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. Author manuscript; available in PMC: 2011 Oct 28.
Published in final edited form as: N Engl J Med. 2011 Mar 16;364(17):1595–1606. doi: 10.1056/NEJMoa1100391

Table 2.

Effects of Sirolimus on Primary and Selected Secondary Outcome Variables during the Treatment Period.*

Variable Value at 12 Months Change from Baseline Rate of Change per Month
Placebo (N = 34) Sirolimus (N = 41) Placebo (N = 34) Sirolimus (N = 41) P Value Placebo (N = 43) Sirolimus (N = 46) P Value
Pulmonary function
 FEV1 (ml) 1272±414 1383±394 −134±182§ 19±124 <0.001 −12±2 1±2 <0.001

 FVC (ml) 2843±668 2780±735 −129±233§ 97±260 0.001 −11±3 8±3 <0.001

 Total lung capacity (ml) 5464±1217 4944±982 −7±650 94±504 0.65 −2±7 8±7 0.34

 Residual volume (ml) 2502±969 2112±617 −16 ±514 38±538 0.61 −3±7 4±7 0.46

 Functional residual capacity (ml) 3260±968 2912±660 −123±521 53±335 0.43 −11±6 6±6 0.049

 DLCO (ml/mm Hg/min) 9.61±4.06 9.62±3.92 −0.62±2.89§ −0.06±1.50 0.38 −0.06±0.03 −0.01±0.02 0.17

 6-Minute walk distance (m) 418±107 431±104 26±51§ 24±59§ 0.99 1.47±0.87 1.65±0.81 0.88

Score on EuroQOL visual-analogue scale for quality of life|| 65.60±18.47** 73.71±18.03 −2.34±15.77 6.10±16.96 0.02 −0.21±0.20 0.39±0.19 0.03

Total score on Functional Performance Inventory†† 2.33±0.47 2.35±0.49 −0.05±0.24 0.10±0.38 0.08 −0.009±0.004 0.005±0.004 0.03

Serum VEGF-D (pg/ml) 2444±3862** 862±540 −14.81±1113 −1032±1301§ 0.001 −2.42±17.23 −88.01±16.61 0.001
*

Plus–minus values are means ±SD. DLCO denotes diffusing capacity for carbon monoxide, FEV1 forced expiratory volume in 1 second, FVC forced vital capacity, and VEGF-D vascular endothelial growth factor D.

Two-sided P values for the comparison between the placebo and sirolimus groups of the mean change from baseline were calculated with the use of a general linear model, with adjustment for baseline levels of variables.

Two-sided P values for the comparison between the placebo and sirolimus groups of the rate of change per month were calculated with the use of a linear mixed-effects model.

§

The two-sided P value for the change from baseline within the placebo or sirolimus group, as calculated with the use of the Wilcoxon signed-rank test, was less than 0.05 for FVC and 6-minute walk distance, less than 0.01 for DLCO, and less than 0.001 for FEV1 and VEGF-D level.

The two-sided P value for the rate of change per month within the placebo or sirolimus group, as calculated with the use of a linear mixed-effects model, was less than 0.05 for the total score of the Functional Performance Inventory, the DLCO, and the EuroQOL visual-analogue scale, less than 0.01 for the FVC, and less than 0.001 for VEGF-D level and FEV1.

||

The EuroQOL visual-analogue scale measures self-reported ratings of health status. Scores range from 0 to 100, with lower scores indicating worse functioning.

**

The two-sided P value for the difference between the placebo and sirolimus groups at 12 months was less than 0.05, as calculated with the use of the Wilcoxon rank-sum test.

††

Scores on the Functional Performance Inventory range from 1 to 4, with lower scores indicating lower health status.