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Biotech / Medical : XOMA. Bull or Bear?
XOMA 32.31+1.4%Nov 26 3:59 PM EST

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To: aknahow who wrote (14555)9/15/2000 10:51:31 AM
From: manfredhasler  Read Replies (5) of 17367
 
George,

My problem is that the placebo group has only 9.9% mortality. The delay in treatment with the study drug does not affect the placebo arm.

The selection process let to a study group with a mortality rate of around 10%. Not 30% as expected. Even if we add the 57 patients excluded from the study (maybe even retrospectively and not based on proper selection criteria) the mortality rate was only 20% (of the total of 450 patients with fulminant meningococcal sepsis).

I guess the study protocol was however based on this - false - assumption of 30% mortality rate. And the 30% are still valid according to the commentary in the LANCET ...

Now, my reasoning is that if the study was done properly one should expect to see a mortality rate near 30% in the placebo group. Only then the lack of efficacy with Neuprex could be attributed to a delay in treatment.

Again, from my calculations I conclude that the overall screened patient population did indeed have the proper patients available for the study. So, I just wonder whether a wrong selection of the patients did give a wrong study group.

Hopefully the full article will give some more insight.

Regards,
Manfred
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