Clinical Study

A Prospective, Randomized, Placebo-Controlled Study of a Combination of Simvastatin and Chemotherapy in Metastatic Breast Cancer

Table 3

Most common grades 1 to 4 adverse events of chemotherapy and adverse events of special interest to simvastatin.

Adverse events n (%)Chemotherapy + simvastatin (n = 40)Chemotherapy + placebo (n = 40)
Grade 1/2Grade 3/4Grade 1/2Grade 3/4

Anemia34 (85)8 (20)32 (80)8 (20)
Thrombopenia5 (12.5)1 (2.5)4 (10)2 (5)
Neutropenia22 (55)12 (30)18 (45)16 (40)
Clinical hemorrhage1 (2.5)
Injection site reaction7 (17.5)5 (12.5)
Rash1 (2.5)
Left ventricle function1 (2.5)1 (2.5)
Stomatitis1 (2.5)
Creatinine elevation6 (15)5 (12.5)
Simvastatin special adverse events
ALT elevation12 (30)13 (32.5)
CK elevation1 (2.5)4 (10)

None of the elevated levels of ALT exceed more than 3 times the upper limit of the reference range. None of the elevated levels of CK exceed more than 5 times the upper limit of the reference ranges value >>0.05 for all comparisons