Table 7.
Summary of Evaluability and Types of DLTs During Consolidation
| Dose Level | Thiotepa Dose (mg/kg/day) | Eligible Patients | Number Evaluable for DLT | Number Inevaluable for DLT | Reason Inevaluable | Number of DLTs | DLT |
|---|---|---|---|---|---|---|---|
| - | Not assigned | 11 | 0 | 11 | No Consolidation No dose level** | - | |
| 0 | 5 | 11 | 11 | 0 | 0 | ||
| 1 | 6 | 13+ | 13 | 0 | 1 | Toxic Death (Candida, ARDS) in CC3 | |
| 2 | 7.2 | 11 | 10 | 1 | Withdrawn by parent in CC1 | 1 | Neurologic Grade 4 toxicity (CC3) |
| 3 | 8.4 | 13+ | 13 | 0 | 3 | 1 Severe Diarrhea and Vomiting (CC1) | |
| 1 Failure to complete 3 cycles; Prolonged pancytopenia (CC1) | |||||||
| 1 Failure to complete 3 cycles; prolonged low platelets (CC3) | |||||||
| 4 | 10 | 14 | 11 | 3 | 1 PD in CC2, 2 withdrawn before CC3 | 2 | 1 Hepatic Veno-occlusive Disease (CC3) |
| Toxic Death (fungal sepsis) in CC2 | |||||||
| 5 | 12 | 19 | 18 | 1 | Died during CC2 | 3 | Pulmonary toxicity Grade 4 (CC2) |
| Pulmonary toxicity Grade 4 (CC2) | |||||||
| Veno-occlusive Disease (CC2) | |||||||
| Total | 92 | 76 | 16 | 10 | |||
One patient was inappropriately treated by the institution at this dose level, after thiotepa dose escalation to the next level had been activated.
There were 11 patients that did not proceed to Consolidation therapy and thus are not eligible for DLT evaluation (see text).