Table 4.
AEI | EAIR a | All patients with Gr ⩾ 3 event, n (%) | |
---|---|---|---|
All-grade | Grade ⩾ 3 | ||
Infections | 9.6 | 1.4 | 214 (27) |
Opportunistic infections | 0.1 | 0.1 | 15 (2) |
Hemorrhage b | 4.8 | 0.2 | 28 (4) |
Major hemorrhage | 0.2 | 0.2 | 28 (4) |
Neutropenia c | 2.1 | 1.2 | 183 (23) |
Thrombocytopenia d | 1.1 | 0.3 | 61 (8) |
Anemia e | 0.8 | 0.04 | 63 (8) |
Second primary malignancies f | 0.6 | 0.2 | 40 (5) |
Skin cancers | 0.4 | 0.1 | 13 (2) |
Hypertension | 0.6 | 0.2 | 41 (5) |
Atrial fibrillation and flutter | 0.1 | 0.03 | 6 (1) |
Tumor lysis syndrome g | 0.02 | 0.02 | 3 (0.4) |
AEI, adverse event of interest; EAIR, exposure-adjusted incidence rate; Gr, grade; PT, preferred term.
EAIRs calculated as the first occurrence of each adverse event of interest per 100 person-months of zanubrutinib exposure.
Includes major hemorrhage.
Includes clinical adverse events reported under PTs neutropenia (n = 97), neutrophil count decreased (n = 178), febrile neutropenia (n = 14), and neutropenic sepsis (n = 1).
Includes clinical adverse events reported under the PTs thrombocytopenia (n = 58) and platelet count decreased (n = 97).
Includes clinical adverse events reported under the PTs anemia (n = 125) and hemoglobin decreased (n = 6).
Inclusive of skin cancers.
Two cases of tumor lysis syndrome occurred > 30 days after discontinuation of zanubrutinib for disease progression; both were assessed as grade ⩾ 3 and serious. In one patient, the event occurred in association with venetoclax exposure, a known precipitant of tumor lysis syndrome. A third patient experienced an event with onset 9 days after discontinuation of zanubrutinib for progression of mantle cell lymphoma on study day 150, which was unresponsive to medical management. The patient died 3 days after onset from complications of acute kidney injury.