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Adverse Effects

• Arm A - More Grade 3-4 toxicities (p<0.001)

• Haematologic Toxicity

Grade 3-4 ; 71.9% Vs 23.9 %

• Non haematologic toxicities

– Vomiting & diarrhea more in arm A (p=0.002)

• Hospitalization during treatment

– Arm A -30 pts & Arm B -11 pts (p=0.02)

– 3 deaths in arm A – 2 due to sepsis and bowel perforation & 1 due to

acute encephalopathy

• Late toxicities slightly higher in Arm A

Grade 4 GI : 2.3 % Vs 0%