Table 6. Adverse events during chemotherapy and chemoradiotherapy – events of grade ≥2 during chemotherapy or chemoradiotherapy.
Regime | Adverse Events:
Number of events/ total number of patients |
Adverse Event Description |
---|---|---|
Epirubicin, Oxaliplatin, Capecitabine (EOX) | 0/15 | |
Epirubicin, Cisplatin, Capecitabine (ECX) | 18/71 | Neutropenia– 3
Acute kidney injury – 9 Proximal lower limb deep vein thrombosis – 2 Pulmonary embolism – 1 Cerebrovascular accident - 2 Dysphagia and stent placement – 1 Death – 2 |
Epirubicin, Cisplatin, 5-Fluorouracil (ECF) | 1/3 | Neutropenia– 1 |
STO3 trial – ECX alone | 1/4 | Pulmonary embolism – 1 |
STO3 trial –ECX + Bevacizumab | 1/4 | Oesophageal perforation - 1 |
OEO5 trial – ECX alone | 1/2 | Death - 1 |
OEO5 trial – Cisplatin and 5-Fluorouracil | 0/6 | |
CROSS trial – Carboplatin, Paclitaxel with
concurrent radiotherapy |
0/10 | |
NEOSCOPE trial – Oxaliplatin and
Capecitabine with concurrent radiotherapy |
1/6 | Death - 1 |
NEOSCOPE trial –Carboplatin and
Paclitaxel with concurrent radiotherapy |
0/3 | |
Herceptin, Cisplatin and Capecitabine | 0/2 | |
Capecitabine alone | 0/1 | |
Cisplatin alone | 4/5 | Death – 1
Neutropenia – 1 Acute kidney injury– 1 Acute psychosis - 1 |
Adverse events were graded according to the National Cancer Institute’s Common Terminology Criteria for Adverse Events, version 3.0. Neutropenia is defined as absolute neutrophil count <1.0 ×10 9/L; Creatinine >1.5 upper limit for normal
Of 132 patients receiving NAC/CRT; 86% underwent chemotherapy alone (38 patients (34%) incomplete treatment) and 14% underwent chemoradiotherapy (1 patient (5%) incomplete treatment). Acute kidney injury with a rise in serum creatinine more than 1.5 times the upper limit of normal was the most common adverse event encountered. Five deaths were recorded during NAC/CRT.