Table 3.
Dose Levels | Drug dose mg/m2 x 3 d | #Pt | Fatigue | Infection | Ileus/SBOe | Muscle cramps/twitching/tremors | Muscle weakness | CNS symptoms | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ||||||||||||||||||||
Grade | Grade | Grade | Grade | Grade | Grade | |||||||||||||||
| ||||||||||||||||||||
1-2 | 3 | 4 | 1-2 | 3 | 4 | 1-2 | 3 | 4 | 1-2 | 3 | 4 | 1-2 | 3 | 4 | 1-2 | 3 | 4 | |||
1 | 50 | 1 | 1 | |||||||||||||||||
2 | 100 | 2 | ||||||||||||||||||
3 | 150 | 2 | 1c | |||||||||||||||||
4 | 250 | 3 | ||||||||||||||||||
5 | 325 | 3 | ||||||||||||||||||
6 | 400 | 4 | 1b | 1 | 2d | 1 | ||||||||||||||
7 | 650 | 2 | ||||||||||||||||||
8 | 850 | 3 | 2a | 2 | ||||||||||||||||
9 | 1,050 | 6 | 1a | 1d | 1g | 1h | 1i | |||||||||||||
10 | 1,375 | 8 | 5 | 1b | 2d | 3 | 1 | 3 | 1j | |||||||||||
11 | 1,700 | 1 | 1 | 1f | 1k | |||||||||||||||
Total | 35 |
Only toxicities which included Gr ≥3 are shown.
One of two patients with pre-existing fatigue symptom worsened;
pre-existing fatigue symptom worsened;
patient with MDS/AL hospitalized with febrile neutropenia;
including Port-A-Cath infection;
SBO, small bowel obstruction, all had gynecological neoplasms with pelvic surgery;
Patient #21;
Patient #13;
Hallucination;
Confusion, loss of recent memory;
Lethargy, confusion and delirium;
ataxia.
Additional clinical toxicities (all Gr 1-2) include pyrexia (Gr 1, n=2), epiphora (Gr 1, n=2), anorexia (Gr 1-2, n=4), vomiting (Gr 1, n=1), constipation (Gr 1-2, n=4), diarrhea (Gr 1-2, n=3), myalgia (Gr 1-2, n=4), dizziness (Gr 1-2, n=3), headache (Gr 2, n=2), and hypertension (Gr 1, n=4).