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. 2021 Jul 28;59:321–326. doi: 10.1016/j.breast.2021.07.017

Table 3.

Dose modifications by preexisting condition.

Dose Modification, % Gastrointestinal
Musculoskeletal
Metabolic
Vascular/Cardiac
Vascular
Cardiac
≥4 Preexisting Conditions
PAL + LET (n = 176) PBO + LET (n = 100) PAL + LET (n = 252) PBO + LET (n = 138) PAL + LET (n = 254) PBO + LET (n = 128) PAL + LET (n = 254) PBO + LET (n = 128) PAL + LET (n = 232) PBO + LET (n = 122) PAL + LET (n = 65) PBO + LET (n = 29) PAL + LET (n = 51) PBO + LET (n = 34)
Dose reduction
 No dose reduction 55.1 98.0 59.5 97.1 59.7 98.6 58.7 99.2 58.6 99.2 63.1 100 58.8 100
 ≥1 dose reduction 44.9 2.0 40.5 2.9 40.3 1.4 41.3 0.8 41.4 0.8 36.9 0 41.2 0
 Median time to first dose reduction, d 99.0 97.5 91.0 99.0 1136 98.5 1136 157 179
 1 dose reduction 23.9 2.0 22.2 2.9 22.6 1.4 26.0 0.8 25.4 0.8 26.2 0 21.6 0
 2 dose reductions 21.0 0 18.3 0 17.7 0 15.4 0 15.9 0 10.8 0 19.6 0
Discontinuations and dose modifications due to AEs
 Discontinuation due to an AE 12.5 5.0 13.1 4.4 12.9 4.1 12.2 5.5 12.5 5.7 12.3 10.3 19.6 2.9
Dose reduction
 Due to AE 44.9 2 40.1 2.9 40.3 1.4 40.9 0.8 41.0 0.8 36.9 0 41.2 0
 Discontinued due to treatment-related AE 6.8 0 6.8 0 4.3 0 5.5 0 5.6 0 4.6 0 7.8 0
Dose interruption or delay
 Due to AE 81.3 17.0 79.4 19.6 79 23.3 78.4 19.5 78.5 19.7 72.3 10.3 78.4 14.7
 Discontinued due to treatment-related AE 8.5 1.0 9.5 1.5 8.6 2.7 7.5 1.6 7.8 1.6 6.2 0 9.8 0

AE = adverse event; LET = letrozole; PAL = palbociclib; PBO = placebo.