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Table 1 Characteristics of 71 patients with EGPA

From: Long-term mepolizumab treatment reduces relapse rates in super-responders with eosinophilic granulomatosis with polyangiitis

 

Mepolizumab group

Conventional treatment group

p-value

N = 43

N = 28

Age at study admission (years), mean ± 1 SD

59.9 ± 14.1

56.4 ± 16.3

NS

Sex (M/F)

16/27

9/19

NS

Age at asthma onset (years), mean ± SD

41.3 ± 20.0

34.4 ± 17.9

NS

Age at EGPA onset (years), mean ± SD

50.4 ± 18.4

49.4 ± 15.2

NS

Period of time from EGPA onset to study admission (years), mean ± SD

8.4 ± 8.7

6.0 ± 5.4

NS

Laboratory data at diagnosis

 WBC count (/μL), mean ± 1 SD

16 220.9 ± 8103.7

15 508.2 ± 9173.2

NS

 Blood eosinophils (/μL), mean ± 1 SD

7877.2 ± 7018.9

7515.8 ± 7461.6

NS

 MPO-ANCA yes/no (%)

10/33 (23.3%)

6/22 (21.4%)

NS

 PR3-ANCA yes/no (%)

3/40 (7.0%)

4/24 (14.3%)

NS

 IC > 1.5 mg/mL yes/no (%)

6/26 (25.7%)

6/15 (28.6%)

NS

 RF > 15 IU/mL yes/no (%)

14/22 (38.9%)

14/11 (56.0%)

NS

 BNP > 18.7 pg/mL yes/no (%)

19/18 (51.4%)

11/10 (52.4%)

NS

 IgE IU/mL, median (range)

432 (56–3176)

542 (11.4–25,112)

NS

 IgG IU/mL, mean ± SD yes/no (%)

1562.4 ± 609.5

1441.7 ± 503.6

NS

Clinical manifestations at diagnosis, yes/no (%)

 Asthma

43/0 (100.0%)

27/1 (96.4%)

NS

 Paranasal sinusitis

41/2 (95.3%)

25/3 (89.3%)

NS

 Eosinophilic otitis media

12/30 (28.6%)

4/23 (14.8%)

NS

 Multiple polyneuropathy

42/1 (97.7%)

28/0 (100%)

NS

 Minimum MMT score

3.6 ± 0.9

3.3 ± 1.1

NS

 Pulmonary involvement

21/18 (53.8%)

14/14 (50.0%)

NS

 Myocardial involvement

33/9 (78.6%)

12/14 (46.2%)

p < 0.01

 Gastrointestinal tract involvement

37/2 (94.9%)

23/3 (88.5%)

NS

 Liver, gallbladder, pancreas

8/31 (20.5%)

8/18 (30.8%)

NS

 Renal involvement

14/27 (34.1%)

7/21 (25.0%)

NS

 Skin involvement

27/14 (65.9%)

15/13 (53.6%)

NS

 Arthralgia

23/19 (54.8%)

11/17 (39.3%)

NS

 Myalgia

8/33 (19.5%)

3/24 (11.1%)

NS

 Central nervous system involvement

12/31 (27.9%)

9/19 (32.1%)

NS

BVAS

 At diagnosis

31.0 ± 7.3

28.3 ± 11.0

NS

 Before treatment-group allocation

15.4 ± 5.2

7.3 ± 6.4

 < 0.01

Relapses before treatment-group allocation

 Frequency (times/year), mean ± 1 SD

1.0 ± 0.9

0.4 ± 0.6

 < 0.01

Initial treatment

 PSL (mg) (mean ± SD)

42.9 ± 11.7

46.4 ± 11.1

NS

 mPSL pulse yes/no (%)

29/14 (67.4%)

22/6 (78.6%)

NS

 Immunosuppressant yes/no (%)

37/6 (86.0%)

22/6 (78.6%)

NS

 CYC/AZA/CsA/MTX/RTX

25/3/6/3/0

10/3/7/2/0

NS

Maintenance treatment before group allocation

 Immunosuppressant yes/no (%)

33/10 (76.7%)

21/7 (75.0%)

NS

 CYC/AZA/CSA/MTX/RTX

7/6/5/13/2

6/4/7/4/0

NS

 PSL (mg) (mean ± SD)

12.3 ± 5.6

8.8 ± 5.0

 < 0.05

 IVIG yes/no (%)

35/8 (81.4%)

16/12 (57.1%)

 < 0.05

  1. AZA Azathioprine, BNP Brain natriuretic peptide, BVAS Birmingham vasculitis activity score, CsA Cyclosporine A, CYC Cyclophosphamide, EGPA Eosinophilic granulomatosis with polyangiitis, IC Immune complex, IVIG Intravenous immunoglobulin, MMT Manual muscle test, MPO-ANCA Myeloperoxidase antineutrophil cytoplasmic antibodies, mPSL meTHylprednisolone, MTX Methotrexate, PR3 Protein 3, PSL Prednisolone, RF Rheumatoid factor, RTX Rituximab