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. 2024 Jan 16;81(2):154–162. doi: 10.1001/jamaneurol.2023.5200

Table 2. Primary and Secondary Efficacy End Points.

End point Day 90 Day 365
No. (%) Adjusted risk difference, % (95% CI) P value No. (%) Adjusted risk difference, % (95% CI) P value
MultiStem (n = 104) Placebo (n = 102) MultiStem (n = 104) Placebo (n = 102)
Excellent outcome
Imputationa,b 12/104 (11.5) 10/102 (9.8) 0.5 (−7.3 to 8.3) .90 16/104 (15.4) 11/102 (10.8) 3.4 (−5.0 to 11.8) .43
Observeda,c 12/103 (11.7) 10/98 (10.2) 0.4 (−7.6 to 8.4) .92 14/97 (14.4) 11/93 (11.8) 0.4 (−8.1 to 8.9) .93
mRS score distributionb,d
0 5 (4.8) 3 (2.9) NA .62 9 (8.7) 1 (1.0) NA .42
1 9 (8.7) 8 (7.8) NA 11 (10.6) 13 (12.7) NA
2 20 (19.2) 12 (11.8) NA 18 (17.3) 13 (12.7) NA
3 15 (14.4) 17 (16.7) NA 15 (14.4) 17 (16.7) NA
4 31 (29.8) 39 (38.2) NA 22 (21.2) 33 (32.4) NA
5 18 (17.3) 20 (19.6) NA 16 (15.4) 15 (14.7) NA
6 6 (5.8) 3 (2.9) NA 13 (12.5) 10 (9.8) NA
Global stroke recoveryc 20/96 (20.8) 16/94 (17.0) 0.9 (−9.0 to 10.9) .86 NA NA NA NA
mRS scorec
≤1 14/97 (14.4) 11/95 (11.6) 1.1 (−7.7 to 9.9) .81 NA NA NA NA
≤2 34/97 (35.1) 23/95 (24.2) 8.3 (−3.6 to 20.2) .17 NA NA NA NA
NIHSS scorec
≤1 19/85 (22.4) 19/85 (22.4) −2.3 (−13.9 to 9.3) .71 NA NA NA NA
Improvement ≥75%c 30/85 (35.3) 29/85 (34.1) −1.6 (−15.4 to 12.2) .82 NA NA NA NA
Barthel index ≥95c 31/97 (32.0) 24/93 (25.8) 3.7 (−8.0 to 15.3) .54 NA NA NA NA

Abbreviations: CMH, Cochran-Mantel-Haenszel; mRS, modified Rankin Scale; NA, not applicable; NIHSS, National Institutes of Health Stroke Scale.

a

Treatments were compared using the CMH test adjusted for baseline NIHSS score (≤12 or ≥13), receipt of concomitant reperfusion therapy (yes or no), and age (20-74 or ≥75 years). Risk differences and corresponding 2-sided 95% CIs between the MultiStem and placebo groups were adjusted for the same factors applied in the CMH test and calculated using the Mantel-Haenszel method by Sato T.

b

Imputation was performed by last postrandomization efficacy assessment of excellent outcome and mRS score carried forward.

c

Observed cases. Regarding excellent outcome, included death cases as worst case and available partial missing case (ie, the case in at least available 1 of 3 composite scoring criteria for excellent outcome) of composite scoring criteria for excellent outcome.

d

P values were calculated using the CMH test adjusted for baseline NIHSS score (≤12 or ≥13), receipt of concomitant reperfusion therapy (yes or no), and age (20-74 or ≥75 years) using modified ridit scores.