Table 4

General non-hematologic dose modifications for poly (ADP-ribose) polymerase inhibitor (PARPi) treatment

SeverityManagement
Grade 1Continue treatment
Consider dose interruptions or reductions if considered clinically intolerable by the patient, despite adequate symptom management
Grade 2Continue treatment
Consider dose interruptions or reductions if it does not improve with symptom management, or if considered clinically intolerable by the patient
Grade≥3 where prophylaxis is not feasible or AE persists despite treatmentWithhold for a maximum of 28 days or until resolution of adverse reaction; then, consider dose reduction.
Grade ≥3 lasting >28 days on the lowest dose-levelIf AE persists despite adequate management, permanently discontinue medication
  • AE, adverse event.