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 3 . | Grade 4 . | Grade 3 . | Grade 4 . | |
Hematologic toxicity | ||||
Neutropenia | 12 | 21 | 15 | 31 |
Thrombocytopenia | 9 | 4 | 6 | 3 |
Anemia | 3 | < 1 | 5 | < 1 |
Infectious complications | ||||
Major infection | 11 | 12 | ||
Minor infection | 7 | 5 | ||
Herpes simplex | < 1 | < 1 | ||
Herpes zoster | < 1 | < 1 |
. | % of Courses . | |||
---|---|---|---|---|
CFAR (n = 260) . | High-risk FCR (n = 543) . | |||
Grade 3 . | Grade 4 . | Grade 3 . | Grade 4 . | |
Hematologic toxicity | ||||
Neutropenia | 12 | 21 | 15 | 31 |
Thrombocytopenia | 9 | 4 | 6 | 3 |
Anemia | 3 | < 1 | 5 | < 1 |
Infectious complications | ||||
Major infection | 11 | 12 | ||
Minor infection | 7 | 5 | ||
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.