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. 2019 Oct 16;98(12):2805–2814. doi: 10.1007/s00277-019-03794-9

Table 4.

Most common (> 10%) grade 3 and 4 TEAEs

ALCYONE safety population15 East Asian Japanese Korean
D-VMP
(n = 346)
VMP
(n = 354)
D-VMP
(n = 47)
VMP
(n = 44)
D-VMP
(n = 24)
VMP
(n = 26)
D-VMP
(n = 23)
VMP
(n = 18)
Hematologic, n (%)
Neutropenia 138 (39.9) 137 (38.7) 26 (55.3) 23 (52.3) 14 (58.3) 16 (61.5) 12 (52.2) 7 (38.9)
Thrombocytopenia 119 (34.4) 133 (37.6) 26 (55.3) 20 (45.5) 14 (58.3) 12 (46.2) 12 (52.2) 8 (44.4)
Leukopenia 28 (8.1) 30 (8.5) 15 (31.9) 12 (27.3) 15 (62.5) 11 (42.3) 0 1 (5.6)
Lymphopenia 26 (7.5) 22 (6.2) 15 (31.9) 8 (18.2) 15 (62.5) 8 (30.8) 0 0
Anemia 55 (15.9) 70 (19.8) 8 (17.0) 11 (25.0) 2 (8.3) 6 (23.1) 6 (26.1) 5 (27.8)
Nonhematologic, n (%)
Pneumonia 39 (11.3) 14 (4.0) 6 (12.8) 0 2 (8.3) 0 4 (17.4) 0
Increased ALT 6 (1.7) 5 (1.4) 4 (8.5) 2 (4.5) 1 (4.2) 0 3 (13.0) 2 (11.1)
Fatigue 11 (3.2) 9 (2.5) 4 (8.5) 3 (6.8) 0 1 (3.8) 4 (17.4) 2 (11.1)
Hyponatremia 8 (2.3) 9 (2.5) 3 (6.4) 3 (6.8) 3 (12.5) 1 (3.8) 0 2 (11.1)
Diarrhea 9 (2.6) 11 (3.1) 3 (6.4) 3 (6.8) 2 (8.3) 1 (3.8) 1 (4.3) 2 (11.1)
Increased AST 5 (1.4) 4 (1.1) 2 (4.3) 2 (4.5) 0 0 2 (8.7) 2 (11.1)
Hypertension 14 (4.0) 6 (1.7) 2 (4.3) 2 (4.5) 0 0 2 (8.7) 2 (11.1)
Asthenia 4 (1.2) 7 (2.0) 1 (2.1) 2 (4.5) 0 0 1 (4.3) 2 (11.1)
Increased C-reactive protein 2 (0.6) 2 (0.6) 0 2 (4.5) 0 0 0 2 (11.1)
Septic shock 1 (0.3) 3 (0.8) 0 2 (4.5) 0 0 0 2 (11.1)

TEAE treatment-emergent adverse event, D-VMP daratumumab/bortezomib/melphalan/prednisone, VMP bortezomib/melphalan/prednisone, ALT alanine aminotransferase, AST aspartate aminotransferase