Table 1– Amikacin use, ototoxicity detected during treatment and rationale for discontinuation of treatment
Hearing lossAge yearsTinnitusMaximal hearing loss# dBFrequencies n (NCI CTCAE grade)Stopped amikacin early (reason)Progression of hearing loss after amikacin cessation?Total treatment period daysTotal dose g
Gradable hearing loss29Yes502 (2)Yes (hearing loss)Yes139104.3
26Yes756 (3)Yes (hearing loss)Yes160160
37No551 (2)Yes (hearing loss)No9181.9
23No754 (3)Yes (hearing loss)Yes12587.5
Early non-gradable hearing loss31No151 (-)Yes (hearing loss)Unknown7575
26No151 (-)Yes (hearing loss)No123115
42No251 (-)Yes (hearing loss)No178109.9
No hearing loss28Yes201 (-)Yes (tinnitus)No119107
20No100 (-)Yes (eczematous drug reaction+)No12177.5
19No50 (-)Yes (morning fatigue§)Unknown7854.6
50No00 (-)NoUnknown9292
24No100 (-)NoNo180119.4
  • “Gradable hearing loss” indicates pure tone audiogram changes sufficient to be categorised as grade 1 hearing loss (loss of 15–25 dB averaged at two or more contiguous frequencies in at least one ear) or higher. “Early non-gradable hearing loss” indicates audiogram changes insufficient to be gradable, but of clinical concern. Tinnitus self-reported by patients. #: from baseline at 8000 Hz; : at which sustained loss ≥15 dB detected, with National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) grade allocated in parentheses; +:adverse event immediately following i.v. injection of amikacin; §: distressing morning fatigue resolving only after discontinuation of amikacin.