Table 5 Toxicity summary in eligible patients–overall and by treatment phase

From: Long-term outcome of a pediatric-inspired regimen used for adults aged 18–50 years with newly diagnosed acute lymphoblastic leukemia

 

Overall N (%)

Induction N (%)

CNS N (%)

Intensification N (%)

Continuation N (%)

No. patients reporting

92

92

67

62

48

CTC grade 3–5 toxicity

 Neutrophils

86 (93)

82 (89)

10 (15)

52 (84)

22 (46)

 Platelets

75 (82)

72 (78)

1 (1)

17 (27)

5 (10)

 Febrile neutropenia

30 (33)

20 (22)

0 (0)

10 (16)

3 (6)

 Infection with grade 3/4 neutropeniaa

49 (53)

41 (45)

1 (1)

11 (18)

6 (13)

 Infection—other

7 (8)

2 (2)

1 (1)

3 (5)

2 (4)

 Hepatica

57 (62)

24 (26)

5 (7)

33 (53)

21 (44)

 Hyperglycemia

41 (45)

36 (39)

1 (1)

12 (19)

5 (10)

 Stomatitis

10 (11)

4 (4)

1 (1)

5 (8)

0 (0)

 CNS hemorrhagea

1 (1)

1 (1)

0 (0)

1 (2)

0 (0)

 Seizure

4 (4)

1 (1)

0 (0)

3 (5)

1 (2)

Asparaginase-related toxicity

 Pancreatitisa

10 (11)

1 (1)

0 (0)

8 (13)

2 (4)

 Allergy/rash

5 (5)

1 (1)

0 (0)

4 (6)

0 (0)

 Thrombosis/embolism

16 (17)

1 (1)

0 (0)

14 (23)

2 (4)

 Bone fracture

7 (8)

0 (0)

0 (0)

3 (5)

5 (10)

 Avascular necrosis

5 (5)

0 (0)

0 (0)

2 (3)

4 (8)

  1. Abbreviation: CNS, central nervous system.
  2. aThere were five grade 5 events—one in each category shown and one leukoencephalopathy.