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. 2020 Jan 8;20:23. doi: 10.1186/s12879-019-4751-3

Table 5.

Toxicity Criteria [20]

Mild (Grade 1) Moderate (Grade 2) Severe or Medically Significant but Not Immediately Life-Threatening (Grade 3) Life-Threatening Consequences (Grade 4)
Liver Enzymes –either ALT, AST increase by factor >ULN-3.0 x ULN >3.0–5.0 x ULN >5.0–20 x ULN > 20 x ULN
Bilirubin >ULN-1.5 x ULN >1.5–3.0 x ULN >3.0–10.0 x ULN >10 x ULN

Creatinine – mg/dL

Normal baseline

1.5 x ULN >1.5–3.0 x ULN >3.0–6.0 x ULN > 6.0 x ULN

Creatinine – mg/dL

Elevated baseline

1.5 x baseline >1.5–3.0 x baseline >3.0–6.0 x baseline > 6.0 x baseline
Hemoglobin gm/dL < LLN-10.0 < 10.0 to 8.0 < 8.0 Life-threatening, urgent intervention indicated
WBC Decrease - cell/mm3 LLN- 3000 2000 – 3000 1000 – 2000 < 1000
Platelets Decreased - cell/mm3 LLN - 75,000 50,000 - < 75,000 < 50,000–25,000 < 25,000