Table 2 Treatment toxicities during every treatment period of venetoclax

From: Remission rate, toxicity and pharmacokinetics of venetoclax-based induction regimens in untreated pediatric acute myeloid leukemia

Toxicities, n(%)

Cycles (n = 45)

None

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Hematology

 Leukopenia

0 (0.0)

2 (4.4)

2 (4.4)

12 (26.7)

29 (64.4)

-

 Neutropenia

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

45 (100.0)

-

 Febrile neutropenia

1 (2.2)

-

-

44 (97.8)

0 (0.0)

0 (0.0)

 Anemia

0 (0.0)

0 (0.0)

3 (6.7)

42 (93.3)

0 (0.0)

0 (0.0)

 Thrombocytopenia

1 (2.2)

0 (0.0)

3 (6.7)

12 (26.7)

29 (64.4)

-

Respiratory

 Pneumonia

35 (77.8)

2 (4.4)

5 (11.1)

1 (2.2)

2 (4.4)

0 (0.0)

 Pleural effusion

43 (95.6)

2 (4.4)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

 Pulmonary atelectasis

45 (100.0)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

Cardiology

 Reduced ejection fraction

43 (95.6)

-

1 (2.2)

1 (2.2)

0 (0.0)

-

 Sinus bradycardia

44 (97.8)

1 (2.2)

0 (0.0)

0 (0.0)

-

-

 Sinus tachycardia

42 (93.3)

3 (6.7)

0 (0.0)

0 (0.0)

-

-

 Abnormal T-waves on ECG

43 (95.6)

2 (4.4)

0 (0.0)

-

-

-

 hypotension

45 (100.0)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

 hypertension

44 (97.8)

1 (2.2)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

Gastroenterology

 Nausea

40 (88.9)

5 (11.1)

0 (0.0)

0 (0.0)

-

-

 Vomiting

38 (84.4)

5 (11.1)

2 (4.4)

0 (0.0)

0 (0.0)

0 (0.0)

 Diarrhea

40 (88.9)

5 (11.1)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

 Constipation

44 (97.8)

1 (2.2)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

 Increased AST

37 (82.2)

3 (6.7)

5 (11.1)

0 (0.0)

0 (0.0)

-

 Increased ALT

37 (82.2)

4 (8.9)

4 (8.9)

0 (0.0)

0 (0.0)

-

 Increased total bilirubin

44 (97.8)

0 (0.0)

0 (0.0)

1 (2.2)

0 (0.0)

-

 Hepatic failure

45 (100.0)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

 Lipase

42 (93.3)

0 (0.0)

0 (0.0)

2 (4.4)

1 (2.2)

-

 Amylase

44 (97.8)

0 (0.0)

0 (0.0)

1 (2.2)

0 (0.0)

-

 Pancreatitis

42 (93.3)

-

0 (0.0)

3 (6.7)

0 (0.0)

0 (0.0)

Nephrology

 Renal damage

42 (93.3)

-

-

3 (6.7)

0 (0.0)

0 (0.0)

 Increased creatinine

40 (88.9)

4 (8.9)

1 (2.2)

0 (0.0)

0 (0.0)

-

Metabolism and nutrition

 Tumor lysis syndrome

34 (75.6)

-

-

11 (24.4)

0 (0.0)

0 (0.0)

 Hypernatremia

45 (100)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

 Hyponatremia

45 (100)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

 Hyperkalemia

45 (100)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

 Hypokalemia

41 (91.1)

1 (2.2)

3 (6.7)

0 (0.0)

0 (0.0)

0 (0.0)

 Hypercalcemia

45 (100)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

 Hypocalcemia

41 (91.1)

3 (6.7)

1 (2.2)

0 (0.0)

0 (0.0)

0 (0.0)

 Hyperglycemia

37 (82.2)

7 (15.6)

0 (0.0)

1 (2.2)

0 (0.0)

0 (0.0)

Skin/Mucosa

 Oral mucositis

29 (64.4)

7 (15.6)

9 (20.0)

0 (0.0)

0 (0.0)

0 (0.0)

 Anal mucositis

35 (77.8)

5 (11.1)

5 (11.1)

0 (0.0)

-

-

 Papule

43 (95.6)

1 (2.2)

0 (0.0)

1 (2.2)

-

-

Others

 Infections

1 (2.2)

-

0 (0.0)

42 (93.3)

2 (4.4)

0 (0.0)

 Septicemia

42 (93.3)

-

-

3 (6.7)

0 (0.0)

0 (0.0)

 Pyohemia

44 (97.8)

-

-

1 (2.2)

0 (0.0)

0 (0.0)

 Multiorgan failure

43 (95.6)

-

-

1 (2.2)

1 (2.2)

0 (0.0)

 DIC

37 (82.8)

-

3 (6.7)

4 (8.9)

1 (2.2)

0 (0.0)

 Allergic reaction

44 (97.8)

-

-

1 (2.2)

0 (0.0)

0 (0.0)

  1. ECG electrocardiogram, AST aspartate aminotransferase, ALT alanine aminotransferase, DIC disseminated intravascular coagulation. Hyperkalemia and hypocalcemia were not considered if patients were diagnosed with tumor lysis syndrome.