Table 3 Most frequent grade III/IV adverse effects (NCI-CTC) observed in BDC and GBC trials

From: Gemcitabine, oxaliplatin and 5-FU in advanced bile duct and gallbladder carcinoma: two parallel, multicentre phase-II trials

 

BDC

GBC

 

Grade I

Grade II

Grade III

Grade IV

Grade I

Grade II

Grade III

Grade IV

Haemoglobin

18 (47.4)

14 (36.8)

4 (10.5)

2 (5.3)

21 (58.3)

18 (50.0)

2 (5.6)

0 (0)

Leukocytes

21 (55.3)

17 (44.7)

15 (13.2)

0 (0)

26 (72.2)

15 (41.7)

2 (5.6)

1 (2.8)

Neutrophils/granulocytes

15 (39.5)

12 (31.6)

9 (23.7)

5 (13.2)

18 (50.0)

13 (36.1)

10 (27.8)

2 (5.6)

Platelets

21 (55.3)

11 (28.9)

3 (7.9)

4 (10.5)

16 (44.4)

15 (41.7)

10 (27.8)

3 (8.3)

Bilirubin

1 (2.6)

10 (26.3)

7 (18.4)

8 (21.1)

2 (5.6)

10 (27.8)

5 (13.9)

1 (2.8)

AST/ALT

29 (76.3)

16 (42.1)

9 (23.7)

0 (0)

27 (75.0)

10 (27.8)

2 (5.6)

0 (0)

Alkaline phosphatase

26 (68.4)

15 (39.5)

7 (18.4)

0 (0)

24 (66.7)

9 (25.0)

4 (11.1)

0 (0)

Nausea

27 (71.1)

12 (31.6)

1 (2.6)

0 (0)

28 (77.8)

16 (44.4)

3 (8.3)

0 (0)

Diarrhoea

15 (39.5)

2 (5.3)

2 (5.3)

0 (0)

13 (36.1)

6 (16.7)

0 (0)

0 (0)

Anorexia

23 (60.5)

7 (18.4)

6 (15.8)

2 (5.3)

29 (80.6)

16 (44.4)

8 (22.2)

1 (2.8)

Oedema

5 (13.2)

8 (21.1)

6 (15.8)

0 (0)

6 (16.7)

7 (19.4)

3 (8.3)

0 (0)

Dyspnea

3 (7.9)

3 (7.9)

3 (7.9)

1 (2.6)

3 (8.3)

5 (13.9)

3 (8.3)

2 (5.6)

Sensory neuropathy

24 (63.2)

10 (26.3)

3 (7.9)

0 (0)

26 (72.2)

19 (52.8)

7 (19.4)

0 (0)

Fatigue

18 (47.4)

27 (71.1)

3 (7.9)

1 (2.6)

21 (58.3)

24 (66.7)

5 (13.9)

1 (2.8)

Fever

11 (28.9)

12 (31.6)

2 (5.3)

0 (0)

9 (25.0)

10 (27.8)

3 (8.3)

0 (0)

Infection

6 (15.8)

11 (28.9)

3 (7.9)

0 (0)

5 (13.9)

13 (36.1)

3 (8.3)

0 (0)

Febrile neutropenia

0 (0)

0 (0)

1 (2.6)

0 (0)

0 (0)

0 (0)

2 (5.6)

(0)

  1. Abbreviations: ALT=alanine amino transaminase; AST=aspartate amino transaminase; BDC=bile duct cancer; GBC=gallbladder cancer.
  2. Absolute (and relative, in %) number of patients.