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Table 3 Comparison of commonly observed toxicities between 2.5 g/m2 HDMTX cycles and 5 g/m2 HDMTX cycles (N = 120)

From: Is hypoalbuminemia a risk factor for high-dose methotrexate toxicity in children with acute lymphoblastic leukemia?

 

2.5 g/m2 HDMTX cycles (N = 60)

5 g/m2 HDMTX cycles (N = 60)

p

N (%)

Hematological toxicities

 Neutropenia

  No

16 (26.7)

12 (20.0)

χ2 test” p=0.388

  Yes

44 (73.3)

48 (80.0)

  G3–4

35 (58.3)

35 (58.3)

χ2 test” p=1.000

 Anemia

  No

13 (21.7)

15 (25.0)

χ2 test” p=0.666

  Yes

47 (78.3)

45 (75.0)

  G3–4

17 (28.3)

18 (30.0)

χ2 test” p=0.841

 Thrombocytopenia

  No

39 (65.0)

44 (73.3)

χ2 test” p=0.323

  Yes

21 (35.0)

16 (26.7)

  G3–4

10 (16.7)

9 (15.0)

χ2 test” p=0.803

 Febrile neutropeniaa

  No

45 (75.0)

44 (73.3)

χ2 test” p=0.835

  Yes

15 (25.0)

16 (26.7)

Hepatic toxicity

 Increased ALT

  No

46 (76.7)

40 (66.7)

χ2 test” p=0.224

  Yes

14 (23.3)

20 (33.3)

  G3–4

2 (3.3%)

4 (6.7%)

FEp=0.679

 Increased AST

  No

44 (73.3)

43 (71.7)

χ2 test” p=0.838

  Yes

16 (26.7)

17 (28.3)

  G3–4

2 (3.3%)

2 (3.3%)

FEp=1.000

Gastrointestinal toxicity

 Oral mucositis

  No

32 (53.3)

44 (73.3)

χ2 test” p=0.023

  Yes

28 (46.7)

16 (26.7)

  G3–4

10 (16.7%)

10 (16.7%)

χ2 test” p=1.000

Nephrotoxicity

 Increased creatinine

  No

41 (68.3)

39 (65.0)

χ2 test” p=0.699

  Yes

19 (31.7)

21 (35.0)

  G3–4

1 (1.7%)

1 (1.7%)

FEp=1.000

Hospitalizationb

  No

40 (66.7)

48 (80.0)

χ2 test” p=0.099

  Yes

20 (33.3)

12 (20.0)

 Length of hospitalization

(N = 20)

(N=12)

 

  Median (IQR)

4 (2–7.5)

7 (6–10.5)

U test” p=0.012

  Min.–Max.

2–14

4–12

  1. P-value significant when p <0.05
  2. aThere is no grade 1 or 2 in the CTCAE score system grading febrile neutropenia, and it was reported in the present study only in grade 3 [15]
  3. bExtra days of hospitalization due to HDMTX-related toxicities