APPENDIX 4.

Summary of worst Common Toxicity Criteria grades in clinical laboratory test results by trial treatment. Data from patients who switched from tocilizumab 4 mg/kg-MTX to tocilizumab 8 mg/kg-MTX are not included. MTX: methotrexate.

Placebo-MTX, n = 3924 mg/kg Tocilizumab-MTX, n = 1468 mg/kg Tocilizumab-MTX, n = 532
White blood cell
  N390146532
  Normal364 (93.3)111 (76.0)340 (63.9)
  Grade 122 (5.6)20 (13.7)113 (21.2)
  Grade 22 (< 1)12 (8.2)75 (14.1)
  Grade 32 (1.4)4 (< 1)
  Grade 42 (< 1)1 (< 1)
Platelets
  N390146532
  Normal383 (98.2)133 (91.1)447 (84.0)
  Grade 16 (1.5)10 (6.8)79 (14.8)
  Grade 22 (1.4)4 (< 1)
  Grade 31 (< 1)
  Grade 41 (< 1)1 (< 1)1 (< 1)
Lymphocytes
  N389145527
  Normal316 (81.2)109 (75.2)401 (76.1)
  Grade 128 (7.2)8 (5.5)26 (4.9)
  Grade 233 (8.5)24 (16.6)89 (16.9)
  Grade 310 (2.6)3 (2.1)11 (2.1)
  Grade 42 (< 1)1 (< 1)
Neutrophils
  N388145527
  Normal368 (94.8)112 (77.2)287 (54.5)
  Grade 112 (3.1)13 (9.0)124 (23.5)
  Grade 25 (1.3)15 (10.3)91 (17.3)
  Grade 31 (< 1)3 (2.1)22 (4.2)
  Grade 42 (< 1)2 (1.4)3 (< 1)
Aspartate aminotransferase
  N390146532
  Normal302 (77.4)75 (51.4)202 (38.0)
  Grade 184 (21.5)58 (39.7)299 (56.2)
  Grade 24 (1.0)10 (6.8)29 (5.5)
  Grade 33 (2.1)2 (< 1)
  Grade 4
Alanine aminotransferase
  N390146532
  Normal265 (67.9)57 (39.0)131 (24.6)
  Grade 1108 (27.7)66 (45.2)293 (55.1)
  Grade 215 (3.8)14 (9.6)92 (17.3)
  Grade 32 (< 1)9 (6.2)16 (3.0)
  Grade 4
Total bilirubin
  N390146532
  Normal384 (98.5)130 (89.0)456 (85.7)
  Grade 16 (1.5)12 (8.2)50 (9.4)
  Grade 24 (2.7)25 (4.7)
  Grade 31 (< 1)
  Grade 4