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. 2022 May 27;13:20406207221093980. doi: 10.1177/20406207221093980

Table 4.

Summary of zanubrutinib adverse events of interest by category.

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.

a

EAIRs calculated as the first occurrence of each adverse event of interest per 100 person-months of zanubrutinib exposure.

b

Includes major hemorrhage.

c

Includes clinical adverse events reported under PTs neutropenia (n = 97), neutrophil count decreased (n = 178), febrile neutropenia (n = 14), and neutropenic sepsis (n = 1).

d

Includes clinical adverse events reported under the PTs thrombocytopenia (n = 58) and platelet count decreased (n = 97).

e

Includes clinical adverse events reported under the PTs anemia (n = 125) and hemoglobin decreased (n = 6).

f

Inclusive of skin cancers.

g

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.