Table 4

Changes in select cytokines, KSHV viral load, clinical labs, and immunology profile in patients with symptomatic KSHV-MCD from baseline to end of therapy with R-Dox

LaboratoryBaseline-End R-Dox Median change (range)P*
Cytokines 
 Log10hIL6, pg/mL −0.46 (−1.49, +0.85) .0026 
 Log10IL10, pg/mL −1.68 (−3.08, +0.62) .0002 
 Log10KSHV, copies/106 PBMCs −3.96 (−6.04, +0.92) .0002 
Clinical labs used in response criteria 
 Hemoglobin, g/dL +3.9 (−0.3, +10.1) <.0001 
 Platelets, ×1000/μL +78 (−258, +261) .19 
 Albumin, g/dL +0.8 (−1.2, +2.4) .0008 
 CRP, mg/dL −3.0 (−14.7, +2.2) .0013 
Immunologic markers 
 κ free light chains, mg/dL −4.23 (−15.08, +1.69) <.0001 
 λ free light chains, mg/dL −3.53 (−14.78, −0.66) <.0001 
 IgG, mg/dL −390 (−2130, +1160) .021 
 IgA, mg/dL +10, (−200, +174) .89 
 IgM, mg/dL −40 (−98, +102) .003 
 IgE, IU/mL −125 (−1516, +17) <.0001 
 CD4 cells/μL +51 (−359, +345) .07 
 CD19 cells/μL −191 (−81, −873) <.0001 
LaboratoryBaseline-End R-Dox Median change (range)P*
Cytokines 
 Log10hIL6, pg/mL −0.46 (−1.49, +0.85) .0026 
 Log10IL10, pg/mL −1.68 (−3.08, +0.62) .0002 
 Log10KSHV, copies/106 PBMCs −3.96 (−6.04, +0.92) .0002 
Clinical labs used in response criteria 
 Hemoglobin, g/dL +3.9 (−0.3, +10.1) <.0001 
 Platelets, ×1000/μL +78 (−258, +261) .19 
 Albumin, g/dL +0.8 (−1.2, +2.4) .0008 
 CRP, mg/dL −3.0 (−14.7, +2.2) .0013 
Immunologic markers 
 κ free light chains, mg/dL −4.23 (−15.08, +1.69) <.0001 
 λ free light chains, mg/dL −3.53 (−14.78, −0.66) <.0001 
 IgG, mg/dL −390 (−2130, +1160) .021 
 IgA, mg/dL +10, (−200, +174) .89 
 IgM, mg/dL −40 (−98, +102) .003 
 IgE, IU/mL −125 (−1516, +17) <.0001 
 CD4 cells/μL +51 (−359, +345) .07 
 CD19 cells/μL −191 (−81, −873) <.0001 

This analysis includes 1 patient who progressed while on R-Dox and was subsequently diagnosed with primary effusion lymphoma.

*

The Wilcoxon signed-rank test was used to test the difference between the transformed or untransformed values at the identified time points. P < .005 indicates significance, whereas .005 < P < .05 indicates a strong trend.

Untransformed numbers capped at 2500 pg/mL, the upper limit for which the assay is validated.

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