Table 2.

Changes in secondary end points




Before therapy

After cycle 1

P*

After cycle 2

P

Normal range

Correlation with hematologic parameters in multivariate regression analysis, P < .05
Measures of RBC adhesion to endothelium        
   Adhesion to TSP, RBCs/mm2  1570 ± 170   690 ± 150   < .001   910 ± 160   < .001   < 60   F-cell % and ANC  
   Adhesion to laminin, RBCs/mm2  3470 ± 500   1950 ± 300   .004   1570 ± 210   < .001   < 250   F-cell %  
Measures of thrombin generation and fibrinolysis        
   D-dimer, ng/mL   490 ± 90   320 ± 50   .02   300 ± 50   .03   < 400   Nil  
   TAT, μg/L   7.0 ± 1.7   8.6 ± 2.3   .15   5.2 ± 0.9   .11   1.0-4.1   —  
   F1 + 2, nM   1.75 ± 0.22   1.56 ± 0.16   .23   1.41 ± 0.15   .051   0.04-1.1   —  
Measure of inflammation        
   CRP, mg/dL   1.25 ± 0.27   1.19 ± 0.34   .80   0.82 ± 0.26   .18   < 0.7   —  
Measures of endothelial cell damage        
   SVCAM, ng/mL   1170 ± 140   930 ± 100   .01   840 ± 100   .02   395-714   Total Hb  
   VWFpp, U/dL
 
196 ± 26
 
156 ± 28
 
.015
 
144 ± 13
 
.049
 
74-153
 
Absolute reticulocyte count
 



Before therapy

After cycle 1

P*

After cycle 2

P

Normal range

Correlation with hematologic parameters in multivariate regression analysis, P < .05
Measures of RBC adhesion to endothelium        
   Adhesion to TSP, RBCs/mm2  1570 ± 170   690 ± 150   < .001   910 ± 160   < .001   < 60   F-cell % and ANC  
   Adhesion to laminin, RBCs/mm2  3470 ± 500   1950 ± 300   .004   1570 ± 210   < .001   < 250   F-cell %  
Measures of thrombin generation and fibrinolysis        
   D-dimer, ng/mL   490 ± 90   320 ± 50   .02   300 ± 50   .03   < 400   Nil  
   TAT, μg/L   7.0 ± 1.7   8.6 ± 2.3   .15   5.2 ± 0.9   .11   1.0-4.1   —  
   F1 + 2, nM   1.75 ± 0.22   1.56 ± 0.16   .23   1.41 ± 0.15   .051   0.04-1.1   —  
Measure of inflammation        
   CRP, mg/dL   1.25 ± 0.27   1.19 ± 0.34   .80   0.82 ± 0.26   .18   < 0.7   —  
Measures of endothelial cell damage        
   SVCAM, ng/mL   1170 ± 140   930 ± 100   .01   840 ± 100   .02   395-714   Total Hb  
   VWFpp, U/dL
 
196 ± 26
 
156 ± 28
 
.015
 
144 ± 13
 
.049
 
74-153
 
Absolute reticulocyte count
 

Statistical analysis of changes in RBC adhesion to TSP and laminin, levels of D-dimers, thrombin-antithrombin (TAT) complexes, prothrombin fragments 1 and 2 (F1 + 2), C-reactive protein (CRP), soluble VCAM (sVCAM), and von Willebrand factor propeptide (VWFpp). Those variables that changed significantly with treatment were analyzed for correlations with the following hematologic parameters: %F-cells, absolute neutrophil counts, total hemoglobin levels, and reticulocyte counts (multivariate regression analysis); significant associations are shown in the last column. Values are mean ± SE. Statistical significance determined by paired 2-tailed t test. Nil indicates no significant relationship; and —, not analyzed.

*

P, significance of change from before therapy to after cycle 1

P, change from before therapy to after cycle 2

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