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. 2015 Jun 1;90(9):755–768. doi: 10.1002/ajh.24034

Table 2.

Reasons for Treatment Discontinuation and Adverse Events Resulting in Dose Modification Over Time

Year 1 Year 2 Year 3 Year 4
AP CML BP CML ALL AP CML BP CML ALL AP CML BP CML ALL AP CML BP CML ALL
Reason for treatment discontinuation,a n (%) (n = 79) (n = 64) (n = 24) (n = 38) (n = 8) (n = 1) (n = 19) (n = 3) (n = 1) (n = 17) (n = 2) (n = 1)
Any reason 41 (52) 56 (88) 23 (96) 19 (50) 5 (63) 0 2 (11) 1 (33) 0 3 (18) 0 0
AE 16 (20) 2 (3) 3 (13) 4 (11) 0 0 0 1 (33) 0 1 (6) 0 0
Disease progression 10 (13) 29 (45) 10 (42) 11 (29) 3 (38) 0 0 0 0 2 (12) 0 0
Death 5 (6) 6 (9) 2 (8) 0 0 0 0 0 0 0 0 0
Symptomatic deterioration 5 (6) 6 (9) 3 (13) 1 (3) 0 0 1 (5) 0 0 0 0 0
Unsatisfactory response 3 (4) 5 (8) 5 (21) 3 (8) 0 0 0 0 0 0 0 0
Subject request 1 (1) 3 (5) 0 0 0 0 0 0 0 0 0 0
Other 1 (1) 3 (5) 0 0 1 (13) 0 1 (5) 0 0 0 0 0
Investigator request 0 0 0 0 1 (13) 0 0 0 0 0 0 0
Lost to follow‐up 0 1 (2) 0 0 0 0 0 0 0 0 0 0
Protocol violation 0 1 (2) 0 0 0 0 0 0 0 0 0 0
AEs resulting in dose modification, n (%)
Discontinuationb
Thrombocytopenia 6 (8) 0 0 0 0 0 0 0 0 0 0 0
Pericardial effusion 1 (1) 0 0 0 0 0 0 0 0 2 (12) 0 0
ALT increased 2 (3) 0 0 1 (3) 0 0 0 0 0 0 0 0
Dose interruptionc
Thrombocytopenia 20 (25) 8 (13) 0 1 (3) 0 0 0 0 0 0 0 0
Neutropenia 11 (14) 6 (9) 1 (4) 0 0 0 0 0 0 0 0 0
Anemia 7 (9) 3 (5) 0 0 0 0 0 0 0 0 0 0
ALT increased 6 (8) 1 (2) 0 0 0 0 0 0 0 0 0 0
AST increased 5 (6) 0 0 0 0 0 0 0 0 0 0 0
Leukopenia 4 (5) 4 (6) 1 (4) 0 0 0 0 0 0 0 0 0
Vomiting 4 (5) 3 (5) 2 (8) 0 0 0 0 0 0 0 0 0
Diarrhea 3 (4) 2 (3) 1 (4) 0 0 0 1 (5) 0 0 0 0 0
Nausea 3 (4) 2 (3) 0 0 0 0 0 0 0 0 0 0
Pyrexia 3 (4) 1 (2) 1 (4) 0 0 0 0 0 0 0 0 0
Rash 4 (5) 2 (3) 1 (4) 0 0 0 0 0 0 1 (7) 0 0
Dose reductionc
Thrombocytopenia 14 (18) 5 (8) 0 0 0 0 0 0 0 0 0 0
Neutropenia 5 (6) 2 (3) 0 0 0 0 0 0 0 0 0 0
Anemia 3 (4) 1 (2) 0 1 (3) 0 0 0 0 0 0 0 0
Leukopenia 3 (4) 1 (2) 0 0 0 0 0 0 0 0 0 0
AST increased 3 (4) 0 0 0 0 0 0 0 0 0 0 0
Rash 3 (4) 0 1 (4) 0 0 0 0 0 0 0 0 0
a

1 year = 48 weeks.

b

In ≥2 patients (any cohort).

c

In ≥3 patients (any cohort).

AE, adverse event; ALL, acute lymphoblastic leukemia; ALT, alanine aminotransferase; AP, accelerated phase; AST, aspartate aminotransferase; BP, blast phase.