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. 2011 Feb 1;104(5):756–762. doi: 10.1038/bjc.2011.13

Table 2. Dose level evaluated and DLT encountered.

Dose level Dose Schedule Total no. of cycles No. of patients with DLT/total no. of patients treated DLT
1 10 3 days every 2 weeks 6 0/3  
2 10 5 days every 2 weeks 16 1/6a  
3 20 5 days every 2 weeks 20 1/6 Grade 3 myositis
4 30 5 days every 2 weeks 19 0/4  
5 50 5 days every 2 weeks 6 0/4  
6 70 5 days every 2 weeks 5 0/3  
7 90 5 days every 2 weeks 3 1/2b Grade 3 fatigue Grade 3 vomiting
           
6 70 5 days every 2 weeks 4 3/3 Grade 4 platelets Grade 3 fatigue
5.5 60 5 days every 2 weeks 17 1/7c Grade 3 ALTd

Abbreviations: DLT=dose-limiting toxicity; ALT=alanine transaminase.

a

Grade 3 bilirubin subsequently declared not drug related.

b

Neither patient completed a full cycle.

c

One patient had intolerable G2 nausea vomiting resulting in failure to receive further dose. Although this is not DLT per se according to protocol definition, we have classified this event as a DLT due to the inability to resume treatment.

d

One patient did not complete cycle 1 because of ALT rise, however, it was not clear if this was entirely related to drug since patient had elevated transaminases with prior treatment.