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Table 1 Overview of subgroups for pharmacodynamic and efficacy assessments

From: The immunomodulating activity of trimodulin (polyvalent IgM, IgA, IgG solution): a post hoc analysis of the phase II CIGMA trial

Subgroups analyzed* (in addition to “All”)

Criteria

Lymphocytes (normal range: 1–4 × 109/L) [37]

 ALClow

ALC < 1.0 × 109/L (lymphopenia)

 IgMlow

IgM  ≤ 0.8 g/L [12]

 ALClow + IgMlow

As above

 % of patients maintaining/reaching ALCnormal over time

ALC ≥ 1.0 × 109/L

Neutrophils (normal range: 2.5–8.0 × 109/L) [37]

 ANCnormal

ANC < 8.0 × 109/L

 ANChigh

ANC ≥ 8.0 × 109/L (neutrophilia)

 IgMlow

 IgM ≤ 0.8 g/L [12]

 ANCnormal + IgMlow

As above

 ANChigh + IgMlow

As above

 % of patients maintaining ANCnormal over time

ANC < 8.0 × 109/L

NLR (mild disease: 6 to < 9, moderate disease: 9 to < 18, critical disease: ≥ 18) [38]

 NLRhigh

Combined ALClow + ANChigh resulting in NLR > 9

 NLRhigh + IgMlow

As above

 % of patients maintaining/reaching mild disease over time

NLR < 9.0

PCT (normal range/non-infected: ≤ 0.1 µg/L) [39]

 PCThigh

PCT ≥ 2 µg/L (systemic bacterial infection threshold)

 PCT≤10 µg/L

PCT ≤ 10 µg/L (up to severe systemic bacterial infection)

 PCT≤10 µg/L + IgMlow

As above

 PCT≤10 µg/L + NLRhigh

As above

 PCT≤10 µg/L + CRPhigh

As above and below

CRP (normal range: 0–10 mg/L) [40]

 CRPhigh

CRP ≥ 70 mg/L

 CRPlow

CRP < 70 mg/L

 CRPhigh + IgMlow

As above

 CRPhigh + ALClow

As above

 CRPhigh + NLRhigh

As above

  1. ALC absolute lymphocyte count, ANC absolute neutrophil count, CRP C-reactive protein, Ig immunoglobulin, NLR neutrophil-to-lymphocyte ratio, PCT procalcitonin
  2. *According to levels at baseline for sCAP patients in the phase II CIGMA trial;
  3. None of the sCAP patients had severe neutropenia (ANC < 0.5 × 109/L)