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Table 5 Adverse events associated with Gliadel wafers combined with standard radiotherapy (RT) and concurrent followed by adjuvant temozolomide (TMZ) compared with adverse events in (1) the phase III RT/TMZ clinical trial, (2) the phase III Gliadel clinical trials, and (3) the Attenello et al.’s retrospective comparison of patients who underwent craniotomy with and without Gliadel wafer implantation

From: Gliadel wafer implantation combined with standard radiotherapy and concurrent followed by adjuvant temozolomide for treatment of newly diagnosed high-grade glioma: a systematic literature review

Clinical trial

Number

CE

HA

IH

II

ND

S

LE

F

GI

MY

SK

TE

UI

Grade 3 and 4 AEs, 9 Gliadel wafers + RT/TMZ, %

372

2.7 %

4.3 %

3.0 %

4.8 %

7.8 %

3.0 %

1.3 %

0.3 %

0.3 %

10.2 %

0.2 %

2.15 %

 

Grade 3 and 4 AEs, Phase III RT/TMZ trial, [11, 12] RT/TMZ treatment arm, %

287

   

7.0 %

   

13.0 %

2.0 %

16.0 %

3.0 %

 

6.0 %

AEs, Gliadel phase III clinical trials, Gliadel wafer arm, % [8–10, 25]

120

23.0 %

16.0 %

9.0 %

5.0 %

16.0 %

33.0 %

 

27.0 %

700 %

  

18.0 %

 

AEs, Gliadel phase III clinical trials, placebo wafer arm, % [8–10, 25]

120

19.0 %

12.0 %

2.0 %

6.0 %

10.0 %

38.0 %

 

15.0 %

47.0 %

  

17.0 %

 

AEs, Attenello et al., [46] Gliadel wafer arm, %

288

2.3 %

2.8 %

 

1.2 %

 

14.6 %

   

0.3 %

 

11.2 %

 

AEs, Attenello et al., [46] placebo arm, %

725

2.1 %

2.2 %

 

0.7 %

 

15.7 %

   

0.3 %

 

8.9 %

 
  1. AE adverse events, CE cerebral edema, HA healing abnormalities (including CSF leak and hydrocephalus), IH intracranial hypertension, II intracranial infections (including abscess, cerebritis, hydrocephitis, and meningitis), ND neurological deficit (including aphasia, change of mental status, epilepsy, and hemiparesis), S seizures, LE elevated liver enzymes, F fatigue (including fever), GI gastrointestinal disorders (including nausea, vomiting, and constipation), MY myelosuppression (including anemia, lymphopenia, leukocytopenia, neutropenia, and thrombocytopenia), SK skin and subcutaneous disorders, TE thromboembolic events (including deep vein thrombosis and pulmonary embolism), UI unidentified