Table 5

Effectiveness of hydroxyurea therapy in a cohort of children and adolescents with SCA

Baseline valuesHydroxyurea MTDP
Age, y 7.6 ± 4.6 10.7 ± 4.3 — 
Hemoglobin, g/dL 8.6 ± 1.3 9.7 ± 1.1 < .001 
MCV, fL 85 ± 6 107 ± 13 < .001 
HbF, percentage 10.6 ± 6.6 23.2 ± 7.8 < .001 
ARC, ×109/L 264 ± 123 130 ± 52 < .001 
WBC, ×109/L 13.6 ± 4.3 7.5 ± 3.0 < .001 
ANC, ×109/L 6.7 ± 2.9 3.8 ± 2.2 < .001 
Total bilirubin, mg/dL 3.0 ± 1.7 1.8 ± 1.4 < .001 
LDH, IU/L 662 ± 326 453 ± 220 < .001 
Baseline valuesHydroxyurea MTDP
Age, y 7.6 ± 4.6 10.7 ± 4.3 — 
Hemoglobin, g/dL 8.6 ± 1.3 9.7 ± 1.1 < .001 
MCV, fL 85 ± 6 107 ± 13 < .001 
HbF, percentage 10.6 ± 6.6 23.2 ± 7.8 < .001 
ARC, ×109/L 264 ± 123 130 ± 52 < .001 
WBC, ×109/L 13.6 ± 4.3 7.5 ± 3.0 < .001 
ANC, ×109/L 6.7 ± 2.9 3.8 ± 2.2 < .001 
Total bilirubin, mg/dL 3.0 ± 1.7 1.8 ± 1.4 < .001 
LDH, IU/L 662 ± 326 453 ± 220 < .001 

Baseline and latest maximum tolerated dose (MTD) laboratory parameters are shown for 111 children receiving long-term (average > 3 years) open-label hydroxyurea therapy at St Jude Children's Research Hospital.

SCA indicates sickle cell anemia; MCV, mean corpuscular volume; HbF, fetal hemoglobin; ARC, absolute reticulocyte count; WBC, white blood cell; ANC, absolute neutrophil count; LDH, lactate dehydrogenase; and —, not applicable.

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