Table 4.

Exposure-adjusted incidence rates for AEIs by category*

CategoryAll gradesAll patients with eventn (%)Grade ≥3All patients with eventn (%)
Infections 9.6 590 (76) 1.4 214 (27) 
Opportunistic infections 0.1 23 (3) 0.1 15 (2) 
Hemorrhage 4.8 428 (55) 0.2 28 (4) 
Major hemorrhage 0.2 31 (4) 0.2 28 (4) 
Neutropenia 2.1 277 (36) 1.2 183 (23) 
Thrombocytopenia§ 1.1 167 (21) 0.3 61 (8) 
Anemiaǁ 0.8 137 (18) 0.04 63 (8) 
Second primary malignancies 0.6 102 (13)ǁ 0.2 40 (5) 
Skin cancers 0.4 69 (9) 0.1 13 (2) 
Hypertension 0.6 95 (12) 0.2 41 (5) 
Atrial fibrillation and flutter 0.1 22 (3) 0.03 6 (1) 
Tumor lysis syndrome# 0.02 3 (0.4) 0.02 3 (0.4) 
CategoryAll gradesAll patients with eventn (%)Grade ≥3All patients with eventn (%)
Infections 9.6 590 (76) 1.4 214 (27) 
Opportunistic infections 0.1 23 (3) 0.1 15 (2) 
Hemorrhage 4.8 428 (55) 0.2 28 (4) 
Major hemorrhage 0.2 31 (4) 0.2 28 (4) 
Neutropenia 2.1 277 (36) 1.2 183 (23) 
Thrombocytopenia§ 1.1 167 (21) 0.3 61 (8) 
Anemiaǁ 0.8 137 (18) 0.04 63 (8) 
Second primary malignancies 0.6 102 (13)ǁ 0.2 40 (5) 
Skin cancers 0.4 69 (9) 0.1 13 (2) 
Hypertension 0.6 95 (12) 0.2 41 (5) 
Atrial fibrillation and flutter 0.1 22 (3) 0.03 6 (1) 
Tumor lysis syndrome# 0.02 3 (0.4) 0.02 3 (0.4) 
*

Exposure-adjusted incidence rate is calculated as the first occurrence of each adverse event of interest per 100 person- months of zanubrutinib exposure.

Inclusive of major hemorrhage.

Includes clinical AEs reported under the preferred terms (PTs) neutropenia (n = 97), neutrophil count decreased (n = 178), febrile neutropenia (n = 14), and neutropenic sepsis (n = 1).

§

Includes clinical AEs reported under the PTs thrombocytopenia (n = 58) and platelet count decreased (n = 97).

ǁ

Includes clinical AEs reported under the PTs anemia (n = 125) and hemoglobin decreased (n = 6).

Inclusive of skin cancers.

#Two cases of tumor lysis syndrome occurred >30 d after discontinuation of zanubrutinib for disease progression; both were assessed as grade ≥3 and serious. In 1 patient, the event occurred in association with venetoclax exposure, a known precipitant of tumor lysis syndrome.35  A third patient experienced an event with onset 9 d after discontinuation of zanubrutinib for progression of MCL on study day 150, which was unresponsive to medical management. The patient died 3 d after onset from complications of acute kidney injury.