The crossover option in the DCVax-L Phase III clinical trial allowed any trial ndGBM patient who had disease progression, to be treated with DCVax-L. This crossover option allowed control or placebo (patients treated with only SOC) patients to crossover, and be treated with DCVax-L.
The crossover is not a problem. Any potential crossover problems were eliminated with the new SAP (Statistical Analysis Plan) for the DCVax-L Phase III trial, and the revised Primary and Secondary endpoints. The revised SAP and new endpoints received buy-in from all 4 regulatory agencies (FDA, MHRA, EMA & Health Canada).