Table 4 G3+ toxicity: normal renal function vs mild renal impairment

From: Oxaliplatin/capecitabine vs oxaliplatin/infusional 5-FU in advanced colorectal cancer: the MRC COIN trial

 

Arms A+C (no cetuximab)

Arm B (+cetuximab)

 

OxCap

OxFU

OxCap

OxFU

CrCl (ml min−1)

>80

50–80

 

>80

50–80

 

>80

50–80

 

>80

50–80

 

G3+ toxicity

N (%)

N (%)

P -value

N (%)

N (%)

P -value

N (%)

N (%)

P -value

N (%)

N (%)

P -value

Any toxicity

275 (52%)

298 (60%)

0.047

162 (58%)

169 (67%)

0.060

197 (75%)

175 (72%)

0.16

120 (78%)

99 (82%)

0.72

Nausea

26 (5%)

53 (11%)

0.001

8 (3%)

17 (7%)

0.062

18 (7%)

24 (10%)

0.18

10 (6%)

6 (5%)

0.65

Vomiting

24 (5%)

32 (6%)

0.13

10 (4%)

10 (4%)

0.83

18 (7%)

16 (7%)

0.65

9 (6%)

8 (7%)

0.19

Diarrhoea

58 (11%)

95 (19%)

0.012

21 (7%)

28 (11%)

0.22

59 (22%)

69 (28%)

0.43

23 (15%)

23 (19%)

0.54

Mucositis

7 (1%)

3 (1%)

0.093

7 (2%)

11 (4%)

0.31

6 (2%)

8 (3%)

0.51

12 (8%)

11 (9%)

0.70

Lethargy

91 (17%)

106 (21%)

0.54

38 (14%)

45 (18%)

0.28

45 (17%)

71 (29%)

0.013

39 (25%)

37 (31%)

0.19

PPE

21 (4%)

18 (4%)

0.57

3 (1%)

0 (0%)

NA

33 (13%)

29 (12%)

0.61

9 (6%)

7 (6%)

0.60

Neuropathy

52 (10%)

51 (10%)

0.85

31 (11%)

35 (14%)

0.94

36 (14%)

28 (11%)

0.36

20 (13%)

16 (13%)

0.40

Thrombocytopenia

6 (1%)

18 (4%)

0.009

6 (2%)

6 (2%)

0.94

9 (3%)

7 (3%)

0.73

1 (1%)

4 (3%)

0.47

Neutropenia

14 (3%)

14 (3%)

0.85

61 (22%)

76 (30%)

0.085

5 (2%)

5 (2%)

0.49

36 (23%)

44 (36%)

0.045

Treatment-related infection

4 (1%)

5 (1%)

0.25

28 (10%)

24 (9%)

0.83

2 (1%)

2 (1%)

0.84

10 (6%)

14 (12%)

0.13

Treatment-related death

4 (1%)

10 (2%)

0.098

5 (2%)

3 (1%)

0.52

4 (2%)

4 (2%)

0.83

1 (1%)

0 (0%)

NA

Outcomes in first 12 weeks

 Oxaliplatin dose reduction

108 (20%)

138 (28%)

0.33

63 (22%)

59 (23%)

0.86

93 (35%)

107 (44%)

0.49

40 (26%)

47 (39%)

0.043

 Fp dose reduction

183 (35%)

226 (46%)

0.093

78 (28%)

83 (33%)

0.31

139 (53%)

163 (67%)

0.031

60 (39%)

68 (56%)

0.018

 Dose delay

203 (38%)

241 (49%)

0.017

163 (58%)

169 (67%)

0.11

123 (47%)

128 (52%)

0.18

101 (66%)

92 (76%)

0.031

  1. Abbreviations: CrCl=creatinine clearance; fp=fluoropyrimidine; OxCap=oxaliplatin/capecitabine; OxFU=oxaliplatin/leucovorin (LV)/infusional 5-FU; NA=not applicable; PPE=palmar-plantar erythema.