Adverse events
| Adverse event . | Any grade . | % . | Grade 1 . | % . | Grade 2 . | % . | Grade 3-5 . | % . | Grade 3 . | % . | Grade 4 . | % . | Grade 5 . | % . | 
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anemia | 18 | 100 | 1 | 6 | 10 | 56 | 7 | 39 | 7 | 39 | 0 | 0 | 0 | 0 | 
| Neutropenia | 17 | 94 | 0 | 0 | 0 | 0 | 17 | 94 | 0 | 0 | 17 | 94 | 0 | 0 | 
| Thrombocytopenia | 17 | 94 | 4 | 22 | 3 | 17 | 10 | 56 | 6 | 33 | 4 | 22 | 0 | 0 | 
| Constipation | 15 | 83 | 9 | 50 | 6 | 33 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Mucositis oral | 14 | 78 | 6 | 33 | 4 | 22 | 4 | 22 | 4 | 22 | 0 | 0 | 0 | 0 | 
| Elevated ALT | 13 | 72 | 10 | 56 | 2 | 11 | 1 | 6 | 0 | 0 | 1 | 6 | 0 | 0 | 
| Nausea | 12 | 67 | 9 | 50 | 2 | 11 | 1 | 6 | 1 | 6 | 0 | 0 | 0 | 0 | 
| Fatigue | 11 | 61 | 5 | 28 | 6 | 33 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Diarrhea | 8 | 44 | 2 | 11 | 5 | 28 | 1 | 6 | 1 | 6 | 0 | 0 | 0 | 0 | 
| Elevated AST | 8 | 44 | 7 | 39 | 0 | 0 | 1 | 6 | 0 | 0 | 1 | 6 | 0 | 0 | 
| Peripheral sensory neuropathy | 8 | 44 | 8 | 44 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Hypokalemia | 7 | 39 | 0 | 0 | 5 | 28 | 2 | 11 | 2 | 11 | 0 | 0 | 0 | 0 | 
| Edema limbs | 7 | 39 | 7 | 39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Thromboembolic event | 6 | 33 | 0 | 0 | 2 | 11 | 4 | 22 | 4 | 22 | 0 | 0 | 0 | 0 | 
| Sore throat | 6 | 33 | 6 | 33 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Headache | 6 | 33 | 5 | 28 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Pain in extremity | 6 | 33 | 5 | 28 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Urinary frequency | 6 | 33 | 6 | 33 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Abdominal pain | 5 | 28 | 3 | 17 | 0 | 0 | 2 | 11 | 2 | 11 | 0 | 0 | 0 | 0 | 
| Back pain | 5 | 28 | 5 | 28 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Dysgeusia | 5 | 28 | 5 | 28 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Hypophosphatemia | 5 | 28 | 0 | 0 | 5 | 28 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Fever | 5 | 28 | 4 | 22 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Insomnia | 5 | 28 | 4 | 22 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Sinus bradycardia | 5 | 28 | 4 | 22 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Hyperglycemia | 4 | 22 | 0 | 0 | 1 | 6 | 3 | 17 | 3 | 17 | 0 | 0 | 0 | 0 | 
| Hypertension | 4 | 22 | 2 | 11 | 1 | 6 | 1 | 6 | 1 | 6 | 0 | 0 | 0 | 0 | 
| Anorexia | 4 | 22 | 3 | 17 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Dyspepsia | 4 | 22 | 2 | 11 | 2 | 11 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Nail changes | 4 | 22 | 4 | 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Febrile neutropenia | 3 | 17 | 0 | 0 | 0 | 0 | 3 | 17 | 3 | 17 | 0 | 0 | 0 | 0 | 
| Colonic perforation | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 1 | 6 | 0 | 0 | 0 | 0 | 
| Hypomagnesemia | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 1 | 6 | 0 | 0 | 0 | 0 | 
| Supraventricular tachycardia | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 1 | 6 | 0 | 0 | 0 | 0 | 
| Sepsis | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 
| Typhlitis | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 
| Elevated total bilirubin | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 0 | 0 | 1 | 6 | 0 | 0 | 
| Adverse event . | Any grade . | % . | Grade 1 . | % . | Grade 2 . | % . | Grade 3-5 . | % . | Grade 3 . | % . | Grade 4 . | % . | Grade 5 . | % . | 
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anemia | 18 | 100 | 1 | 6 | 10 | 56 | 7 | 39 | 7 | 39 | 0 | 0 | 0 | 0 | 
| Neutropenia | 17 | 94 | 0 | 0 | 0 | 0 | 17 | 94 | 0 | 0 | 17 | 94 | 0 | 0 | 
| Thrombocytopenia | 17 | 94 | 4 | 22 | 3 | 17 | 10 | 56 | 6 | 33 | 4 | 22 | 0 | 0 | 
| Constipation | 15 | 83 | 9 | 50 | 6 | 33 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Mucositis oral | 14 | 78 | 6 | 33 | 4 | 22 | 4 | 22 | 4 | 22 | 0 | 0 | 0 | 0 | 
| Elevated ALT | 13 | 72 | 10 | 56 | 2 | 11 | 1 | 6 | 0 | 0 | 1 | 6 | 0 | 0 | 
| Nausea | 12 | 67 | 9 | 50 | 2 | 11 | 1 | 6 | 1 | 6 | 0 | 0 | 0 | 0 | 
| Fatigue | 11 | 61 | 5 | 28 | 6 | 33 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Diarrhea | 8 | 44 | 2 | 11 | 5 | 28 | 1 | 6 | 1 | 6 | 0 | 0 | 0 | 0 | 
| Elevated AST | 8 | 44 | 7 | 39 | 0 | 0 | 1 | 6 | 0 | 0 | 1 | 6 | 0 | 0 | 
| Peripheral sensory neuropathy | 8 | 44 | 8 | 44 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Hypokalemia | 7 | 39 | 0 | 0 | 5 | 28 | 2 | 11 | 2 | 11 | 0 | 0 | 0 | 0 | 
| Edema limbs | 7 | 39 | 7 | 39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Thromboembolic event | 6 | 33 | 0 | 0 | 2 | 11 | 4 | 22 | 4 | 22 | 0 | 0 | 0 | 0 | 
| Sore throat | 6 | 33 | 6 | 33 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Headache | 6 | 33 | 5 | 28 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Pain in extremity | 6 | 33 | 5 | 28 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Urinary frequency | 6 | 33 | 6 | 33 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Abdominal pain | 5 | 28 | 3 | 17 | 0 | 0 | 2 | 11 | 2 | 11 | 0 | 0 | 0 | 0 | 
| Back pain | 5 | 28 | 5 | 28 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Dysgeusia | 5 | 28 | 5 | 28 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Hypophosphatemia | 5 | 28 | 0 | 0 | 5 | 28 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Fever | 5 | 28 | 4 | 22 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Insomnia | 5 | 28 | 4 | 22 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Sinus bradycardia | 5 | 28 | 4 | 22 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Hyperglycemia | 4 | 22 | 0 | 0 | 1 | 6 | 3 | 17 | 3 | 17 | 0 | 0 | 0 | 0 | 
| Hypertension | 4 | 22 | 2 | 11 | 1 | 6 | 1 | 6 | 1 | 6 | 0 | 0 | 0 | 0 | 
| Anorexia | 4 | 22 | 3 | 17 | 1 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Dyspepsia | 4 | 22 | 2 | 11 | 2 | 11 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Nail changes | 4 | 22 | 4 | 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
| Febrile neutropenia | 3 | 17 | 0 | 0 | 0 | 0 | 3 | 17 | 3 | 17 | 0 | 0 | 0 | 0 | 
| Colonic perforation | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 1 | 6 | 0 | 0 | 0 | 0 | 
| Hypomagnesemia | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 1 | 6 | 0 | 0 | 0 | 0 | 
| Supraventricular tachycardia | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 1 | 6 | 0 | 0 | 0 | 0 | 
| Sepsis | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 
| Typhlitis | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 
| Elevated total bilirubin | 1 | 6 | 0 | 0 | 0 | 0 | 1 | 6 | 0 | 0 | 1 | 6 | 0 | 0 | 
All grade 3-5 adverse events are listed and grade 1-2 adverse events occurring in >20% of patients are listed here. The grade 5 sepsis and typhlitis occurred in the same patient. All adverse events are listed in the supplement.
ALT, alanine transaminase; AST, aspartate transferase; CTCAE, Common Terminology Criteria for Adverse Events; N, no; Y, yes.