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Re: iwfal post# 97071

Thursday, 06/10/2010 1:38:22 PM

Thursday, June 10, 2010 1:38:22 PM

Post# of 257262
BMY has said they're filing on these data, so the issue is germane for at least a little while. Digging in on the subject, here's what I found in addition to the paper cited previously...

Human Immunology 61, 334–340 (2000)

Frequencies of HLA-A2 alleles in five U.S. population groups: Predominance of A*02011 and identification of HLA-A*0231
Jennifer M. Ellisa, Valerie Hensonb, c, Rebecca Slackd, Jennifer Ngb, Robert J. Hartzmanb and Carolyn Katovich Hurley

a Department of Microbiology and Immunology (J.M.E., C.K.H.), Georgetown University Medical Center, Washington, DC, USA
d Department of Biostatistics (R.S.), Georgetown University Medical Center, Washington, DC, USA
b Naval Medical Research Center (V.H., J.N., R.J.H.), Kensington, MD, USA
c The Methodist Hospital (V.H.), Houston, TX, USA

TABLE 1 Phenotypic frequency of HLA-A2 within
the study population
Population Population size #HLA-A2 positive
Caucasian 61,655 30,596 (49.6%)
African-American 8,288 2,864 (34.6%)
Asian/Pacific Islander 2,275 819 (36.0%)
Hispanic 4,879 2,286 (46.9%)
Native American 5,882 2,922 (49.7%)
Total 82,979 39,487 (47.6%)

TABLE 2 HLA-A2 allele frequencies and tests of overall significance of HLA-A2 frequency distribution tests in
the five populations

This table doesn't reproduce here, but here's the summary data for our purposes...

% HLA*02011 in HLA-2+ populations
Caucasian 96%
African-Americans 59%
Asian/PI 53%
Hispanic 73%
Native Amer 94%

iwfal is right, there is something amiss here. I find it odd I've seen the trial described multiple ways in presentations over the years.

In any case, in the primary patient population (http://www.cdc.gov/cancer/skin/statistics/race.htm) the difference is not that meaningful (50% vs 48% (.40=.50*.96)). For revenue calculations, it would be moot. For the intitial label, it will be interesting.

David

Unless otherwise indicated, this is the personal viewpoint of David
Miller and not necessarily that of Biotech Stock Research, LLC.
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