mptoms, rashes, and abnormal liver function tests, can in many cases be attributed to the drug. Most adverse events that were assessed for severity were either mild or moderate, and diminished in frequency with continued therapy.
Percent of Patients
All Adverse Eventsa
Frontline,
Frontline,
IFN-Refractory,
Treated
Treated
Treated With
With Nipent
With IFN
Nipent
N=180
N=176
N=197
Nausea and/or Vomiting
63
22
53b
Fever
46
59
42
Rash
43
30
26
Fatigue
42
55
29
Leukopenia
22
15
60
Pruritus
21
6
10
Coughing/Increased Cough
20
15
17
Myalgia
19
36
11
Chills
19
34
11
Headache
17
29
13
Diarrhea
17
17
15
Abdominal Pain
16
15
4
Anorexia
13
10
16
Upper Respiratory Infection
13
8
16
Asthenia
12
13
10
Stomatitis
12
7
5
Rhinitis
11
15
10
Dyspnea
11
13
8
Anemia
8
5
35
Pain
8
19
20
Pharyngitis
8
11
10
Sweating/Increased Sweating
8
21
10
Viral Infection
8
17
NR
Infection
7c
2c
36
Arthralgia
6
14
3
Thrombocytopenia
6
6
32
Skin Disorder
4
5
17
Allergic Reaction
2
1
11
Hepatic Disorder/Elevated Liver Function Testsd
2
2
19
Neurologic Disorder, CNS/CNS Toxicity
1
NR
11
Lung Disorder/Disease
NR
1
12
Nausea
NR
NR
22
Genitourinary Disorder
NR
NR
15
NR = Not Reported
a Occurring in more than 10% of patients, in any group, regardless of drug association
b Includes only nausea with vomiting
c These figures represent only unspecified infections. Refer to infection table.
d Elevated liver enzymes and liver disorder for SWOG
The total incidence for all types of infections is considerably higher for both treatment groups in the SWOG 8691 study than is listed in the table above. An intent-to-treat analysis of infections found that 38% of patients treated with Nipent and 34% of patients treated with IFN averaged 2.4 and 1.9 documented infections during treatment, respectively. The following table lists the different types of infections that were reported as adverse events during the initial phase of the SWOG study. There were no apparent differences in the types of infection between the 2 treatment groups, with the possible exception of herpes zoster which was reported more frequently for Nipent (8%) than for IFN (1%).
Percent of Patients
Type of Infection
Frontline, Treated
Frontline, Treated