Table 1.

Most common grade 3 or higher side effects of the PIs bortezomib, carfilzomib, ixazomib reported in pivotal trials

BortezomibCarfilzomibIxazomib
Type of side effectVd (IV)Vd (SC)5,7 *KdKRdIxaRd
Hematological, %      
 Anemia 10 10-12 14 18 
 Neutropenia 14 18 NR 30 23 
 Thrombocytopenia 29 9-13 17 19 
Nonhematological, %      
 Peripheral neuropathy 
 Diarrhea 2-7 
 Constipation 1-2 <1 <1 
 Nausea 0-1 NR 
 Vomiting 1-2 NR 
 Fatigue 2-7 
 Dyspnea NR 
 Cardiac disease NR 
 Arterial hypertension NR 
 Rash NR NR NR 
BortezomibCarfilzomibIxazomib
Type of side effectVd (IV)Vd (SC)5,7 *KdKRdIxaRd
Hematological, %      
 Anemia 10 10-12 14 18 
 Neutropenia 14 18 NR 30 23 
 Thrombocytopenia 29 9-13 17 19 
Nonhematological, %      
 Peripheral neuropathy 
 Diarrhea 2-7 
 Constipation 1-2 <1 <1 
 Nausea 0-1 NR 
 Vomiting 1-2 NR 
 Fatigue 2-7 
 Dyspnea NR 
 Cardiac disease NR 
 Arterial hypertension NR 
 Rash NR NR NR 

IxaRd, ixazomib plus lenalidomide plus dexamethasone; KRd, carfilzomib plus lenalidomide plus dexamethasone; NR, not reported; SC, subcutaneous; Vd, bortezomib plus dexamethasone.

*

Twenty-one percent in Dimopoulos et al received bortezomib IV.

Cardiac failure and ischemic heart disease.

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