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Table 4 Adverse Events Reported as Reasons for Treatment Modifications in First-line Multikinase Inhibitor Treatment

From: Safety and treatment patterns of multikinase inhibitors in patients with metastatic renal cell carcinoma at a tertiary oncology center in Italy

 

Sunitinib

Sorafenib

 

(N = 85)

(N = 60)

At least one treatment modification due to AEs, n (%)

34 (40.0)

27 (45.0)

Patients who discontinued first-line treatment due to AEs, n (%)

10 (11.8)

3 (5.0)

   Adverse Events a

  

Anorexia

4 (4.7)

0 (0.0)

Fatigue/asthenia

3 (3.5)

1 (1.7)

Fever

2 (2.4)

0 (0.0)

Dyspnea

1 (1.2)

1 (1.7)

Abdominal pain

1 (1.2)

1 (1.7)

Skin rash

0 (0.0)

1 (1.7)

Patients with first-line treatment interruption due to AEs, n (%)

20 (23.5)

14 (23.3)

   Adverse Events a,b

  

Fatigue/asthenia

8 (9.4)

2 (3.3)

Diarrhea

5 (5.9)

4 (6.7)

Hand-foot syndrome

2 (2.4)

3 (5.0)

Vomiting

5 (5.9)

0 (0.0)

Dyspnea

2 (2.4)

2 (3.3)

Anemia

2 (2.4)

1 (1.7)

Hypertension

2 (2.4)

1 (1.7)

Skin rash

0 (0.0)

3 (5.0)

Stomatitis/mucositis

3 (3.5)

0 (0.0)

Gastritis

2 (2.4)

0 (0.0)

Nausea

2 (2.4)

0 (0.0)

Edema

2 (2.4)

0 (0.0)

Ulcer

2 (2.4)

0 (0.0)

Patients with first-line dose reduction due to AEs, n (%)

26 (30.6)

22 (36.7)

   Adverse Events a,b

  

Fatigue/asthenia

14 (16.5)

12 (20.0)

Hand-foot syndrome

3 (3.5)

11 (18.3)

Diarrhea

3 (3.5)

7 (11.7)

Stomatitis/mucositis

4 (4.7)

2 (3.3)

Vomiting

3 (3.5)

1 (1.7)

Dyspnea

1 (1.2)

2 (3.3)

Hypertension

1 (1.2)

2 (3.3)

Nausea

3 (3.5)

0 (0.0)

Pain

0 (0.0)

2 (3.3)

Stomach ache

1 (1.2)

2 (3.3)

Hiccup

2 (2.4)

0 (0.0)

Lack of appetite

0 (0.0)

2 (3.3)

Edema

2 (2.4)

0 (0.0)

Ulcer

2 (2.4)

0 (0.0)

  1. AE = adverse event
  2. a. Patients may have reported more than 1 adverse event leading to a treatment modification.
  3. b. Adverse events reported as reasons for at least 2% of patients in at least 1 treatment group are reported.