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Table 3 Treatment-related adverse events by afatinib starting dose and reported as NCI CTCAE grades (patients with at least 1 grade ≥3 adverse event; treated set)

From: A phase II study of afatinib, an irreversible ErbB family blocker, added to letrozole in patients with estrogen receptor-positive hormone-refractory metastatic breast cancer progressing on letrozole

 

Afatinib 50 mg + letrozole 2.5 mg, n = 7

Afatinib 40 mg + letrozole 2.5 mg, n = 13

Afatinib 30 mg + letrozole 2.5 mg, n = 8

All afatinib doses + letrozole 2.5 mg, n = 28

n (%)

n (%)

n (%)

n (%)

All grades

Grade ≥ 3

All grades

Grade ≥ 3

All grades

Grade ≥ 3

All grades

Grade ≥ 3

Patients with any treatment-related adverse event

7 (100.0)

7 (100.0)

13 (100.0)

8 (61.5)

8 (100.0)

4 (50.0)

28 (100.0)

19 (68)

Adverse event

        

Diarrhea

7 (100.0)

1 (14.3)

12 (92.3)

4 (30.8)

7 (87.5)

1 (12.5)

26 (92.9)

6 (21.5)

Rash

5 (71.4)

5 (71.4)

5 (38.5)

0

6 (75.0)

0

16 (57.1)

5 (17.9)

Asthenia

4 (57.1)

2 (28.6)

7 (53.8)

1 (7.7)

5 (62.5)

2 (25.0)

16 (57.1)

5 (17.9)

Mucosal inflammation

5 (71.4)

2 (28.6)

4 (30.8)

2 (15.4)

2 (25.0)

0

11 (39.3)

4 (14.3)

Nausea

3 (42.9)

0

4 (30.8)

0

3 (37.5)

1 (12.5)

10 (35.7)

1 (3.6)

Acne

5 (71.4)

3 (42.9)

3 (23.1)

1 (7.7)

0

0

8 (28.6)

4 (14.3)

Dermatitis acneiform

0

0

5 (38.5)

1 (7.7)

1 (12.5)

0

6 (21.4)

1 (3.6)

Vomiting

1 (14.3)

0

3 (23.1)

1 (7.7)

1 (12.5)

1 (12.5)

5 (17.9)

2 (7.1)

Paronychia

1 (14.3)

0

1 (7.7)

1 (7.7)

2 (25.0)

0

4 (14.3)

1 (3.6)

Dehydration

0

0

1 (7.7)

1 (7.7)

1 (12.5)

0

2 (7.1)

1 (3.6)

Cheilitis

1 (14.3)

0

1 (7.7)

1 (7.7)

0

0

2 (7.1)

1 (3.6)

Skin toxicity

0

0

1 (7.7)

1 (7.7)

0

0

1 (3.6)

1 (3.6)

Arthritis bacterial

0

0

1 (7.7)

1 (7.7)

0

0

1 (3.6)

1 (3.6)

Pneumococcal sepsis

0

0

1 (7.7)

1 (7.7)

0

0

1 (3.6)

1 (3.6)

Renal failure acute

0

0

1 (7.7)

1 (7.7)

0

0

1 (3.6)

1 (3.6)

  1. NCI CTCAE National Cancer Institute Common Terminology Criteria for Adverse Events (version 3.0)