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. Author manuscript; available in PMC: 2017 Jan 24.
Published in final edited form as: N Engl J Med. 2016 Jul 7;375(1):11–22. doi: 10.1056/NEJMoa1513750

Table 3.

Adverse Events and Early Discontinuations

Neratinib (n=115) Control (n=78)

Adverse Events Grade 1–2 Grade 3–4 Grade 1–2 Grade 3–4

Hematologic, n (%)

Febrile neutropenia 0 (0%) 7 (6.1%) 0 (0%) 5 (6.4%)
Neutropenia 16 (15.7%) 18 (13.9%) 8 (10.3%) 9 (11.5%)
Thrombocytopenia 6 (5.2%) 1 (0.9%) 0 (0%) 2 (2.6%)
Anemia 34 (29.6%) 3 (2.6%) 16 (20.5%) 0 (0%)

Gastrointestinal, n (%)

Diarrhea 110 (95.6%) 44 (38.3%) 39 (50%) 3 (3.8%)
Nausea 94 (81.7%) 3 (2.6%) 65 (83.3%) 0 (0%)
Vomiting 46 (40%) 2 (1.7%) 20 (25.6%) 0 (0%)
Stomatitis* 52 (45.2%) 2 (1.7%) 31 (39.7%) 2 (2.6%)
Aspartate aminotransferase
increased
30 (26.1%) 5 (4.3%) 5 (6.4%) 1 (1.3%)
Alanine aminotransferase increased 42 (36.5%) 13 (11.3%) 9 (11.5%) 1 (1.3%)

Dose Modifications

Early discontinuation, n (%)**

All 21 (18.3%) 3 (3.8%)
Toxicity 13 (11.3%) 1 (1.3%)
Progression 6 (5.2%) 0 (0%)
Other 2 (1.7%) 2 (2.6%)
*

Stomatitis includes CTCAE terms oral pain, oral hemorrhage, and mucositis oral.

**

Dose modification is for the taxane phase only and includes patients who went to AC early. This does not include patients who discontinued during AC.