Table 4

Comparison of hematologic toxicity and infectious complications by proportion of courses in patients who received CFAR (260 courses in 60 patients) versus historic high-risk patients (543 courses in 119 patients) who received FCR

% of Courses
CFAR (n = 260)
High-risk FCR (n = 543)
Grade 3Grade 4Grade 3Grade 4
Hematologic toxicity     
    Neutropenia 12 21 15 31 
    Thrombocytopenia 
    Anemia < 1 < 1 
Infectious complications     
    Major infection 11 12 
    Minor infection 
    Herpes simplex < 1 < 1 
    Herpes zoster < 1 < 1 
% of Courses
CFAR (n = 260)
High-risk FCR (n = 543)
Grade 3Grade 4Grade 3Grade 4
Hematologic toxicity     
    Neutropenia 12 21 15 31 
    Thrombocytopenia 
    Anemia < 1 < 1 
Infectious complications     
    Major infection 11 12 
    Minor infection 
    Herpes simplex < 1 < 1 
    Herpes zoster < 1 < 1 

All patients in the CFAR study received pegfilgrastim on day 6 of each course of therapy whereas growth-factor support was not routine with FCR; major infection includes pneumonia, sepsis, septic shock, and fever of unknown origin requiring hospitalization; minor infection includes cellulitis, urinary tract infection, sinusitis, bronchitis, or upper respiratory tract infection.

FCR indicates fludarabine, cyclophosphamide, and rituximab; and CFAR, alemtuzumab added to FCR.

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