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IkeEsq

12/30/21 10:26 AM

#430737 RE: Long and gone #430733

Could you explain what crossover is and why that would be a problem



In the Phase III trial, patients in the control arm who got the placebo could 'cross over' to the treatment arm and get DC-Vax if their tumors reoccurred (progressed). In the end, 90% of patients received DC-Vax. That makes comparison between the Treatment arm and Control arm more complicated as there are now three groups and a much smaller number of patients only getting the placebo.
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ATLnsider

12/30/21 10:35 AM

#430740 RE: Long and gone #430733

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).
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Long and gone

12/30/21 11:39 AM

#430782 RE: Long and gone #430733

Ty. So while it may disrupt the trial to the extent that there are not as many getting the placebo i would think this speaks loudly to the fact that dcvax is working. I would say overall this is actually extremely positive. Is that a fair assumption?