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. 2011 Jun 9;9(6):1007–1023. doi: 10.3390/md9061007

Table 3.

Cardiac adverse events (regardless of relationship) reported with plitidepsin treatment.

All studies (n = 578) Phase II studies (n = 364)

Group/Subgroup/Terms * Patients (%) Patients (%)
Rhythm Abnormalities 31 (5.4%) 25 (6.9%)
  Regular Supraventricular Tachycardia 6 (1.0%) 1 (0.3%)
    Sinus tachycardia 1 (0.2%) 1 (0.3%)
    Supraventricular arrhythmia 1 (0.2%) 0 (0.0%)
    Supraventricular tachycardia 1 (0.2%) 0 (0.0%)
    Tachycardia 3 (0.5%) 0 (0.0%)
  Irregular Supraventricular Tachycardia 15 (2.6%) 14 (3.8%)
    Atrial fibrillation 11 (1.9%) 10 (2.7%)
    Atrial flutter 5 (0.9%) 5 (1.4%)
    Heart rate irregular 1 (0.2%) 1 (0.3%)
  Other Rhythm Abnormalities 13 (2.2%) 13 (3.6%)
    Arrhythmia 1 (0.2%) 1 (0.3%)
    Atrioventricular block 1 (0.2%) 1 (0.3%)
    Change in electrocardiogram 1 (0.2%) 1 (0.3%)
    Electrocardiogram QT prolonged 5 (0.9%) 5 (1.4%)
    Palpitations 6 (1.0%) 6 (1.6%)

Myocardial Injury 17 (3.0%) 14 (3.8%)
  Possible Ischemic Related 10 (1.7%) 8 (2.2%)
    Acute myocardial infarction 1 (0.2%) 1 (0.3%)
    Cardiac troponin I increased 1 (0.2%) 1 (0.3%)
    Chest pain 4 (0.7%) 2 (0.5%)
    Electrocardiogram ST-T change 1 (0.2%) 1 (0.3%)
    Myocardial ischemia 3 (0.5%) 3 (0.8%)
  Other Myocardial Injury 7 (1.2%) 6 (1.6%)
    Cardiac failure 3 (0.5%) 2 (0.5%)
    Cardiomegaly 1 (0.2%) 1 (0.3%)
    Cardiomyopathy 2 (0.3%) 2 (0.5%)
    Ejection fraction decreased 1 (0.2%) 1 (0.3%)

Miscellaneous Cardiac Adverse Events 6 (1.0%) 3 (0.8%)
    Cardiac amyloidosis 1 (0.2%) 1 (0.3%)
    Hypertension 1 (0.2%) 0 (0.0%)
    Hypotension 2 (0.3%) 2 (0.5%)
    Pericardial effusion 3 (0.5%) 1 (0.3%)
    Ventricular hypokinesia 1 (0.2%) 1 (0.3%)

Total Adverse Events 46 (8.0%) 37 (10.2%)
*

A patient may have more than one cardiac adverse event (CAE). The median number of plitidepsin-related CAEs was 1 (range 1–2), and the median number of CAEs (regardless of relationship) was 1 (range 1–3). Four patients had ≥2 plitidepsin-related CAEs; 14 patients had ≥2 CAEs (regardless of relationship).