 | 41 | 11 | 2 | 1 | 0.2 | NA | NA | 12 | 2 | ||||
Nail disorder | 98 | 17 | 67 | 11 | 23 | 4 | 0 | 0 | 188 | 32 | 54 | 9 | 16 | 3 | 0 | 0 | 0 | 0 | 70 | 12 |
Anorexia | 99 | 17 | 55 | 9 | 6 | 1 | 0 | 0 | 160 | 27 | 18 | 3 | 3 | 0.5 | 0 | 0 | 81 | 13 | ||
Myalgia | 49 | 8 | 62 | 10 | 26 | 4 | 1 | 0.2 | 138 | 23 | 6 | 1 | 5 | 0.8 | 0 | 0 | 0 | 0 | 11 | 2 |
Stomatitis | 62 | 10 | 48 | 8 | 12 | 2 | 0 | 0 | 122 | 21 | 32 | 5 | 31 | 5 | 3 | 0.5 | 3 | 0.5 | 69 | 11 |
Constipation | 77 | 13 | 31 | 5 | 1 | 0.2 | 1 | 0.2 | 110 | 19 | 26 | 4 | 4 | 0.7 | 0 | 0 | 1 | 0.2 | 31 | 5 |
Asthenia | 30 | 5 | 48 | 8 | 37 | 6 | 0 | 0 | 115 | 19 | 23 | 4 | 24 | 4 | 7 | 1 | 1 | 0.2 | 55 | 9 |
Arthralgia | 38 | 6 | 37 | 6 | 17 | 3 | 0 | 0 | 92 | 16 | 4 | 0.7 | 1 | 0.2 | 1 | 0.2 | 0 | 0 | 6 | 1 |
Mucositis | 47 | 8 | 23 | 4 | 10 | 2 | 0 | 0 | 80 | 13 | 36 | 6 | 11 | 2 | 5 | 0.8 | 1 | 0.2 | 53 | 9 |
Hematologic abnormality‡ | ||||||||||||||||||||
Leukopenia | 59 | 10 | 136 | 23 | 285 | 48 | 87 | 15 | 567 | 96 | 201 | 34 | 98 | 16 | 32 | 5 | 11 | 2 | 342 | 57 |
Neutropenia | 36 | 6 | 76 | 13 | 202 | 34 | 229 | 39 | 543 | 92 | 118 | 20 | 113 | 19 | 33 | 6 | 16 | 3 | 280 | 47 |
Anemia | 266 | 45 | 230 | 39 | 25 | 4 | 6 | 1 | 527 | 89 | 274 | 46 | 111 | 19 | 19 | 3 | 4 | 0.7 | 408 | 68 |
Thrombocytopenia | 261 | 44 | 49 | 8 | 25 | 4 | 12 | 2 | 347 | 59 | 157 | 26 | 15 | 3 | 11 | 2 | 5 | 0.8 | 188 | 32 |
Febrile neutropenia | 0 | 0 | 1 | 0.2 | 29 | 5 | 12 | 2 | 42 | 7 | 0 | 0 | 0 | 0 | 2 | 0.3 | 2 | 0.3 | 4 | 0.7 |
By patients' worse Common Terminology Criteria of Adverse Events version 3, except hand-foot syndrome, which was graded using Roche criteria.
Included the MedDRA version 9.1 terms of burning sensation, dysesthesia, hyperesthesia, hypoesthesia, neuralgia, neuritis, neuropathy, neuropathy peripheral, neurotoxicity, painful response to normal stimuli, paresthesia, pallanesthesia, peripheral sensory neuropathy, polyneuropathy, and polyneuropathy toxic.
For ixabepilone plus capecitabine, denominators for the individual tests were different: for leukopenia and anemia, n = 591, for neutropenia and thrombocytopenia, n = 590. For capecitabine alone, n = 597.