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Saltz

09/22/20 10:20 AM

#118230 RE: gimmeshelter #118225

What concerns me is the rate at which the trial is enrolling. If the DSMC says continue as is what does that put the time line at for data read out? January 2021?

If Patterson was correct in his observations and the EIND for 60 patients is any indication we should be convincing w the mortality as the PE.

I started looking at the time lag to SC results and the lack of news to support the SP in mid August because I viewed the MM as a non factor. I don’t see any way to support the ST SP other than granting SC EUA at interim.
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Latane

09/22/20 10:55 AM

#118243 RE: gimmeshelter #118225

From another blog:

As noted, the interim evaluation is for efficacy. DSMC can, based on their assessment of the data, recommend stopping the trial as a success, or modification (CD12 is an adaptive trial).

The primary and secondary endpoints will be evaluated. What level of success/statistical significance to prompt a response is a bit uncertain (at least to me).

P<0.05 in primary would have to be released. I don't know what would happen if primary insufficient but secondary are. Likely continue to full enrollment, though considering the pressing nature (Pandemic and Trump re-election), maybe EUA would be granted, especially in consideration of EIND and CD10 as well.

Primary endpoint is mortality at day 28.

Secondary endpoints:

1.Mortality at day 14

2. Change in clinical status day 14 on 7 point ordinal scale (A 7-category ordinal scale of patient health status ranges from: 1) Death; 2) Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO); 3) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4) Hospitalized, requiring supplemental oxygen; 5) Hospitalized, not requiring supplemental oxygen; 6) Not hospitalized, limitation on activities; 7) Not hospitalized, no limitations on activities.)

3. Change in clinical status day 28

4. Change from baseline in sequential organ failure assessment