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Table 3 Adverse events and outcomes observed in patients once TCZ started for GCA

From: Assessment of the efficacy and safety of tocilizumab in patients over 80 years old with giant cell arteritis

Adverse event

Months after TCZ introduction

Dose of GC at AE time

GC duration (months)

CTCAE grade

Treatment/evolution

Patient 1

 Hypercholesterolemia

4

10 mg

4

2

No treatment, stable

Patient 2

 Hypercholesterolemia

8

10 mg

8

3

Statin, improvement

Patient 3

 Hypercholesterolemia

3

0

2

No treatment, stable

Patient 4

 Pyelonephritis

5

10 mg

9

3

IV antibiotics-TCZ shifted 1 month later

 Thrombopenia

2

15 mg

6

1 (75 G/l)

No treatment, stable

Patient 5

 Bronchitis

9

6 mg

13

2

Oral antibiotics, healed

 Neutropenia

7

8 mg

11

3 (900/mm3)

No treatment, stable

 Hepatic cytolysis

7

8 mg

11

3 (5N)

Reduction TCZ to 4 mg/kg, correction of cytolysis

Patient 6

 Septic shocka

20

0

5

Death

 Mesenteric infarctiona

20

0

5

 

Patient 7

 Hypercholesterolemia

9

0

2

No treatment, stable

  1. Values are numbers (%). TCZ, tocilizumab; AE, adverse events; IV, intravenous; G, giga; N, normal; GC, glucocorticoid; CTCAE, Common Toxicity Criteria for Adverse Events
  2. aOccurred post-surgery for a programmed cholecystectomy. TCZ was temporally stopped for 2 months