Section A reports the 2-year primary end point of relapses based on the study design as reported by the dropout patients by treatment arm and section B reports the comparison of the 24-month pretreatment ARR (baseline) with the 24-month on-treatment ARR for the total randomised population by treatment arm
Section A Characteristics | Group A (N=8) | Group B*(N=7) | Group C (N=10) | Placebo (N=7) | ||||
---|---|---|---|---|---|---|---|---|
End point | X | Y | X | Y | X | Y | X | Y |
Number of relapses | 20 | 14 | 14 | 14 | 27 | 26 | 20 | 13 |
Annual relapse rate | 1.25 | 0.88 | 1.00 | 1.00 | 1.35 | 1.30 | 1.42 | 0.92 |
Section B Characteristics | Group A (N=20) | Group B*(N=20) | Group C (N=20) | Placebo (N=20) | ||||
---|---|---|---|---|---|---|---|---|
End point | X | Y | X | Y | X | Y | X | Y |
Number of relapses | 45 | 34 | 49 | 30 | 46 | 41 | 43 | 41 |
Annual relapse rate | 1.13 | 0.85 | 1.23 | 0.75 | 1.15 | 1.03 | 1.08 | 1.03 |
ARR reduction % (Y to X)† | −25 | −39 | −10 | −5 | ||||
p Value against baseline | 0.120 | 0.005 | 0.475 | 0.652 | ||||
Percentage of reduction of the ARR compared with placebo (Ys)† | −18 | −27 | 0.0 | N/A | ||||
p Value against placebo | 0.447 | 0.121 | 0.996 |
Section A: The most dropout patients who transferred to disease-modified therapy (DMT) were from group A and the placebo group, with three and two patients, respectively, on natalizumab. These parameters justify the decreased number of relapses recorded within the group A and placebo dropouts and could affect the ITT analysis in favour of the placebo when the total 2-year recorded data are used. For the PLP10 group, 14 relapses were reported at baseline, which remained the same during the 2-year study period. For the placebo group, 20 relapses were reported at baseline and decreased to 13 during the 2-year study period. These results are expected because for the PLP10 group, 43% of the dropouts were under DMT at entry baseline and remained the same until the end of the study, with no patient on natalizumab, but the 57% of the placebo group dropouts who were under DMT at entry baseline increased to 86% at the end of the study, including two patients on natalizumab.
Section B: The ARR of the PLP10 group was 1.23 at baseline and 0.75 at the end of the study (39% reduction, p=0.005), and that for the placebo group was 1.08 at baseline and 1.03 at the end of the study (5% reduction, p=0.652). No significant difference was calculated for the other two treatment arms. During the 24-month on-treatment, the PLP10 group presented a 27% reduction in the ARR versus the placebo group (p=0.121), with all groups lacking statistically significant results
X: total number of relapses for the 24-month pretreatment (baseline).
Y: total number of relapses for the 24-month on-treatment.
*PLP10 group.
†Unadjusted estimate.