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Table 1.

Serum immunoglobulins on ibrutinib

IgG IgA IgM
Normal range, g/L 7-16 0.91-5 0.4-2.3
Patients n = 35* n = 43* n = 34*
Median (IQR), g/L
 Pretreatment 7.07 (5.71-9.03) 0.47 (0.36-1.23) 0.31 (0.25-0.40)
 6 mo 6.84 (5.40-8.98) 0.74 (0.45-1.56) 0.36 (0.30-0.46)
P = .10 P < .0001 P = .003
 12 mo 6.62 (4.79-9.03) 0.77 (0.50-1.63) 0.34 (0.29-0.46)
P = .0006 P < .0001 P = .09
 24 mo 5.87 (4.39-7.91) 0.72 (0.52-1.71) 0.26 (0.17-0.35)
P < .0001,
n = 21
P < .0001,
n = 28
P = .3,
n = 23

All P values reflect paired comparisons to pretreatment samples.

*

Patients who received ≥12 months of ibrutinib. Only paired data are shown.

Patients who received ≥24 months of ibrutinib. Between 12 and 24 months, 3 patients discontinued treatment: 2 withdrew consent and 1 progressed with transformation. The remaining patients continued ibrutinib, but had not reached their 24-month follow-up at the time of analysis.