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. Author manuscript; available in PMC: 2012 Dec 7.
Published in final edited form as: N Engl J Med. 2011 Jun 2;364(22):2119–2127. doi: 10.1056/NEJMoa1012863

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.