Table 3.
Cytokine at baseline, 1, 4, and 12 weeks in patients in ESWT and placebo.
| Cytokine (pg/mg of creatinine) | Placebo (N = 11) | ESWT (N = 13) | P valuec | P valued | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Cytokine | Cytokine change | Cytokine | Cytokine change | |||||||
| Mean (95% CI) | P valuea | Mean (95% CI) | P valueb | Mean (95% CI) | P valuea | Mean (95% CI) | P valueb | |||
| IL-1RA | ||||||||||
| Baseline | 7.9 (0.1, 15.7) | 14.8 (− 4.2, 33.9) | 0.493 | |||||||
| Wk 1 | 5.3 (1.1, 9.5) | 0.685 | − 4.3 (− 12.0, 3.5) | 0.424 | 35.4 (− 26.2, 96.9) | 0.305 | 20.6 (− 22.1, 63.2) | 1.000 | 0.298 | |
| Wk 4 | 8.6 (2.7, 14.5) | 0.921 | 0.7 (− 5.3, 6.6) | 0.898 | 19.0 (− 3.3, 41.3) | 0.936 | 3.4 (− 2.3, 9.1) | 1.000 | 0.458 | |
| Wk 12 | 20.4 (− 14.7, 55.5) | 0.015* | 9.8 (− 12.8, 32.4) | 0.079 | 40.7 (− 35.7, 117.0) | 0.141 | 24.8 (− 28.6, 78.2) | 1.000 | 0.632 | |
| IL-4 | ||||||||||
| Baseline | 0.5 (0.0, 1.0) | 0.5 (0.1, 0.9) | 0.972 | |||||||
| Wk 1 | 0.5 (0.0, 1.1) | 0.629 | − 0.1 (− 0.7, 0.6) | 0.772 | 0.3 (0.1, 0.5) | 0.301 | − 0.2 (− 0.6, 0.1) | 0.138 | 0.577 | |
| Wk 4 | 0.9 (0.1, 1.7) | 0.028* | 0.4 (− 0.0, 0.9) | 0.195 | 0.5 (0.1, 1.0) | 0.776 | − 0.0 (− 0.3, 0.2) | 0.895 | 0.054 | |
| Wk 12 | 0.8 (− 0.2, 1.7) | 0.760 | 0.0 (− 1.1, 1.1) | 0.697 | 0.9 (0.2, 1.6) | < 0.0001**** | 0.3 (0.1, 0.6) | 0.079 | 0.419 | |
| IL-6 | ||||||||||
| Baseline | 0.2 (0.1, 0.2) | 0.2 (0.1, 0.2) | 0.685 | |||||||
| Wk 1 | 0.2 (0.1, 0.3) | 0.834 | − 0.0 (− 0.1, 0.1) | 0.967 | 0.2 (0.1, 0.4) | 0.241 | 0.0 (− 0.1, 0.1) | 0.461 | 0.609 | |
| Wk 4 | 0.3 (− 0.1, 0.7) | 0.214 | 0.2 (− 0.2, 0.6) | 0.223 | 0.2 (0.1, 0.3) | 0.746 | 0.0 (− 0.0, 0.1) | 0.643 | 0.418 | |
| Wk 12 | 0.1 (0.0, 0.3) | 0.462 | 0.0 (− 0.1, 0.1) | 0.260 | 0.2 (0.2, 0.3) | 0.168 | 0.1 (0.0, 0.1) | 0.043* | 0.087 | |
| IL-8 | ||||||||||
| Baseline | 1.3 (− 0.4, 2.9) | 1.1 (− 0.1, 2.2) | 0.812 | |||||||
| Wk 1 | 0.3 (0.1, 0.4) | 0.775 | − 1.3 (− 3.3, 0.7) | 0.662 | 2.8 (− 1.0, 6.6) | 0.035* | 1.8 (− 1.1, 4.6) | 0.093 | 0.087 | |
| Wk 4 | 4.9 (− 4.5, 14.2) | 0.302 | 3.6 (− 6.1, 13.3) | 0.292 | 1.3 (− 0.2, 2.8) | 0.970 | 0.2 (− 0.1, 0.5) | 0.925 | 0.408 | |
| Wk 12 | 1.3 (− 1.1, 3.7) | 0.988 | 0.6 (− 1.6, 2.8) | 0.976 | 1.5 (− 1.0, 4.0) | 0.928 | 0.3 (− 1.0, 1.7) | 0.978 | 0.794 | |
| IL-9 | ||||||||||
| Baseline | 0.2 (0.1, 0.3) | 0.4 (0.2, 0.5) | 0.179 | |||||||
| Wk 1 | 0.2 (0.1, 0.3) | 0.255 | − 0.0 (− 0.2, 0.1) | 0.478 | 0.5 (0.2, 0.7) | 0.005** | 0.1 (− 0.1, 0.3) | 0.304 | 0.190 | |
| Wk 4 | 0.2 (0.2, 0.2) | 0.322 | − 0.0 (− 0.1, 0.0) | 0.546 | 0.5 (0.3, 0.8) | 0.002*** | 0.2 (− 0.0, 0.4) | 0.054 | 0.039* | |
| Wk 12 | 0.2 (0.0, 0.3) | 0.070 | − 0.0 (− 0.2, 0.2) | 0.409 | 0.4 (0.3, 0.5) | 0.478 | 0.0 (− 0.1, 0.2) | 0.885 | 0.635 | |
| IL-10 | ||||||||||
| Baseline | 0.3 (0.1, 0.4) | 0.3 (0.2, 0.4) | 0.864 | |||||||
| Wk 1 | 0.3 (0.1, 0.4) | 0.930 | − 0.0 (− 0.3, 0.2) | 1.000 | 0.3 (0.1, 0.5) | 0.572 | 0.1 (− 0.2, 0.3) | 0.523 | 0.591 | |
| Wk 4 | 0.3 (0.2, 0.4) | 0.221 | 0.1 (− 0.0, 0.2) | 1.000 | 0.3 (0.2, 0.5) | 0.557 | 0.1 (− 0.0, 0.2) | 0.619 | 0.693 | |
| Wk 12 | 0.3 (0.0, 0.6) | 0.896 | 0.0 (− 0.3, 0.4) | 1.000 | 0.5 (0.3, 0.7) | 0.003*** | 0.3 (0.1, 0.4) | 0.020* | 0.087 | |
| IL-15 | ||||||||||
| Baseline | 0.3 (0.2, 0.5) | 0.3 (0.2, 0.4) | 0.928 | |||||||
| Wk 1 | 0.3 (0.2, 0.5) | 0.902 | − 0.0 (− 0.2, 0.2) | 0.877 | 0.4 (0.2, 0.5) | 0.722 | 0.0 (− 0.1, 0.2) | 0.674 | 0.702 | |
| Wk 4 | 0.4 (0.2, 0.5) | 0.543 | 0.0 (− 0.1, 0.2) | 0.704 | 0.4 (0.2, 0.6) | 0.345 | 0.1 (− 0.0, 0.3) | 0.372 | 0.334 | |
| Wk 12 | 0.3 (0.1, 0.6) | 0.402 | − 0.0 (− 0.3, 0.3) | 0.693 | 0.5 (0.3, 0.8) | 0.003*** | 0.3 (0.1, 0.5) | 0.024* | 0.065 | |
| FGF2 | ||||||||||
| Baseline | 3.7 (0.7, 6.8) | 3.7 (1.6, 5.7) | 0.956 | |||||||
| Wk 1 | 2.5 (1.4, 3.7) | 0.126 | − 1.3 (− 4.6, 1.9) | 0.209 | 4.6 (1.6, 7.7) | 0.556 | 1.0 (− 2.6, 4.6) | 0.539 | 0.315 | |
| Wk 4 | 4.3 (2.6, 6.0) | 0.275 | 0.5 (− 1.4, 2.5) | 0.891 | 4.0 (1.8, 6.2) | 0.909 | 1.3 (− 0.7, 3.3) | 0.840 | 0.568 | |
| Wk 12 | 3.3 (0.7, 5.9) | 0.476 | − 0.4 (− 4.4, 3.7) | 0.561 | 5.7 (2.2, 9.1) | 0.091 | 3.1 (0.3, 5.9) | 0.207 | 0.092 | |
| G-CSF | ||||||||||
| Baseline | 0.8 (0.4, 1.2) | 1.0 (0.2, 1.7) | 0.781 | |||||||
| Wk 1 | 0.7 (0.2, 1.2) | 0.467 | − 0.3 (− 0.8, 0.2) | 0.394 | 0.8 (0.4, 1.2) | 0.710 | − 0.2 (− 1.0, 0.7) | 0.717 | 0.785 | |
| Wk 4 | 1.7 (0.3, 3.1) | 0.061 | 0.8 (− 0.4, 2.1) | 0.109 | 1.3 (0.2, 2.4) | 0.398 | 0.4 (− 0.9, 1.6) | 0.554 | 0.464 | |
| Wk 12 | 0.9 (0.1, 1.8) | 0.193 | − 0.1 (− 1.2, 0.9) | 0.108 | 1.5 (0.7, 2.3) | 0.094 | 0.5 (− 0.2, 1.2) | 0.510 | 0.252 | |
| Flt3 | ||||||||||
| Baseline | 0.8 (0.4, 1.3) | 0.8 (0.3, 1.3) | 0.963 | |||||||
| Wk 1 | 0.9 (0.4, 1.5) | 0.635 | − 0.1 (− 0.5, 0.3) | 0.460 | 0.9 (0.4, 1.3) | 0.224 | 0.0 (− 0.2, 0.3) | 0.761 | 0.539 | |
| Wk 4 | 1.0 (0.3, 1.6) | 0.355 | 0.1 (− 0.3, 0.5) | 0.789 | 1.0 (0.4, 1.6) | < 0.0001**** | 0.2 (− 0.2, 0.5) | 0.271 | 0.814 | |
| Wk 12 | 1.3 (0.3, 2.3) | 0.313 | 0.1 (− 0.6, 0.8) | 0.898 | 1.0 (0.4, 1.6) | 0.005** | 0.1 (− 0.3, 0.5) | 0.505 | 0.986 | |
| Fractalkine | ||||||||||
| Baseline | 8.1 (2.8, 13.4) | 7.0 (3.3, 10.7) | 0.708 | |||||||
| Wk 1 | 7.9 (4.3, 11.6) | 0.705 | − 1.0 (− 6.8, 4.8) | 0.668 | 6.9 (2.5, 11.2) | 0.946 | − 0.2 (− 6.0, 5.6) | 0.949 | 0.827 | |
| Wk 4 | 10.0 (5.2, 14.7) | 0.316 | 1.9 (− 3.7, 7.5) | 0.468 | 6.1 (3.3, 8.9) | 0.647 | 0.2 (− 3.5, 3.9) | 0.634 | 0.568 | |
| Wk 12 | 6.6 (− 0.1, 13.3) | 0.115 | − 2.3 (− 6.5, 2.0) | 0.584 | 8.4 (4.1, 12.7) | 0.391 | 2.6 (− 2.0, 7.2) | 0.582 | 0.097 | |
| IFNα2 | ||||||||||
| Baseline | 0.9 (0.3, 1.5) | 1.2 (0.5, 2.0) | 0.512 | |||||||
| Wk 1 | 0.7 (0.4, 1.1) | 0.678 | − 0.2 (− 1.0, 0.5) | 0.237 | 1.1 (0.4, 1.8) | 0.835 | − 0.1 (− 1.2, 1.0) | 1.000 | 0.866 | |
| Wk 4 | 1.7 (0.7, 2.7) | 0.046* | 0.8 (− 0.3, 1.9) | 0.245 | 1.0 (0.5, 1.4) | 0.608 | − 0.0 (− 0.8, 0.7) | 1.000 | 0.171 | |
| Wk 12 | 0.9 (0.1, 1.8) | 0.561 | − 0.0 (− 1.0, 0.9) | 0.312 | 1.4 (0.6, 2.1) | 0.475 | 0.4 (− 0.6, 1.3) | 1.000 | 0.533 | |
| GRO | ||||||||||
| Baseline | 1.2 (0.3, 2.0) | 0.9 (0.4, 1.5) | 0.595 | |||||||
| Wk 1 | 0.8 (0.3, 1.4) | 0.233 | − 0.6 (− 1.3, 0.1) | 0.230 | 0.8 (0.3, 1.4) | 0.842 | − 0.1 (− 0.7, 0.5) | 0.830 | 0.236 | |
| Wk 4 | 1.7 (0.2, 3.2) | 0.183 | 0.5 (− 0.8, 1.9) | 0.326 | 1.4 (0.1, 2.7) | 0.214 | 0.5 (− 0.7, 1.6) | 0.319 | 0.921 | |
| Wk 12 | 1.4 (0.1, 2.6) | 0.051 | − 0.3 (− 1.3, 0.7) | 0.110 | 1.5 (0.6, 2.4) | 0.156 | 0.5 (− 0.1, 1.0) | 0.406 | 0.074 | |
| MCP-1 | ||||||||||
| Baseline | 23.6 (11.3, 36.0) | 26.1 (15.2, 36.9) | 0.744 | |||||||
| Wk 1 | 26.1 (11.7, 40.4) | 0.693 | 1.1 (− 14.8, 16.9) | 0.383 | 28.4 (8.4, 48.3) | 0.726 | 2.3 (− 13.5, 18.1) | 0.770 | 0.906 | |
| Wk 4 | 18.1 (11.6, 24.6) | 0.216 | − 5.5 (− 14.7, 3.7) | 0.835 | 30.2 (9.6, 50.7) | 0.569 | 2.3 (− 12.4, 17.1) | 0.655 | 0.330 | |
| Wk 12 | 16.8 (3.4, 30.3) | 0.718 | − 2.3 (− 20.9, 16.3) | 0.857 | 25.1 (14.1, 36.1) | 0.978 | − 3.5 (− 17.1, 10.2) | 0.711 | 0.906 | |
| MCP-3 | ||||||||||
| Baseline | 1.3 (0.4, 2.2) | 1.3 (0.7, 2.0) | 0.873 | |||||||
| Wk 1 | 1.0 (0.6, 1.4) | 0.432 | − 0.3 (− 1.4, 0.7) | 0.464 | 1.4 (0.6, 2.3) | 0.864 | 0.1 (− 1.0, 1.2) | 0.853 | 0.541 | |
| Wk 4 | 1.6 (1.0, 2.1) | 0.125 | 0.3 (− 0.4, 1.0) | 0.466 | 1.4 (0.7, 2.2) | 0.823 | 0.4 (− 0.3, 1.0) | 0.783 | 0.892 | |
| Wk 12 | 1.3 (0.3, 2.3) | 0.662 | − 0.1 (− 1.5, 1.4) | 0.866 | 2.1 (0.9, 3.2) | 0.033* | 1.0 (0.1, 1.9) | 0.130 | 0.122 | |
| VEGF | ||||||||||
| Baseline | 1.1 (0.5, 1.7) | 1.5 (0.6, 2.3) | 0.429 | |||||||
| Wk 1 | 1.5 (0.7, 2.4) | 0.519 | 0.3 (− 0.4, 1.0) | 0.539 | 1.1 (0.7, 1.5) | 0.413 | − 0.4 (− 1.3, 0.5) | 0.415 | 0.241 | |
| Wk 4 | 2.3 (1.1, 3.4) | 0.004*** | 1.2 (0.3, 2.1) | 0.015* | 1.2 (0.4, 2.0) | 0.276 | − 0.5 (− 1.3, 0.7) | 0.394 | 0.013* | |
| Wk 12 | 1.6 (0.4, 2.9) | 0.960 | 0.3 (− 1.3, 1.9) | 0.856 | 1.8 (0.9, 2.6) | 0.231 | 0.2 (− 0.8, 1.2) | 0.744 | 0.870 | |
| Eotaxin | ||||||||||
| Baseline | 0.8 (0.4, 1.3) | 0.9 (0.6, 1.3) | 0.694 | |||||||
| Wk 1 | 0.9 (0.2, 1.5) | 0.958 | − 0.1 (− 1.0, 0.9) | 1.000 | 0.9 (0.5, 1.4) | 0.990 | 0.0 (− 0.5, 0.5) | 0.989 | 0.896 | |
| Wk 4 | 1.1 (0.8, 1.4) | 0.464 | 0.2 (− 0.3, 0.8) | 1.000 | 1.1 (0.7, 1.6) | 0.421 | 0.3 (− 0.1, 0.7) | 0.452 | 0.908 | |
| Wk 12 | 1.0 (0.1, 1.9) | 0.829 | 0.3 (− 0.8, 1.3) | 1.000 | 1.4 (0.9, 1.9) | < 0.0001**** | 0.6 (0.3, 0.9) | 0.030* | 0.401 | |
| RANTES | ||||||||||
| Baseline | 0.6 (0.3, 0.9) | 0.7 (0.3, 1.1) | 0.619 | |||||||
| Wk 1 | 0.7 (0.3, 1.0) | 0.980 | − 0.0 (− 0.4, 0.4) | 0.999 | 0.5 (0.3, 0.7) | 0.322 | − 0.2 (− 0.6, 0.2) | 0.335 | 0.493 | |
| Wk 4 | 5.4 (− 4.9, 15.7) | 0.176 | 4.8 (− 5.5, 15.1) | 0.176 | 0.8 (0.4, 1.2) | 0.471 | 0.1 (− 0.3, 0.5) | 0.650 | 0.285 | |
| Wk 12 | 0.7 (0.1, 1.4) | 0.937 | 0.3 (− 0.4, 0.9) | 0.880 | 0.9 (0.5, 1.2) | 0.624 | 0.2 (− 0.2, 0.5) | 0.722 | 0.738 | |
| TNF-β | ||||||||||
| Baseline | 0.2 (0.1, 0.3) | 0.2 (0.1, 0.3) | 0.921 | |||||||
| Wk 1 | 0.1 (0.1, 0.2) | 0.532 | − 0.0 (− 0.2, 0.1) | 0.578 | 0.2 (0.1, 0.4) | 0.529 | 0.1 (− 0.1, 0.2) | 0.505 | 0.422 | |
| Wk 4 | 0.2 (0.1, 0.3) | 0.504 | 0.0 (− 0.1, 0.1) | 0.803 | 0.2 (0.1, 0.4) | 0.544 | 0.1 (− 0.1, 0.2) | 0.570 | 0.329 | |
| Wk 12 | 0.2 (0.0, 0.3) | 0.543 | − 0.0 (− 0.2, 0.2) | 0.700 | 0.3 (0.2, 0.4) | 0.105 | 0.2 (0.0, 0.3) | 0.146 | 0.082 | |
Values are presented as mean (95% CI).
*P < 0.05, **P < 0.01, ***P < 0.005, ****P < 0.0001.
aGeneralized estimating equation compared with baseline.
bCytokine change compared with baseline (generalized estimating equation).
cComparison between baseline of ESWT and placebo (generalized estimating equation).
dComparison between corresponding time point of cytokine change of ESWT and placebo (generalized estimating equation).