Table 3

Common Terminology Criteria for Adverse Events (CTCAE) grade definitions

GradeDefinition
Grade 1Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated
Grade 2Moderate; minimal, local or non-invasive intervention indicated; limiting age-appropriate instrumental ADL*
Grade 3Severe or medically significant but not immediately life-threatening; hospitalisation or prolongation of hospitalisation indicated; disabling; limiting self-care ADL†
Grade 4Life-threatening consequences; urgent intervention indicated
Grade 5Death related to adverse event
  • From: Cancer Therapy Evaluation Program, Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. 2017.

  • *Instrumental ADL refer to preparing meals, shopping for groceries or clothes, using the telephone, managing money, etc.

  • †Self-care ADL refer to bathing, dressing and undressing, feeding self, using the toilet, taking medications and not bedridden.

  • ADL, activities of daily living.