Table 3.

AEs in the NOHARM study population

Hydroxyurea (N = 104)Placebo (N = 103)P
EventsParticipantsEventsParticipants
SAEs  
 Bacteremia/sepsis 1.0* 
 Acute chest syndrome/pneumonia .62* 
 Vaso-occlusive crisis .50* 
 Acute splenic sequestration .50* 
 Anemia .50* 
 Sudden death 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 16 13 .14 
 Acute splenic sequestration — 
 Upper respiratory tract infection 107 54 108 62 .29 
 Gastrointestinal related 15 13 15 12 1.0 
 Malaria .21* 
 Other infections 14 14 .16 
 Others (eg, injury) 10 .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 .50* 
 Neutropenia .50* 
 Thrombocytopenia 12 11 .11 
 Elevated AST/ALT .50* 
 Elevated bilirubin .50* 
Dose-limiting toxicities 21 15 17 13  
 Anemia .36 
 Reticulocytopenia .12* 
 Neutropenia .50* 
 Thrombocytopenia 12 11 .11 
Hydroxyurea (N = 104)Placebo (N = 103)P
EventsParticipantsEventsParticipants
SAEs  
 Bacteremia/sepsis 1.0* 
 Acute chest syndrome/pneumonia .62* 
 Vaso-occlusive crisis .50* 
 Acute splenic sequestration .50* 
 Anemia .50* 
 Sudden death 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 16 13 .14 
 Acute splenic sequestration — 
 Upper respiratory tract infection 107 54 108 62 .29 
 Gastrointestinal related 15 13 15 12 1.0 
 Malaria .21* 
 Other infections 14 14 .16 
 Others (eg, injury) 10 .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 .50* 
 Neutropenia .50* 
 Thrombocytopenia 12 11 .11 
 Elevated AST/ALT .50* 
 Elevated bilirubin .50* 
Dose-limiting toxicities 21 15 17 13  
 Anemia .36 
 Reticulocytopenia .12* 
 Neutropenia .50* 
 Thrombocytopenia 12 11 .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.

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