Table 5.

Toxicity of consolidation therapy




ICE

IcE consolidation course 1

IcE consolidation course 2

IcE

P

P for trend*
No. patients   95   103   96   103   NA   NA  
Neutropenia less than 0.5 × 109/L, d   17   5   8   13   .0005   —  
Thrombocytopenia less than 50 × 109/L, d   27   13   16   29   .50   —  
Infections, %  79   50   59   75   .30   —  
Fever lower than 38.0°C, d   8   2   2   4   < .0001   —  
Duration of therapeutic IV antibiotics, d   19   7   9   15   .0020   —  
Clinical bleeding, %  5   1   0   1   .092   .16  
CNS, %   6   1   0   1   .050   .056  
Cerebellar, %   3   0   0   0   .11   .0036  
Cardiac, %   1   2   0   2   .53   .079  
Cutaneous, %   3   1   0   1   .28   .26  
Ocular, %   5   2   1   3   .32   .024  
Stomatitis, %   15   6   3   7   .059   .0031  
Nausea and vomiting, %   20   8   3   8   .010   .0013  
Diarrhea, %   4   1   2   3   .47   .0001  
GIT, %   5   2   1   3   .31   .0096  
Renal, %   1   0   0   0   .48   .023  
Hepatic, bilirubin, %   3   1   1   2   .46   .20  
Other, %
 
5
 
2
 
1
 
3
 
.32
 
.81
 



ICE

IcE consolidation course 1

IcE consolidation course 2

IcE

P

P for trend*
No. patients   95   103   96   103   NA   NA  
Neutropenia less than 0.5 × 109/L, d   17   5   8   13   .0005   —  
Thrombocytopenia less than 50 × 109/L, d   27   13   16   29   .50   —  
Infections, %  79   50   59   75   .30   —  
Fever lower than 38.0°C, d   8   2   2   4   < .0001   —  
Duration of therapeutic IV antibiotics, d   19   7   9   15   .0020   —  
Clinical bleeding, %  5   1   0   1   .092   .16  
CNS, %   6   1   0   1   .050   .056  
Cerebellar, %   3   0   0   0   .11   .0036  
Cardiac, %   1   2   0   2   .53   .079  
Cutaneous, %   3   1   0   1   .28   .26  
Ocular, %   5   2   1   3   .32   .024  
Stomatitis, %   15   6   3   7   .059   .0031  
Nausea and vomiting, %   20   8   3   8   .010   .0013  
Diarrhea, %   4   1   2   3   .47   .0001  
GIT, %   5   2   1   3   .31   .0096  
Renal, %   1   0   0   0   .48   .023  
Hepatic, bilirubin, %   3   1   1   2   .46   .20  
Other, %
 
5
 
2
 
1
 
3
 
.32
 
.81
 

Percentage of patients in each consolidation arm experiencing WHO grades 3 and 4 nonhematologic toxicities, or median durations of hematologic toxicities as defined. NA indicates not applicable; —, trend not assessed; and IV, intravenous.

*

Significance of trend based on individual toxicity grades rather than grade 3 or 4 toxicities.

Percentage of patients with clinically or microbiologically proven infections.

Coded as none, petechiae, mild blood loss, gross blood loss, debilitating blood loss. Percentages reported correspond to gross or debilitating blood loss

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