Table 2.
Toxicity Related to Pazopanib Therapy
Toxicity Type | No. of Patients |
|||||||
---|---|---|---|---|---|---|---|---|
Maximum Grade Observed per Patient During Cycle 1 |
Maximum Grade Observed per Patient Across All Subsequent Cycles |
|||||||
Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 1 | Grade 2 | Grade 3 | Grade 4 | |
Tablet formulation (parts 1 and 2b)* | ||||||||
GI/metabolic† | ||||||||
Diarrhea | 12 | 4 | 7 | 2 (1‡) | ||||
Nausea | 9 | 2 | 6 | 1 | ||||
Vomiting | 9 | 3 | 5 | 2 | ||||
Abdominal pain | 2 | 2 | 1 | 2 | ||||
Anorexia | 2 | 2 | 1 | 1‡ | ||||
ALT increased | 8 | 1 | 4 | 1‡ | 1‡ | |||
AST increased | 8 | 7 | 1 | |||||
Serum amylase increased | 3 | 1 | 1‡ | 1 | 3 | |||
Lipase increased | 1 | 2 | 1‡ | 1 | 1 | 1‡ | ||
Hyperglycemia | 4 | 7 | 1 | |||||
Hypophosphatemia | 2 | 1 | 1 | 2 | 4 | |||
Constitutional† | ||||||||
Fatigue | 9 | 4 | 3 | 2 | ||||
Headache | 6 | 5 | 1 | 3 | ||||
Dizziness | 6 | |||||||
Back/tumor pain | 2 | 1 | 1‡ | 2‡ | ||||
Rash maculopapular/hand-foot | 1 | 3 | 1 | 1 | 1‡ | |||
Hematologic§ | ||||||||
Thrombocytopenia | 8 | 1 | 11 | |||||
Absolute lymphocyte count | 5 | 1 | 5 | 7 | ||||
Absolute neutrophil count | 3 | 5 | 1 | 3 | 6 | 4 | 1‡ | |
Anemia | 1 | 1 | 6 | 1 | 2 (1‡) | |||
MTKI class targeted† | ||||||||
Proteinuria | 5 | 2 | 1‡ | 8 | 1 | |||
Hypertension | 3 | 6 | 2‡ | 3 | 5 | |||
Left ventricular systolic dysfunction | 3 | 1 | 4 | 2 | ||||
Sinus bradycardia | 4 | 3 | ||||||
Hypothyroidism | 4 | 1 | 5 | 3 | ||||
Suspension formulation (part 2a)† | ||||||||
GI/metabolic† | ||||||||
Diarrhea | 4 | 2 | ||||||
Nausea | 3 | 1 | 2 | |||||
Vomiting | 3 | 1 | ||||||
Abdominal pain | 2 | |||||||
ALT increased | 3 | 2‡ | 2 | 1 | ||||
AST increased | 2 | 1 | 2 | |||||
Constitutional† | ||||||||
Fatigue | 2 | 1 | 1 | |||||
Headache | 2 | 1 | 1 | |||||
Hematologic§ | ||||||||
Thrombocytopenia | 3 | |||||||
Absolute lymphocyte count | 2 | 2 | 1 | |||||
Absolute neutrophil count | 2 | 1 | 1 | 1 | ||||
Anemia | 1 | 1 | 1 | |||||
MTKI class targeted† | ||||||||
Proteinuria | 4 | 2 |
Abbreviation: MTKI, multitargeted tyrosine kinase receptor inhibitor.
Cycle 1, n = 33 cycles; cycles 2 to 23, n = 148 cycles.
Nonhematologic toxicities related to protocol therapy that occurred in more than 10% of patients as determined in the first cycle of protocol therapy.
Dose-limiting toxicity.
Hematologic toxicities independent of frequency and attribution.
Cycle 1, n = 15 cycles; cycles 2 to 8, n = 22 cycles.