Table 3.

Strategy for safety monitoring and follow up for ICT

DFXDFPDFO
Adverse effects Gastrointestinal disturbances Gastrointestinal Auditory 
Gastrointestinal bleeding Neutropenia/agranulocytosis Ophthalmologic (retinal) 
Increase in serum creatinine Arthralgia Reactions at site of infusion 
Rash Increase in liver enzymes Delay in bone growth 
Increase in liver enzymes — Yersinia infection 
Liver failure — — 
Renal insufficiency — — 
CBC with differential Baseline and monthly Baseline and weekly* Baseline and monthly 
Serum creatinine† Baseline, weekly during the first month of therapy, then monthly — Baseline and monthly 
Serum electrolytes Baseline and every 1-3 mo — Baseline and every 1-3 mo 
Urinalysis Baseline and every 1-3 mo — — 
Urine protein/creatinine Baseline and monthly — — 
Serum ALT, AST, and bilirubin Baseline, every 2 wk during the first month, then monthly Baseline and monthly Baseline and monthly 
Ophthalmic plus auditory examination Baseline and yearly — Baseline and yearly 
DFXDFPDFO
Adverse effects Gastrointestinal disturbances Gastrointestinal Auditory 
Gastrointestinal bleeding Neutropenia/agranulocytosis Ophthalmologic (retinal) 
Increase in serum creatinine Arthralgia Reactions at site of infusion 
Rash Increase in liver enzymes Delay in bone growth 
Increase in liver enzymes — Yersinia infection 
Liver failure — — 
Renal insufficiency — — 
CBC with differential Baseline and monthly Baseline and weekly* Baseline and monthly 
Serum creatinine† Baseline, weekly during the first month of therapy, then monthly — Baseline and monthly 
Serum electrolytes Baseline and every 1-3 mo — Baseline and every 1-3 mo 
Urinalysis Baseline and every 1-3 mo — — 
Urine protein/creatinine Baseline and monthly — — 
Serum ALT, AST, and bilirubin Baseline, every 2 wk during the first month, then monthly Baseline and monthly Baseline and monthly 
Ophthalmic plus auditory examination Baseline and yearly — Baseline and yearly 
*

Daily if the absolute neutrophil count is <1500/mm3.

Consider more frequent monitoring if baseline kidney disease is present or in case of concomitant use of nephrotoxic medications.

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