Table 3.
Patients, n (%) | 35 | ||
---|---|---|---|
- Male | 16 (46) | ||
- Female | 19 (54) | ||
Median age, years (range) | 66 (42–85) | ||
Type of cancer, n° of patients | |||
- SCLC | 15 | ||
- NSCLC | 7 | ||
- Rectal adenocarcinoma | 1 | ||
- Ovary | 1 | ||
- Breast | 1 | ||
- Prostate | 1 | ||
- Ampulloma | 1 | ||
- Multiple myeloma | 1 | ||
- Colon | 1 | ||
- Oesophagus | 1 | ||
- Refractory diffuse large B-cell Lymphoma | 1 | ||
- Thymoma | 1 | ||
- Urothelial | 1 | ||
- Neuroendocrine | 1 | ||
- Unknown primary site | 1 | ||
Vital signs prior tolvaptan treatment, median (range) | |||
- Weight (kg) | 67 (52–80) (from n= 34) | ||
- Heart rate (bpm) | 85 (66–100) (from n= 18) | ||
- Blood pressure (mmHg) | 128 (155–110) – 72 (85–60) (from n= 17) | ||
Median natremia prior tolvaptan treatment initiation, mmol/L, (range) | 125 (117–130) | ||
Type of hyponatremia, n° of patients (%) | |||
- Mild (130–135 mmol/L) | 2 (6) | ||
- Moderate (120–129 mmol/L) | 31 (88) | ||
- Severe (Below 120 mmol/L) | 2 (6) | ||
Patient symptomatic, n° of patients (%) | 26 (74) | ||
- Headache | 13 (50) | ||
- Asthenia | 6 (23) | ||
- Weakness | 4 (15) | ||
- Dizziness | 4 (15) | ||
- Confusion | 3 (12) | ||
- Unsteady gait | 3 (12) | ||
- Disorientation | 2 (8) | ||
- Fall | 1 (4) | ||
- Sleepiness | 1 (4) | ||
Treatments before Tolvaptan, n° of patients (%) | 11 (31) | ||
- Fluids restriction | 11 (31) | ||
- Hypertonic infusion | 3 (9) | ||
- No prior treatment | 24 (69) | ||
Results (Tolvaptan) | |||
Patients monitored after treatment initiation, n° of patients (%) | |||
- After 4-6h | 13 (37) | ||
- After 24 hours | 35 (100) | ||
Days to restore the natremia, n° of patients (%) | |||
- 1–4 days | 18 (51) | ||
- More than 4 days | 13 (37) | ||
- Partial response | 3 (9) | ||
- No response | 1 (3) | ||
Adverse events reported, n° of patients | Mild | Moderate | Severe |
- Thirst | 9 | 3 | 0 |
- Polyuria | 6 | 4 | 0 |
- Dry mouth | 4 | 0 | 0 |
- Hepatic enzymes elevation | 2 | 0 | 0 |
- Others | 0 | 0 | 0 |
NSCLC no small cell lung cancer, SCLC small cell lung cancer