Table VIII.
Therapy and parameters | Normal range | Before infusion | 30 min after infusion | P value |
---|---|---|---|---|
1000 U of C1-INH concentrate per week (for 15 doses) | ||||
Concentration (%) | 55-135 | 18.2 ± 4.9 | 35.2 ± 8.4 | <.001 |
EtCO-R (%) | 70-130 | 10.6 ± 10.5 | 27.1 ± 22.5 | .055 |
MeCO-R (%) | 80-125 | 11.9 ± 5.4 | 26.2 ± 10.9 | .001 |
C1r/C1-INH (%) | 70-135 | 29.8 ± 20.9 | 87.7 ± 40.0 | <.001 |
C1s/C1-INH (%) | >68 | 19.3 ± 10.5 | 54.1 ± 16.4 | <.001 |
500 U of C1-INH concentrate twice per week (for 16 doses) | ||||
Concentration (%) | 55-135 | 20.5 ± 5.8 | 30.6 ± 6.6 | <.001 |
EtCO-R (%) | 70-130 | 11.9 ± 11.0 | 23.5 ± 14.7 | .015 |
MeCO-R (%) | 80-125 | 19.4 ± 9.1 | 26.2 ± 9.7 | .012 |
C1r/C1-INH (%) | 70-135 | 38.4 ± 9.8 | 73.6 ± 30.0 | <.001 |
C1s/C1-INH (%) | >68 | 23.8 ± 13.6 | 43.8 ± 16.6 | <.002 |
500 U of C1-INH concentrate twice a week (for 31 doses) + danazol 100 mg/d | ||||
Concentration (%) | 55-135 | 23.2 ± 3.4 | 34.8 ± 4.7 | <.001 |
EtCO-R (%) | 70-130 | 13.2 ± 16.5 | 25.3 ± 20.3 | .012 |
MeCO-R (%) | 80-125 | 9.1 ± 6.2 | 20.1 ± 11.9 | <.001 |
C1r/C1-INH (%) | 70-135 | 47.3 ± 23.6 | 85.6 ± 25.8 | <.001 |
C1s/C1-INH (%) | >68 | 24.0 ± 11.0 | 42.7 ± 7.2 | .090 |
A previously untreated patient received initial treatment with 1000 U of C1-INH concentrate (Aventis-Behring). Because of the patient's tendency to develop an attack before the next C1-INH concentrate infusion, the weekly dose of C1-INH was divided into two 500 U infusions. Several times, while receiving 1000 U C1-INH concentrate per week, the patient had an attack the day or a day before the next infusion.316 The possible effect of a baseline therapy of danazol in HAE patients is best seen in samples before when comparing therapy with 500 U C1-INH concentrate per week with 500 U C1-INH concentrate per week plus danazol 100 mg/d. R = (ɛ-Cb0)-Gly-Arg-pNA.