Table 2. Number of patients with grade 3 or 4 nonhematologic toxicities per topotecan dose level.
Dose level | |||||||||
---|---|---|---|---|---|---|---|---|---|
| |||||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | Expanded MTD cohort | |
10 mg/m2 | 15 mg/m2 | 20 mg/m2 | 27 mg/m2 | 36 mg/m2 | 48 mg/m2 | 64 mg/m2 | 85 mg/m2 | ||
n = 4 | n = 6 | n = 4 | n = 5 | n = 9 | n = 5 | n = 7 | n = 5 | N = 16 | |
Mucositis (grade 4) | 1 (25%) | 2 (33%) | 2 (50%) | 4 (80%) | 5 (56%) | 5 (100%) | 7 (100%) | 4 (80%) | 15 (94%) |
Number of days with grade 4 mucositis. median (range) | 0 (0-1) | 0 (0-10) | 2.5 (0-6) | 2 (0-7) | 1 (0-20) | 5 (1-9) | 6 (4-11) | 8 (0-12) | 6 (0-20) |
Enteritis | 0 | 1 (17%) | 3 (75%) | 3 (60%) | 4 (44%) | 2 (40%) | 4 (57%) | 3 (60%) | 5 (31 %) |
Hematuria | 0 | 1 (17%) | 1 (25%) | 0 | 0 | 0 | 1 (14%) | 1 (20%) | 0 |
Cortical function | 0 | 1 (17%) | 0 | 1 (20%) | 1 (11 %) | 0 | 0 | 0 | 2 (13%) |
Peripheral nerve function | 0 | 1 (17%) | 0 | 0 | 0 | 0 | 1 (14%) | 0 | 0 |
Reduction in ejection fraction | 0 | 0 | 0 | 1 (20%) | 0 | 0 | 0 | 1 (20%) | 1 (6%) |
Pulmonary clinical status | 1 (25%) | 1 (17%) | 0 | 1 (20%) | 0 | 0 | 0 | 0 | 1 (6%) |
Nonrelapse deaths | 0 | 0 | 0 | 0 | 0 | 0 | 1 (14%) | 1 (20%) | 2 (13%) |
Fungal infection | Septic shock | Arrhythmia (1) and bacterial sepsis (1) |