Table 3.
Cisplatin unsuitability and borderline unsuitability criteria.
| Unsuitable | Borderline unsuitable |
|---|---|
| Hypersensitivity to platinum | N/A |
| Pregnancy/lactation | N/A |
| Untreated chronic active hepatitis B or C | N/A |
| ECOG PS ≥ 3 | ECOG PS ≥ 2 |
| Preexisting renal dysfunction (CCR < 60 mL/min) | Any renal dysfunction and associated risk factors |
| Severe hearing impairment | Any hearing disorder and associated risk factors |
| Severe neurological disorders | Any neurological disorder (including peripheral sensory symptoms) and associated risk factors |
| Severe immunological condition (CD4-lymphocyte count <200/mm3, a detectable viral load, an acquired immunodeficiency syndrome) | Any immunological condition |
| Insufficient hydration | Poor hydration |
| Platelet count, < 100,000/mm3; neutrophil count, < 1,500/mm; or hemoglobin <9 g/dL; despite optimization attempt | Preexisting hematologic condition, anemia |
| NYHA class III or IV congestive heart failure | NYHA class I or II congestive heart failure in the presence of a left ventricular ejection fraction of ≤50% |
| N/A | Preexisting gastrointestinal condition, history of motion sickness and pregnancy-induced vomiting |
| N/A | Diabetes |
| N/A | Biological age ≥70 years |
| N/A | Bone marrow disorders |
| N/A | Having received platinum agents in induction chemotherapy |
CCR, creatinine clearance rate; ECOG PS, Eastern Cooperative Oncology Group performance status; N/A, not applicable; NYHA, New York Heart Association.