Table 3.
Grades 3 to 5 Toxic Effects of Treatment over the Course of All Cycles.*
Toxic Effect | Interleukin-2 Alone (N = 93) |
Vaccine–Interleukin-2 (N = 85)† |
P Value |
---|---|---|---|
no. of patients (%) | |||
Hearing | 0 | 1 (1) | 0.48 |
Blood or bone marrow | 33 (35) | 41 (48) | 0.08 |
Cardiovascular | |||
Arrhythmia | 4 (4) | 16 (19) | 0.002‡ |
General | 25 (27) | 31 (36) | 0.17 |
Coagulation | 2 (2) | 3 (4) | 0.67 |
Constitutional symptoms | 15 (16) | 24 (28) | 0.06 |
Skin | 6 (6) | 6 (7) | 0.87 |
Gastrointestinal | 17 (18) | 18 (21) | 0.63 |
Hemorrhage | 1 (1) | 2 (2) | 0.61 |
Hepatic | 36 (39) | 34 (40) | 0.86 |
Infection or febrile neutropenia | 6 (6) | 7 (8) | 0.65 |
Lymphatic system | 0 | 1 (1) | 0.48 |
Metabolic or laboratory-testing results | 19 (21)§ | 36 (42) | 0.002‡ |
Musculoskeletal | 3 (3) | 6 (7) | 0.31 |
Neurologic | 11 (12) | 22 (26) | 0.02 |
Ocular or visual | 0 | 1 (1) | 0.48 |
Pulmonary | 19 (21)§ | 19 (22) | 0.81 |
Pain | 10 (11) | 11 (13) | 0.65 |
Renal or genitourinary | 14 (15) | 16 (19) | 0.50 |
Sexual or reproductive function | 1 (1) | 0 | 1.00 |
Syndromes¶ | 1 (1) | 2 (2) | 0.61 |
Maximum reported grade 3–5 | 74 (80) | 73 (86) | 0.27 |
Toxic effects were assessed according to the National Cancer Institute Common Toxicity Criteria, version 2.0. P values were calculated with the use of the chi-square test or Fisher’s exact test.
A total of 86 patients in this group were treated, but 1 was not assessed for toxic effects.
After Bonferroni adjustment, P values of 0.002 or less were considered to be significant in order to maintain the 0.05 error rate.
Data for two patients were missing.
Included are tumor flare, the tumor lysis syndrome, and other syndromes.