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Table 4 Adverse drug reaction profile for FTD/TPI in German Compassionate-Use-Program (CUP) and the RECOURSE trial

From: Safety profile of trifluridine/tipiracil monotherapy in clinical practice: results of the German compassionate-use program for patients with metastatic colorectal cancer

Adverse Events (AE)

FTD/TPI

(n = 226 patients)

RECOURSE - FTD/TPIa

(n = 533 patients)

Total number

Related

Non-related

Total number

Any Grade

Grade ≥ 3

Any adverse event

253

138

115

524

370

Any serious adverse event (SAE) - no. (%)

124c (55)

74d (33)

50e (22)

158 (30)

n.a

Most common AEsb - no. (%)

Total number

Any Grade

Serious

Non-serious

Total number

Any Grade

Grade ≥ 3

Nausea

15 (5.9)

5 (2.0)

10 (4.0)

258 (48)

10 (2)

Diarrhea

11 (4.3)

5 (2.0)

6 (2.4)

170 (32)

16 (3)

Fatigue

9 (3.6)

5 (2.0)

4 (1.6)

188 (35)

21 (4)

Influenza like illness/Pyrexia/Chills/Fever

9 (3.6)

3 (1.2)

6 (2.4)

99 (19)

7 (1)

General physical health deterioration/Asthenia

8 (3.2)

5 (2.0)

3 (1.2)

97 (18)

18 (3)

Vomiting

7 (2.8)

3 (1.2)

4 (1.6)

148 (28)

11 (2)

Abdominal pain

7 (2.8)

4 (1.6)

3 (1.2)

113 (21)

13 (2)

Decreased appetite

3 (1.2)

1 (< 1)

2 (< 1)

n.a

n.a

Urinary tract infection/Urosepis

3 (1.2)

2 (< 1)

1 (< 1)

n.a

n.a

Constipation/subileus

3 (1.2)

2 (< 1)

1 (< 1)

n.a

n.a

Condition aggravated

3 (1.2)

3 (1.2)

0 (0)

n.a

n.a

Alopecia

2 (< 1)

0 (0)

2 (< 1)

n.a

n.a

Musculoskeletal pain

2 (< 1)

1 (< 1)

1 (< 1)

n.a

n.a

Events associated with fluoropyrimidine treatment

 Stomatitis/Oesophagitis

2 (< 1)

1 (< 1)

1 (< 1)

43 (8)

2 (< 1)

 Mucosal inflammation

1 (< 1)

0 (0)

1 (< 1)

n.a

n.a

 Oesophageal candidiasis

1 (< 1)

0 (0)

1 (< 1)

n.a

n.a

 Hand-foot syndrome

0 (0)

0 (0)

0 (0)

12 (2)

0 (0)

 Febrile neutropenia

1 (< 1)

1 (< 1)

0 (0)

20 (4)

20 (4)

Laboratory abnormalities no. /no./total no. (%)

 Leukopenia

25 (9.9)

13 (5.1)

12 (4.7)

407/528 (67)

113/528 (21)

 Neutropenia

19 (7.5)

9 (3.6)

10 (4.0)

353/528 (67)

200/528 (38)

 Anemia

15 (5.9)

7 (2.8)

8 (3.2)

404/528 (77)

96/528 (18)

 Thrombocytopenia

7 (2.8)

4 (1.6)

3 (1.2)

223/528 (42)

27/28 (5)

 Increase in total bilirubin

4 (1.6)

3 (1.2)

1 (< 1)

189/526 (36)

45/526 (9)

 Renal failure/Increase in creatinine level

2 (< 1)

1 (< 1)

1 (< 1)

71/527 (13)

5/527 (< 1)

 Increase in alanine aminotransferase level

0 (0)

0 (0)

0 (0)

126/526 (24)

10/256 (2)

 Increase in aspartate aminotransferase level

1 (< 1)

0 (0)

1 (< 1)

155/524 (30)

23/524 (4)

 Increase alkaline phosphatase level

1 (< 1)

0 (0)

1 (< 1)

205/526 (39)

42/526 (8)

  1. aData based on Mayer et al., N. Engl. J. Med. 2015; 372: 1909–19
  2. bNot all single non-related AEs are listed
  3. cSAEs documented for 50 mCRC patients treated with FTD/TPI
  4. dRelated SAEs documented for 20 mCRC patients treated with FTD/TPI
  5. eNon-related SAEs documented for 30 mCRC patients treated with FTD/TPI
  6. Abbreviation: n.a., not available