Modification of statin or radiation therapy dosing

MA Mitchell S. Anscher
MC Michael G. Chang
DM Drew Moghanaki
MR Mihaela Rosu
RM Ross B. Mikkelsen
DH Diane Holdford
VS Vicki Skinner
BG B. Mayer Grob
AS Arun Sanyal
AW Aiping Wang
NM Nitai D. Mukhopadhyay
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Lovastatin was discontinued if transaminases became elevated ≥3 times above the upper limit of normal or if CK levels became elevated. For other side effects thought to be due to lovastatin, if ≤ Grade 2, the dose was lowered to 10 mg/day, and if ≥ Grade 3, the drug was stopped and the patient was removed from the study. Radiation treatment interruptions were permitted, but were to be kept to a minimum, and criteria for a treatment break were up to the attending physician. Once radiation commenced, changes in fractionation were not permitted. Patients were to remain on lovastatin during any treatment breaks.

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