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Table 3 Side-effects and therapeutic interventions according to regimen Side effects according to the WHO scale were compared in a matched pair analysis

From: Significant dose Escalation of Idarubicin in the treatment of aggressive Non- Hodgkin Lymphoma leads to increased hematotoxicity without improvement in efficacy in comparison to standard CHOEP-14: 9-year follow up results of the CIVEP trial of the DSHNHL

Effects

6xCIVEP-14

6xCHOEP-14

p-vlaue

Hematotoxicty*

% pts.

% pts.

 

Leukocytopenia (<1*10³/mm³)

80.0

39.1

<0.001

Thrombocytopenia (<50*10³/mm³)

57.5

31.6

=0.021

(<8 g/dl)

74.5

35.8

<0.001

Side effects WHO Grade III-IV

Alopecia

61.8

67.9

n.s.

Infection

14.5

11.1

n.s.

ANE

10.9

5.5

n.s.

Polyneuropathy

7.3

3.7

n.s.

Pulmonary toxicity

7.3

3.7

n.s.

Cardiotoxicity

5.5

3.7

n.s.

Renal toxicity

0.0

1.9

n.s.

Therapeutic interventions (per patient)

%

%

 

Red blood transfusion

69.1

38.2

=0.001

Platelet transfusion

18.2

5.5

=0.039

Antibiotics

54.5

41.8

=0.182

  1. ANE: acute nausea and vomiting, n.s. not significant.
  2. Values in the table represent the percentage of patients experiencing the respective side effect at least once. based on blood values from nadir intervals for leukocytopenia/thrombocytopenia: day 9-11/11-13 (CIVEP-14) and day 8-10/10-12 (CHOEP-14).
  3. Hematotoxicity was significantly more pronounced in the CIVEP-14 cohort in comparison to patients from the NHL-B1/2 trials.