Table 4.
Disease and Patient Characteristics in Association With Bleeding During Dasatinib Therapy
Variable | Median (Range) | No. | No. Bleeding (%) | P | |
---|---|---|---|---|---|
Age, y | Bleed | 60 (18–78) | .33 | ||
No bleed | 55 (15–78) | ||||
WBC, × 10 g/L | Bleed | 7.6 (0.7–144.4) | .15 | ||
No bleed | 13.7 (0.8–160.8) | ||||
Hemoglobin, g/dL | Bleed | 10.2 (7.6–13.2) | .007 | ||
No bleed | 11.1 (6.3–16.6) | ||||
Platelet, × 10 g/L | Bleed | 77 (3–681) | .001 | ||
No bleed | 255 (10–1615) | ||||
PB basophil % | Bleed | 4 (0–44) | .29 | ||
No bleed | 2 (0–45) | ||||
PB blast % | Bleed | 6 (0–63) | .049 | ||
No bleed | 0 (0–99) | ||||
BM blast % | Bleed | 13 (0–88) | .002 | ||
No bleed | 3 (0–98) | ||||
BM basophil % | Bleed | 3 (0–41) | .21 | ||
No bleed | 2 (0–57) | ||||
CML duration, mo | Bleed | 77 (1–216) | .049 | ||
No bleed | 60 (1–207) | ||||
Sex | Female | 76 | 20 (26) | .34 | |
Male | 62 | 12 (19) | |||
Pulmonary history | Yes | 16 | 2 (13) | .28 | |
No | 122 | 30 (25) | |||
Diabetes history | Yes | 10 | 2 (20) | .80 | |
No | 128 | 30 (23) | |||
Cardiac history | Yes | 18 | 5 (28) | .62 | |
No | 120 | 27 (22) | |||
Renal history | Yes | 12 | 1 (8) | .20 | |
No | 126 | 31 (25) | |||
Gastrointestinal history* | Yes | 25 | 7 (25) | .53 | |
No | 113 | 25 (22) | |||
HTN | Yes | 37 | 8 (22) | .79 | |
No | 101 | 24 (24) | |||
Prior SCT | Yes | 11 | 3 (27) | .74 | |
No | 127 | 29 (23) | |||
Prior IFN-α | Yes | 81 | 23 (28) | .08 | |
No | 57 | 9 (16) | |||
CML phases | .007 | ||||
CP | 63 | 7 (11) | |||
AP | 38 | 13 (34) | |||
BP | 35 | 12 (34) | .002 (CP vs AP/BP) | ||
Dose schedule | .17 | ||||
QD | 39 | 6 (15) | |||
BID | 99 | 26 (26) | |||
Dose, mg/day | .45 | ||||
<100 | 15 | 2 (13) | |||
100 | 21 | 3 (14) | |||
105–140 | 93 | 24 (26) | |||
>140 | 9 | 3 (33) |
WBC indicates white blood cell; PB, peripheral blood; BM, bone marrow; CML, chronic myelogenous leukemia; HTN, hypertension; SCT: stem cell transplantation; IFN-α, interferon-α; CP, chronic phase; AP, accelerated phase; BP, blast phase; QD, daily; BID, twice daily.
Gastrointestinal history included gastroesophageal reflux disease, hiatal hernial, esophagitis, peptic ulcer disease, gastritis, Mallory-Weiss syndrome, duodenitis, and diverticulitis.