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Table 2 Common adverse events* and laboratory abnormalities in phase 2 patients treated with IL-21 (30 mcg/kg) plus sorafenib (starting at 400 mg twice daily)

From: Recombinant interleukin-21 plus sorafenib for metastatic renal cell carcinoma: a phase 1/2 study

Adverse event preferred term* [N = 33 unless noted]

Any grade n (%)

Grade 3 n (%)

Grade 4 n (%)

Rash†

31 (94)

9 (29)

—

Fatigue

23 (70)

2 (6)

1 (3)

Diarrhea

20 (61)

2 (6)

—

Pyrexia

20 (61)

—

—

Chills

18 (55)

—

—

Palmar-plantar erythrodysaesthesia (hand-foot syndrome)

18 (55)

8 (24)

—

Alopecia

15 (45)

—

—

Vomiting

14 (42)

2 (6)

 

Influenza-like illness

13 (39)

—

—

Headache

12 (36)

—

—

Nausea

12 (36)

2 (6)

 

Pruritus

12 (36)

—

—

Arthralgia

10 (30)

—

—

Pain in extremity

10 (30)

1 (3)

—

Laboratory abnormality §

Any grade

Grade 3 n (%)

Grade 4 n (%)

Lymphopenia

32 (97)

16 (48)

7 (21)

Hypophosphatemia

27 (82)

17 (52)

2 (6)

Lipase high (n = 31)

16 (52)

7 (23)

1 (3)

Hyponatremia (n = 22)

22 (100)

5 (23)

—

Platelets low

27 (82)

6 (18)

1 (3)

Hyperuricemia (n = 32)

16 (50)

—

7 (22)

Platelets low

27 (82)

6 (18)

1 (3)

AST high

22 (67)

6 (18)

—

ALT high

22 (67)

5 (15)

—

Leukocytes low

20 (61)

4 (12)

—

Neutrophils low

18 (55)

1 (3)

3 (9)

Hypokalemia (n = 9)

9 (100)

1 (11)

—

  1. *Adverse events occurring in at least 30% of patients treated are included here.
  2. †Includes any rash preferred term.
  3. §Laboratory abnormalities occurring in at least 50% of patients treated are included. Those occurring in <50% of patients included predominantly grade 1 or 2 electrolyte changes of no significant clinical consequence.