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. 2010 Sep 13;28(29):4450–4456. doi: 10.1200/JCO.2010.30.3446

Table A1.

Dose Modifications

Adjustment Hematologic Toxicities
Nonhematologic Toxicities CTC Grade % Dose of Chemotherapy
ANC ×109/L Platelets ×109/L
Gemcitabine in the control arm and before combination therapy in the experimental arm 1-< 1.5 And/or 75-99 And/or 3 75
< 1 And/or < 50 And/or 4 Hold; restart at full recovery with 50% dose
Gemcitabine and radiation during combination therapy 0.5-< 1 And/or 50-99 And/or 3 Hold; restart at recovery (grade ≤ 2 toxicity) with 50% dose*

Abbreviations: ANC, absolute neutrophil count; CTC, Common Toxicity Criteria.

*

The decision to hold both radiotherapy and gemcitabine instead of just gemcitabine was left to the investigator's discretion.