The point everyone missing from this study is that, it was never meant to prove ART-123 superiority to heparin. The study was designed to show 'NON-INFERIORITY' to 'HEPARIN' and the sample size was calculated accordingly.
"As representative underlying diseases for DIC, we selected hematologic malignancy and infection. The sample size necessary to ascertain non-inferiority to heparin , without qualitative interaction between underlying disease and drug, was calculated for each underlying disease, and one verification study was conducted . All analyses were performed in accordance with a predefined analysis plan. The primary endpoint, DIC resolution rate, was analyzed among the full analysis set (FAS). Safety was analyzed among patients in whom study drug was infused at least once"