Table 2.
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 |
1 year = 48 weeks.
In ≥2 patients (any cohort).
In ≥3 patients (any cohort).
AE, adverse event; ALL, acute lymphoblastic leukemia; ALT, alanine aminotransferase; AP, accelerated phase; AST, aspartate aminotransferase; BP, blast phase.