I guess in the end, it never seemed too important to me until now, but the increase in percentage of methylated patients compared to a normal distribution (aka: this trial had more methylated than historical precedent might have it) could be a very subtle way to hurt this trial.
First, methylated are more subject to psPD. I don't need to explain what potential problem that could increase do I?
Second, methylated for both arms would be expected to live longer than if this trial had a historical randomization ratio of methylated to unmethylated. This would cause late separation in the trial (the critical 36 months Dr. Bosch emphasized), but if the trial was terminated early, would not reflect the potential of the trial. The trick to hurt the trial would be, if intentionally done, pressure NWBO into unblinding back in 2013/2014. Maybe even 2016 or perhaps 2017. Unblinding the trial early would magnify the disparity and reduce the chance of any observed separation between the arms.