Table 6.

Factors Associated With Clearance of BK Polyomavirus Viremia at 4 Months After Hematopoietic Cell Transplant

Did Not Clear Viremia at Month 4Cleared Viremia at Month 4P  a
n = 31bn = 21b
Peak viremia ≥10 000 copies/mL in the first 3 months after transplant21 (67.7%)3 (14.3%)<.001
Month 3 BK polyomavirus IgGn = 31n = 20.49
 1:25602 (6.5%)2 (10.0%)
 1:10 24017 (54.8%)7 (35.0%)
 1:40 96010 (32.3%)8 (40.0%)
 1:163 8402 (6.5%)3 (15.0%)
Month 3 absolute lymphocyte count, cells/µL646 (260–880)780 (500–970).15
Received cidofovir in first 3 months after transplant17 (54.8%)3 (14.3%).004
Month 3 ELISPOT spots above negative controln = 25n = 18
 Number of spots1.3 (0–8.4)20.1 (2.9–48.5).007
 >5 spots 9 (36.0%)12 (66.7%).05
 >10 spots6 (24.0%)11 (61.1%).01
Did Not Clear Viremia at Month 4Cleared Viremia at Month 4P  a
n = 31bn = 21b
Peak viremia ≥10 000 copies/mL in the first 3 months after transplant21 (67.7%)3 (14.3%)<.001
Month 3 BK polyomavirus IgGn = 31n = 20.49
 1:25602 (6.5%)2 (10.0%)
 1:10 24017 (54.8%)7 (35.0%)
 1:40 96010 (32.3%)8 (40.0%)
 1:163 8402 (6.5%)3 (15.0%)
Month 3 absolute lymphocyte count, cells/µL646 (260–880)780 (500–970).15
Received cidofovir in first 3 months after transplant17 (54.8%)3 (14.3%).004
Month 3 ELISPOT spots above negative controln = 25n = 18
 Number of spots1.3 (0–8.4)20.1 (2.9–48.5).007
 >5 spots 9 (36.0%)12 (66.7%).05
 >10 spots6 (24.0%)11 (61.1%).01

Data are shown as a median (interquartile range) or n (%).

Abbreviation: ELISPOT, enzyme-linked immune absorbent spot.

a  P value by Wilcoxon rank sum, 2-sample t test, Chi-square, or Fisher’s exact test, as appropriate.

bThe included participants had detectable viremia on ≥2 samples in the first 3 months after transplant and had a Month 4 blood sample to assess for viral clearance. Clearance was defined as having undetectable viremia at Month 4.

Table 6.

Factors Associated With Clearance of BK Polyomavirus Viremia at 4 Months After Hematopoietic Cell Transplant

Did Not Clear Viremia at Month 4Cleared Viremia at Month 4P  a
n = 31bn = 21b
Peak viremia ≥10 000 copies/mL in the first 3 months after transplant21 (67.7%)3 (14.3%)<.001
Month 3 BK polyomavirus IgGn = 31n = 20.49
 1:25602 (6.5%)2 (10.0%)
 1:10 24017 (54.8%)7 (35.0%)
 1:40 96010 (32.3%)8 (40.0%)
 1:163 8402 (6.5%)3 (15.0%)
Month 3 absolute lymphocyte count, cells/µL646 (260–880)780 (500–970).15
Received cidofovir in first 3 months after transplant17 (54.8%)3 (14.3%).004
Month 3 ELISPOT spots above negative controln = 25n = 18
 Number of spots1.3 (0–8.4)20.1 (2.9–48.5).007
 >5 spots 9 (36.0%)12 (66.7%).05
 >10 spots6 (24.0%)11 (61.1%).01
Did Not Clear Viremia at Month 4Cleared Viremia at Month 4P  a
n = 31bn = 21b
Peak viremia ≥10 000 copies/mL in the first 3 months after transplant21 (67.7%)3 (14.3%)<.001
Month 3 BK polyomavirus IgGn = 31n = 20.49
 1:25602 (6.5%)2 (10.0%)
 1:10 24017 (54.8%)7 (35.0%)
 1:40 96010 (32.3%)8 (40.0%)
 1:163 8402 (6.5%)3 (15.0%)
Month 3 absolute lymphocyte count, cells/µL646 (260–880)780 (500–970).15
Received cidofovir in first 3 months after transplant17 (54.8%)3 (14.3%).004
Month 3 ELISPOT spots above negative controln = 25n = 18
 Number of spots1.3 (0–8.4)20.1 (2.9–48.5).007
 >5 spots 9 (36.0%)12 (66.7%).05
 >10 spots6 (24.0%)11 (61.1%).01

Data are shown as a median (interquartile range) or n (%).

Abbreviation: ELISPOT, enzyme-linked immune absorbent spot.

a  P value by Wilcoxon rank sum, 2-sample t test, Chi-square, or Fisher’s exact test, as appropriate.

bThe included participants had detectable viremia on ≥2 samples in the first 3 months after transplant and had a Month 4 blood sample to assess for viral clearance. Clearance was defined as having undetectable viremia at Month 4.

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