Table 1.

Changes in levels of various markers of hemolysis and platelet counts during eculizumab therapy



Normal range

Time of analysis

Biochemical marker
Before study
12 wk
64 wk
P*
LDH, IU/L      
All patients   150-480   3110.7 ± 598.4   594.0 ± 31.7   622.4 ± 41.1   .002  
Patients without cytopenia  NA   3965.0 ± 971.7   617.2 ± 24.3   657.1 ± 54.8   —  
Patients with cytopenia§  NA   2085.0 ± 267.0   566.3 ± 65.5   580.8 ± 63.2   —  
AST, IU/L      
All patients   10-40   76.2 ± 16.0   26.2 ± 2.3   30.1 ± 3.2   .02  
Patients without cytopenia   NA   88.5 ± 28.3   24.4 ± 3.8   30.8 ± 5.7   —  
Patients with cytopenia   NA   61.4 ± 9.8   28.4 ± 2.4   29.1 ± 2.3   —  
Haptoglobin, g/L      
All patients   0.5-2   0.06 ± 0   0.07 ± .01   0.14 ± 0.07   NS  
Patients without cytopenia   NA   0.06 ± 0   0.08 ± .02   0.20 ± 0.12   —  
Patients with cytopenia   NA   0.06 ± 0   0.06 ± 0   0.08 ± 0.01   —  
Hemoglobin, g/dL      
All patients   11.5-18   10.0 ± 0.4   10.3 ± 0.4   10.4 ± 0.4   NS  
Patients without cytopenia   NA   10.4 ± 0.5   10.9 ± 0.6   10.8 ± 0.5   —  
Patients with cytopenia   NA   9.5 ± 0.7   9.6 ± 0.4   9.9 ± 0.5   —  
Bilirubin, μM      
All patients   3-15   25.9 ± 4.3   28.2 ± 4.4   28.7 ± 4.0   NS  
Patients without cytopenia   NA   30.6 ± 7.4   34.9 ± 6.6   34.6 ± 5.9   —  
Patients with cytopenia   NA   20.2 ± 2.2   20.2 ± 3.6   21.7 ± 3.6   —  
Reticulocytes, × 10−3/mm3      
All patients   20-80   161.4 ± 25.9   191.2 ± 23.6   189.6 ± 21.8   NS  
Patients without cytopenia   NA   200.2 ± 38.4   243.4 ± 26.2   233.2 ± 27.4   —  
Patients with cytopenia   NA   114.8 ± 21.9   128.5 ± 15.6   137.3 ± 15.2   —  
Platelets, × 109/L      
All patients   150-400   183.0 ± 35.3   183.6 ± 37.8   180.8 ± 35.8   NS  
Patients without cytopenia   NA   250.2 ± 49.8   256.3 ± 51.8   251.5 ± 47.2   —  
Patients with cytopenia
 
NA
 
102.2 ± 11.8
 
96.3 ± 18.7
 
95.9 ± 19.7
 

 


Normal range

Time of analysis

Biochemical marker
Before study
12 wk
64 wk
P*
LDH, IU/L      
All patients   150-480   3110.7 ± 598.4   594.0 ± 31.7   622.4 ± 41.1   .002  
Patients without cytopenia  NA   3965.0 ± 971.7   617.2 ± 24.3   657.1 ± 54.8   —  
Patients with cytopenia§  NA   2085.0 ± 267.0   566.3 ± 65.5   580.8 ± 63.2   —  
AST, IU/L      
All patients   10-40   76.2 ± 16.0   26.2 ± 2.3   30.1 ± 3.2   .02  
Patients without cytopenia   NA   88.5 ± 28.3   24.4 ± 3.8   30.8 ± 5.7   —  
Patients with cytopenia   NA   61.4 ± 9.8   28.4 ± 2.4   29.1 ± 2.3   —  
Haptoglobin, g/L      
All patients   0.5-2   0.06 ± 0   0.07 ± .01   0.14 ± 0.07   NS  
Patients without cytopenia   NA   0.06 ± 0   0.08 ± .02   0.20 ± 0.12   —  
Patients with cytopenia   NA   0.06 ± 0   0.06 ± 0   0.08 ± 0.01   —  
Hemoglobin, g/dL      
All patients   11.5-18   10.0 ± 0.4   10.3 ± 0.4   10.4 ± 0.4   NS  
Patients without cytopenia   NA   10.4 ± 0.5   10.9 ± 0.6   10.8 ± 0.5   —  
Patients with cytopenia   NA   9.5 ± 0.7   9.6 ± 0.4   9.9 ± 0.5   —  
Bilirubin, μM      
All patients   3-15   25.9 ± 4.3   28.2 ± 4.4   28.7 ± 4.0   NS  
Patients without cytopenia   NA   30.6 ± 7.4   34.9 ± 6.6   34.6 ± 5.9   —  
Patients with cytopenia   NA   20.2 ± 2.2   20.2 ± 3.6   21.7 ± 3.6   —  
Reticulocytes, × 10−3/mm3      
All patients   20-80   161.4 ± 25.9   191.2 ± 23.6   189.6 ± 21.8   NS  
Patients without cytopenia   NA   200.2 ± 38.4   243.4 ± 26.2   233.2 ± 27.4   —  
Patients with cytopenia   NA   114.8 ± 21.9   128.5 ± 15.6   137.3 ± 15.2   —  
Platelets, × 109/L      
All patients   150-400   183.0 ± 35.3   183.6 ± 37.8   180.8 ± 35.8   NS  
Patients without cytopenia   NA   250.2 ± 49.8   256.3 ± 51.8   251.5 ± 47.2   —  
Patients with cytopenia
 
NA
 
102.2 ± 11.8
 
96.3 ± 18.7
 
95.9 ± 19.7
 

 

— indicates not determined; NA, not applicable; and NS, not significant.

*

Comparisons of mean change from the prestudy period to the 64-week treatment period for all patients.

Mean values during 52-week period before treatment except for AST, which represents the baseline mean.

Platelet count ≥ 150 × 109/L; n = 6.

§

Platelet count < 150 × 109/L; n = 5.

Values are presented as ± standard error (SE).

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