Table 3.

Adverse events

EventNon-ITT HD-MTX (N = 130)ITT HD-MTX (N = 128)P*
Any gradeGrade 3 or 4Any gradeGrade 3 or 4
Hematologic toxicity      
 Leukopenia 85 (65.4) 63 (48.5) 89 (69.5) 71 (55.5) .316 
 Neutropenia 89 (68.5) 72 (55.4) 99 (77.3) 79 (61.7) .365 
 Anemia 129 (99.2) 29 (22.3) 127 (99.2) 30 (23.4) .946 
 Thrombocytopenia 66 (50.8) 23 (17.7) 79 (61.7) 28 (21.9) .492 
 Febrile neutropenia 23 (17.7) 30 (23.4) .323 
Nonhematologic toxicity    
 Creatinine elevation 6 (4.6) 0 (0.0) 12 (9.4) 0 (0.0) .209 
 AST elevation 44 (33.8) 2 (1.5) 79 (61.7) 8 (6.2) .101 
 ALT elevation 48 (36.9) 2 (1.5) 87 (68.0) 10 (7.8) .036 
 Bilirubin elevation 5 (3.8) 1 (0.8) 11 (8.6) 3 (2.3) .603 
 Oral mucositis 43 (33.1) 8 (6.2) 69 (53.9) 19 (14.8) .038 
Interruption of R-CHOP    
 Delay or dose reduction 22 (16.9) 40 (31.2)  
 Discontinuation 13 (10.0) 5 (3.9)  
EventNon-ITT HD-MTX (N = 130)ITT HD-MTX (N = 128)P*
Any gradeGrade 3 or 4Any gradeGrade 3 or 4
Hematologic toxicity      
 Leukopenia 85 (65.4) 63 (48.5) 89 (69.5) 71 (55.5) .316 
 Neutropenia 89 (68.5) 72 (55.4) 99 (77.3) 79 (61.7) .365 
 Anemia 129 (99.2) 29 (22.3) 127 (99.2) 30 (23.4) .946 
 Thrombocytopenia 66 (50.8) 23 (17.7) 79 (61.7) 28 (21.9) .492 
 Febrile neutropenia 23 (17.7) 30 (23.4) .323 
Nonhematologic toxicity    
 Creatinine elevation 6 (4.6) 0 (0.0) 12 (9.4) 0 (0.0) .209 
 AST elevation 44 (33.8) 2 (1.5) 79 (61.7) 8 (6.2) .101 
 ALT elevation 48 (36.9) 2 (1.5) 87 (68.0) 10 (7.8) .036 
 Bilirubin elevation 5 (3.8) 1 (0.8) 11 (8.6) 3 (2.3) .603 
 Oral mucositis 43 (33.1) 8 (6.2) 69 (53.9) 19 (14.8) .038 
Interruption of R-CHOP    
 Delay or dose reduction 22 (16.9) 40 (31.2)  
 Discontinuation 13 (10.0) 5 (3.9)  

Data are n (%).

AST, aspartate aminotransferase.

*

Grade 3 vs grade 4 adverse events.

P value for comparison of adverse events of any grade.

Excluding treatment discontinuation because of disease progression. Interruption of R-CHOP chemotherapy because of adverse events of HD-MTX occurred in 15 cases.

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