AEs in the NOHARM study population
. | Hydroxyurea (N = 104) . | Placebo (N = 103) . | P . | ||
---|---|---|---|---|---|
Events . | Participants . | Events . | Participants . | ||
SAEs | 6 | 6 | 6 | 6 | |
Bacteremia/sepsis | 2 | 2 | 2 | 2 | 1.0* |
Acute chest syndrome/pneumonia | 1 | 1 | 2 | 2 | .62* |
Vaso-occlusive crisis | 0 | 0 | 1 | 1 | .50* |
Acute splenic sequestration | 2 | 2 | 0 | 0 | .50* |
Anemia | 0 | 0 | 1 | 1 | .50* |
Sudden death | 1 | 1 | 0 | 0 | 1.0* |
SCA-related events (composite) | |||||
Vaso-occlusive pain crisis, dactylitis, acute chest syndrome, splenic sequestration, or blood transfusion | 47 | 71 | .001 | ||
Clinical AEs | 232 | 76 | 308 | 88 | |
Vaso-occlusive pain crisis/dactylitis | 58 | 38 | 106 | 59 | .004 |
Acute chest syndrome/pneumonia | 24 | 21 | 32 | 24 | .71 |
Clinical sepsis | 8 | 6 | 16 | 13 | .14 |
Acute splenic sequestration | 0 | 0 | 0 | 0 | — |
Upper respiratory tract infection | 107 | 54 | 108 | 62 | .29 |
Gastrointestinal related | 15 | 13 | 15 | 12 | 1.0 |
Malaria | 5 | 3 | 7 | 7 | .21* |
Other infections | 8 | 7 | 14 | 14 | .16 |
Others (eg, injury) | 7 | 7 | 10 | 9 | .78 |
Clinical interventions | 34 | 14 | 53 | 32 | |
Transfusion | 14 | 12 | 18 | 17 | .41 |
Hospitalization | 20 | 12 | 35 | 28 | .007 |
Laboratory AEs | 57 | 31 | 78 | 46 | |
Anemia | 40 | 25 | 65 | 42 | .015 |
Reticulocytopenia | 3 | 3 | 6 | 5 | .50* |
Neutropenia | 2 | 2 | 0 | 0 | .50* |
Thrombocytopenia | 12 | 11 | 4 | 4 | .11 |
Elevated AST/ALT | 0 | 0 | 2 | 1 | .50* |
Elevated bilirubin | 0 | 0 | 1 | 1 | .50* |
Dose-limiting toxicities | 21 | 15 | 17 | 13 | |
Anemia | 6 | 4 | 8 | 8 | .36 |
Reticulocytopenia | 1 | 1 | 5 | 5 | .12* |
Neutropenia | 2 | 2 | 0 | 0 | .50* |
Thrombocytopenia | 12 | 11 | 4 | 4 | .11 |
. | Hydroxyurea (N = 104) . | Placebo (N = 103) . | P . | ||
---|---|---|---|---|---|
Events . | Participants . | Events . | Participants . | ||
SAEs | 6 | 6 | 6 | 6 | |
Bacteremia/sepsis | 2 | 2 | 2 | 2 | 1.0* |
Acute chest syndrome/pneumonia | 1 | 1 | 2 | 2 | .62* |
Vaso-occlusive crisis | 0 | 0 | 1 | 1 | .50* |
Acute splenic sequestration | 2 | 2 | 0 | 0 | .50* |
Anemia | 0 | 0 | 1 | 1 | .50* |
Sudden death | 1 | 1 | 0 | 0 | 1.0* |
SCA-related events (composite) | |||||
Vaso-occlusive pain crisis, dactylitis, acute chest syndrome, splenic sequestration, or blood transfusion | 47 | 71 | .001 | ||
Clinical AEs | 232 | 76 | 308 | 88 | |
Vaso-occlusive pain crisis/dactylitis | 58 | 38 | 106 | 59 | .004 |
Acute chest syndrome/pneumonia | 24 | 21 | 32 | 24 | .71 |
Clinical sepsis | 8 | 6 | 16 | 13 | .14 |
Acute splenic sequestration | 0 | 0 | 0 | 0 | — |
Upper respiratory tract infection | 107 | 54 | 108 | 62 | .29 |
Gastrointestinal related | 15 | 13 | 15 | 12 | 1.0 |
Malaria | 5 | 3 | 7 | 7 | .21* |
Other infections | 8 | 7 | 14 | 14 | .16 |
Others (eg, injury) | 7 | 7 | 10 | 9 | .78 |
Clinical interventions | 34 | 14 | 53 | 32 | |
Transfusion | 14 | 12 | 18 | 17 | .41 |
Hospitalization | 20 | 12 | 35 | 28 | .007 |
Laboratory AEs | 57 | 31 | 78 | 46 | |
Anemia | 40 | 25 | 65 | 42 | .015 |
Reticulocytopenia | 3 | 3 | 6 | 5 | .50* |
Neutropenia | 2 | 2 | 0 | 0 | .50* |
Thrombocytopenia | 12 | 11 | 4 | 4 | .11 |
Elevated AST/ALT | 0 | 0 | 2 | 1 | .50* |
Elevated bilirubin | 0 | 0 | 1 | 1 | .50* |
Dose-limiting toxicities | 21 | 15 | 17 | 13 | |
Anemia | 6 | 4 | 8 | 8 | .36 |
Reticulocytopenia | 1 | 1 | 5 | 5 | .12* |
Neutropenia | 2 | 2 | 0 | 0 | .50* |
Thrombocytopenia | 12 | 11 | 4 | 4 | .11 |
All serious adverse events (SAEs), AEs, and laboratory AEs were compared between treatment arms. Proportions of affected participants were compared by χ2 tests with Yates correction. Full definitions of AEs are provided in Table 1.
Fisher's exact test instead of χ2 test, because of the low expected frequency.