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Table 4 Common adverse events of sequential TKI treatment

From: Sorafenib as a second-line treatment in metastatic renal cell carcinoma in Mexico: a prospective cohort study

Adverse events related to first-line treatment with sunitinib

Any grade (%)

Grade 1 (%)

Grade 2 (%)

Grade 3 (%)

Grade 4 (%) **

Any adverse event*

129 (97)

20 (15)

57 (43)

51 (38)

1 (1)

Thrombocytopenia

39 (30)

8 (6)

13 (10)

17 (13)

1 (1)

Neutropenia

16 (12)

7 (5)

3 (2)

6 (5)

 

HFSR**

104 (79)

53 (40)

37 (28)

14 (11)

 

Mucositis

109 (83)

43 (33)

42 (32)

24 (18)

 

Diarrhea

89 (67)

51 (39)

26 (20)

12 (8)

 

Nausea

25 (19)

20 (15)

5 (4)

0 (0)

 

Fatigue

79 (60)

51 (39)

22 (17)

6 (4)

 

High blood pressure

37 (28)

23 (17)

10 (8)

4 (3)

0 (0)

Adverse events related to second-line treatment with sorafenib

 Any adverse event

123 (93)

22 (17)

25 (49)

37 (28)

1 (1)

 Hypothyroidism

38 (29)

25 (18)

12 (9)

1 (1)

 HFSR

105 (80)

56 (42)

30 (23)

19 (14)

 

 Rash

26 (20)

19 (14)

5 (4)

2 (2)

 

 Mucositis

70 (53)

44 (33)

20 (15)

6 (5)

 

 Diarrhea

100 (76)

51 (39)

43 (33)

6 (4)

 

 Nausea

44 (34)

38 (29)

5 (4)

1 (1)

 

 Fatigue

106 (80)

62 (47)

35 (27)

9 (7)

 

 High blood pressure

12 (9)

4 (3)

7 (5)

0 (0)

1 (1)

  1. *Any adverse event for patient, graded as maximum; **HFSR Hand-foot skin reaction; **Grade 4 only in those cases classified according to toxicity grades by the common Terminology Criteria for Adverse Events (CTCAE) classification [20]