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. 2020 Jul 21;10(7):e037746. doi: 10.1136/bmjopen-2020-037746

Table 2.

Dose reduction criteria for carboplatin and pemetrexed

Platelet (/L) Neutrophil (/mm3) CBDCA PEM
Haematological adverse events
 ≥50×109 ≥500 No reduction No reduction
 ≥50×109 <500 1 dose down 1 dose down
 <50×109 without bleeding Any 1 dose down 1 dose down
 <50×109 with bleeding Any 2 dose down 2 dose down
 Any <1000 and fever (≥38.5°C) 2 dose down 1 dose down
Non-haematological adverse events
 Nausea, vomit, appetite loss Grade 4 1 dose down 1 dose down
 Diarrhoea Grade 3 or 4 No reduction 1 dose down
 Enanthema Grade 3 or 4 No reduction 2 dose down
 Neurological toxicity Grade 3 or 4 1 dose down 1 dose down
 AST/ALT Grade 3 1 dose down 1 dose down
Grade 4 Discontinue Discontinue
 Others Grade 4 1 dose down 1 dose down

ALT, Alanine aminotransferase; AST, Aspartate aminotransferase; CBDCA, carboplatin; PEM, pemetrexed.