Table 4.
Chemotherapy toxicity
|
Cisplatin and fluorouracil: two cycles (n=446*) |
Epirubicin, cisplatin, and capecitabine: four cycles (n=441*) |
|||||
|---|---|---|---|---|---|---|
| Grade 1–2 | Grade 3 | Grade 4 | Grade 1–2 | Grade 3 | Grade 4 | |
| Neutropenia | 102 (23%) | 57 (13%) | 17 (4%) | 119 (27%) | 79 (18%) | 22 (5%) |
| Deep vein thrombosis or pulmonary embolism | 5 (1%) | 4 (1%) | 5 (1%) | 11 (2%) | 8 (2%) | 11 (2%) |
| Vomiting | 116 (26%) | 20 (4%) | 0 | 177 (40%) | 26 (6%) | 0 |
| Nausea | 245 (55%) | 16 (4%) | 0 | 282 (64%) | 27 (6%) | 0 |
| Diarrhoea | 103 (23%) | 6 (1%) | 0 | 132 (30%) | 33 (7%) | 3 (1%) |
| Plantar–palmar erythrodysesthesia | 27 (6%) | 0 | 0 | 169 (38%) | 37 (8%) | 1 (<1%) |
| Stomatitis | 212 (48%) | 25 (6%) | 0 | 199 (45%) | 7 (2%) | 0 |
| Infection or febrile neutropenia | 5 (1%) | 2 (<1%) | 1 (<1%) | 6 (1%) | 14 (3%) | 0 |
| Cardiac toxicity | 13 (3%) | 1 (<1%) | 1 (<1%) | 17 (4%) | 2 (<1%) | 1 (<1%) |
| Peripheral neuropathy | 27 (6%) | 1 (<1%) | 0 | 103 (23%) | 3 (1%) | 0 |
| Loss of taste | 147 (33%) | 2 (<1%) | 0 | 180 (41%) | 1 (<1%) | 0 |
| Thrombocytopenia | 28 (6%) | 2 (<1%) | 0 | 32 (7%) | 0 | 1 (<1%) |
| Renal toxicity | 28 (6%) | 2 (<1%) | 0 | 37 (8%) | 1 (<1%) | 0 |
| Tinnitus | 86 (19%) | 2 (<1%) | 0 | 71 (16%) | 0 | 0 |
| Liver toxicity | 20 (4%) | 0 | 0 | 33 (7%) | 2 (<1%) | 0 |
| Alopecia | 84 (19%) | 0 | 0 | 314 (71%) | 0 | 0 |
| Other toxicity | 274 (61%) | 36 (8%) | 3 (1%) | 300 (68%) | 60 (14%) | 7 (2%) |
Data are n (%).
Two patients in each group did not receive any chemotherapy, and another three patients in each group did not provide any toxicity data. If some toxicity data were provided, any missing toxicity data at that cycle are assumed to indicate that toxicity did not occur. One patient in the epirubicin, cisplatin, and capecitabine group died of cerebrovascular incident (reported as other toxicity).