Jun 14, 2010 ... Grade 2 Moderate; minimal, local or ... Blood and lymphatic system disorders.
Grade. Adverse Event. 1. 2. 3. 4. 5 .... The clinical presentation.
1. CTCAE 4.03
Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 Published: May 28, 2009 (v4.03: June 14, 2010) U.S.DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Cancer Institute
Common Terminology Criteria for Adverse Events v4.0 (CTCAE) Publish Date: May 28, 2009 Quick Reference The NCI Common Terminology Criteria for Adverse Events is a descriptive terminology which can be utilized for Adverse Event (AE) reporting. A grading (severity) scale is provided for each AE term. Components and Organization SOC System Organ Class, the highest level of the MedDRA hierarchy, is identified by anatomical or physiological system, etiology, or purpose (e.g., SOC Investigations for laboratory test results). CTCAE terms are grouped by MedDRA Primary SOCs. Within each SOC, AEs are listed and accompanied by descriptions of severity (Grade). CTCAE Terms
Not all Grades are appropriate for all AEs. A brief definition is provided to clarify the Therefore, some AEs are listed with fewer than five options for Grade selection. meaning of each AE term. Definitions
Grade 5
Grades
Grade refers to the severity of the AE. The CTCAE Grade 5 (Death) is not appropriate for some AEs displays Grades 1 through 5 with unique clinical and therefore is not an option. descriptions of severity for each AE based on this Activities of Daily Living (ADL) general guideline: *Instrumental ADL refer to preparing meals, Grade 1 Mild; asymptomatic or mild shopping for groceries or clothes, using the symptoms; clinical or diagnostic telephone, managing money, etc. observations only; intervention not indicated. **Self care ADL refer to bathing, dressing and Grade 2 Moderate; minimal, local or undressing, feeding self, using the toilet, taking noninvasive intervention indicated; medications, and not bedridden.
Grade 3 An Adverse Event (AE) is any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medical treatment or procedure that may or may not be Grade 4 considered related to the medical treatment or procedure. An AE is a term that is a unique representation of a specific event used for Grade 5 medical documentation and scientific analyses. Each CTCAE v4.0 term is a MedDRA LLT (Lowest A Semi-colon of the grade. Level Term).
limiting age-appropriate instrumental ADL*. Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL**. Life-threatening consequences; urgent intervention indicated. Death related to AE. indicates ‘or’ within the description
A single dash (-) indicates a grade is not available. __________
† CTCAE v4.0 incorporates certain elements of the MedDRA terminology. For further details on MedDRA refer to the MedDRA MSSO Web site (http://www.meddramsso.com).
SOC Blood and lymphatic system disorders Cardiac disorders Congenital, familial and genetic disorders Ear and labyrinth disorders Endocrine disorders Eye disorders Gastrointestinal disorders General disorders and administration site conditions Hepatobiliary disorders Immune system disorders Infections and infestations Injury, poisoning and procedural complications Investigations Metabolism and nutrition disorders Musculoskeletal and connective tissue disorders Neoplasms benign, malignant and unspecified (incl cysts and polyps) Nervous system disorders Pregnancy, puerperium and perinatal conditions Psychiatric disorders Renal and urinary disorders Reproductive system and breast disorders Respiratory, thoracic and mediastinal disorders Skin and subcutaneous tissue disorders Social circumstances Surgical and medical procedures Vascular disorders
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2. Blood and lymphatic system disorders
Blood and lymphatic system disorders Grade Adverse Event Anemia
1
2
Hemoglobin (Hgb) 32 degrees C; 95 >89.6 degrees F
28 degrees C; 89.6 >82.4 degrees F
Definition: A disorder characterized by an abnormally low body temperature. Treatment is required when the body temperature is 35C (95F) or below. Infusion related reaction
Mild transient reaction; infusion interruption not indicated; intervention not indicated
Therapy or infusion interruption indicated but responds promptly to symptomatic treatment (e.g., antihistamines, NSAIDS, narcotics, IV fluids); prophylactic medications indicated for ULN - 1.5 x ULN
>1.5 - 2.0 x ULN
>2.0 - 5.0 x ULN
>5.0 x ULN
-
160 mmol/L; life-threatening consequences
5 Death
Definition: A disorder characterized by laboratory test results that indicate an elevation in the concentration of sodium in the blood. Hypertriglyceridemia
150 mg/dL - 300 mg/dL; 1.71 mmol/L - 3.42 mmol/L
>300 mg/dL - 500 mg/dL; >3.42 mmol/L - 5.7 mmol/L
>500 mg/dL - 1000 mg/dL; >5.7 mmol/L - 11.4 mmol/L
>1000 mg/dL; >11.4 mmol/L; Death life-threatening consequences
Definition: A disorder characterized by laboratory test results that indicate an elevation in the concentration of triglyceride concentration in the blood. Hyperuricemia
>ULN - 10 mg/dL (0.59 mmol/L) without physiologic consequences
-
>ULN - 10 mg/dL (0.59 mmol/L) with physiologic consequences
>10 mg/dL; >0.59 mmol/L; Death life-threatening consequences
Definition: A disorder characterized by laboratory test results that indicate an elevation in the concentration of uric acid. Hypoalbuminemia
