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Table 3 Previous therapies and course of 13 patients with grade ≥ 3 hematologic adverse events

From: Hematologic safety of 177Lu-PSMA-617 radioligand therapy in patients with metastatic castration-resistant prostate cancer

Patient

Previous therapies

Toxicity (CTCmax)

Reversibility

Time to toxicity (weeks)

Time to reversibility (weeks)

Course of treatment/disease

Hb

WBC

Platelets

1

RP, Rx, ADT, DOCE, ABI, CABA

3

3

3

Yes

8

12

Recovery after transfusion (2xRBC)

2

ADT, DOCE, Ra-223

3

1

0

Yes

4

4

Recovery after transfusion (2xRBC)

3

ADT, local Rx

3

2

0

Yes

4

6

Transfusion therapy, disease progression, death 18 months after PSMA therapy

4

RP, ADT, DOCE, ENZA

2

1

3

8

Lost to follow-up

5

ADT, bicalutamide, ABI, DOCE, Rx

3

0

0

Yes

6

4

Spontaneous recovery, discontinuation of RLT due to PD, continuation of ABI

6

ADT, ABI, Rx, DOCE, bicalutamide, ENZA

3

3

3

Yes

8

8

Recovery of all cell lines after 4xRBC, diagnosed with NSCLC after PR under RLT

7

RARP, Rx, ADT, ABSI, DOCE, ENZA

3

1

0

Yes

4

6

Continuation of RLT after transfusion (2xRBC)

8

ADT, bicalutamide, Ra-223

3

2

1

Yes

8

4

Carbamazepin intoxication, discontinuation of RLT, spontaneous recovery

9

ADT, palliative Rx, ABI, ENZA, DOCE, CABA, 5-FU

1

1

3

Yes

3

6

Continuation of RLT after spontaneous recovery of platelet count, 3 more cycles, PD

10

RP, ADT, DOCE, ABI, ENZA

3

2

1

Yes

8

8

Continuation of RLT after transfusion (2xRBC)

11

RP, salvage Rx, ADT, DOCE, Ra-223, ABI

3

3

2

Yes

4

12

Transfusion therapy in 4 week intervals (2 × 2 RBC)

12

RARP, Rx, ADT, DOCE, ABI, CABA, carboplatin, etoposid, mitoxandrone, 5-FU

1

3

3

No

8

Transfusion of thrombocytes (2xBP), hepatic disease progression

13

RP, salvage Rx, ADT, Ra-223, ABI

3

0

4

No

7

Transfusion (RBC, BP) disease progression, death 8 weeks after last cycle

  1. RP radical prostatectomy, RARP robot-assisted radical prostatectomy, Rx radiotherapy, Ra-223 radium-223-dichloride, ADT androgen deprivation therapy, DOCE docetaxel, CABA cabazitaxel, ABI abiraterone, ENZA enzalutamide, NSCLC non-small cell lung cancer, RBC packed red blood cells, BP blood platelet concentrates, Hb hemoglobin, WBC white blood cells, Plt platelets