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
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FEV1 (ml) | 1272±414 | 1383±394 | −134±182§ | 19±124 | <0.001 | −12±2¶ | 1±2 | <0.001 |
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FVC (ml) | 2843±668 | 2780±735 | −129±233§ | 97±260 | 0.001 | −11±3¶ | 8±3¶ | <0.001 |
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Total lung capacity (ml) | 5464±1217 | 4944±982 | −7±650 | 94±504 | 0.65 | −2±7 | 8±7 | 0.34 |
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Residual volume (ml) | 2502±969 | 2112±617 | −16 ±514 | 38±538 | 0.61 | −3±7 | 4±7 | 0.46 |
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Functional residual capacity (ml) | 3260±968 | 2912±660 | −123±521 | 53±335 | 0.43 | −11±6 | 6±6 | 0.049 |
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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 |
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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 |
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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 |
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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.