Table 1. Treatment-related Grade 2-4 adverse events.
Dose Level | 1 n=2 | 2 n=1 | 3 n=0 | 4 n=1 | 5 n=0 | 6 n=0 | 7 n=3 | 8 n=34 | Total n=41 | |
---|---|---|---|---|---|---|---|---|---|---|
Bevacizumab Dose, mg/kg IV q2w | 2.5 | 5 | 5 | 5 | 7.5 | 7.5 | 7.5 | 10 | ||
Cetuximab Dose, mg/m2 IV weekly* | 100, 75 | 100, 75 | 200, 125 | 200, 125 | 200, 125 | 400, 250 | 400, 250 | 400, 250 | ||
Erlotinib Dose, mg po daily | 50 | 50 | 50 | 100 | 100 | 100 | 150 | 150 | ||
Skin rash | ||||||||||
Grade 2 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 16 | 19 (46%) | |
Grade 3 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 8 | 9 (22%) | |
Hypomagnesemia | ||||||||||
Grade 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11 | 11 (27%) | |
Grade 3 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 3 | 4 (10%) | |
Grade 4 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 3 (7%) | |
Fatigue | ||||||||||
Grade 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 5 (12%) | |
Grade 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 (2%) | |
Diarrhea | ||||||||||
Grade 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 3 (7%) | |
Grade 3 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 2 (5%) | |
Hyperbilirubemia | ||||||||||
Grade 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 3 (7%) | |
Grade 3 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 (2%) | |
Thrombocytopenia | ||||||||||
Grade 2 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 2 (5%) | |
Grade 3a | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 (2%) | |
Anorexia | ||||||||||
Grade 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 2 (5%) | |
Fever and chills | ||||||||||
Grade 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 2 (5%) | |
Hypertension | ||||||||||
Grade 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 2 (5%) | |
Chest pain | ||||||||||
Grade 3 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 (2%) | |
Chills | ||||||||||
Grade 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 (2%) | |
Constipation | ||||||||||
Grade 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 (2%) | |
Dyspnea | ||||||||||
Grade 3 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 (2%) | |
Fistula | ||||||||||
Grade 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 (2%) | |
Hand and foot syndrome | ||||||||||
Grade 2 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 (2%) | |
Increased AST | ||||||||||
Grade 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 (2%) | |
Increased AST/ALT | ||||||||||
Grade 2 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 (2%) | |
Infusion reaction | ||||||||||
Grade 3 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 (2%) | |
Neutropenia | ||||||||||
Grade 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 (2%) | |
Proteinuria | ||||||||||
Grade 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 (2%) | |
Pruritis | ||||||||||
Grade 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 (2%) |
Abbreviations: DLT, dose-limiting toxicity; IV, intravenous; po, orally
Recommended Phase II dose.31 This includes full approved doses of each drug.
Cetuximab dose shown as loading dose, maintenance dose.