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. Author manuscript; available in PMC: 2017 Aug 14.
Published in final edited form as: JAMA. 2017 Feb 14;317(6):615–625. doi: 10.1001/jama.2016.21040

Table 2. Total Nasal Symptom Score Weighted 10 Hour Area Under the Curve.

P-values, 95% CIs, and Mean Differences were calculated using an analysis of covariance model (ANCOVA) model adjusted for pre-treatment baseline total nasal symptom score (TNSS, scale 0 [best] to 12 [worst]) area under the curve (AUC) at the 0.05 level of significance. Mean differences were calculated as follows: Sublingual immunotherapy– Placebo; Subcutaneous immunotherapy – Placebo; Sublingual immunotherapy – Subcutaneous immunotherapy. The weighted 10 hour AUC was calculated as the (early phase response (0–1 hour)/1) + (late phase response (1–10 hours)/9). Participants in the ITT population with missing primary endpoint data had their data imputed. Imputation was performed within treatment group using participants who had available TNSS AUC values. Specifically, a linear regression line and 95% confidence bands were fit where Year 3 values were regressed on TNSS AUC values at time t (t = Baseline, Year 1 or Year 2). Within each treatment arm, a missing Year 3 TNSS AUC value was imputed as the value predicted from the linear regression line. The primary endpoint was also calculated in the modified ITT population.

Unadjusted Model Adjusted

Sublingual Immunotherapy Placebo Subcutaneous Immunotherapy Sublingual Immunotherapy vs Placebo Subcutaneous Immunotherapy vsPlacebo Sublingual Immunotherapy vs Subcutaneous Immunotherapy
Baseline
 n 36 34 36
 Mean 6.36 6.06 6.10
 95% CI (5.76, 6.96) (5.23, 6.88) (5.32, 6.89)
 Median 6.39 5.95 6.38
 Min, Max 2.8, 9.8 2.4, 11.5 1.9, 10.1

Year 1 (Exploratory) p-value 0.13 <0.001 0.03
 n 33 33 34
 Mean 3.94 4.63 3.05 Mean Difference −0.75 −1.60 0.84
 95% CI (3.31, 4.58) (3.84, 5.42) (2.50, 3.60) 95% CI (−1.71, 0.22) (−2.49, −0.71) (0.09, 1.60)
 Median 3.47 3.97 2.70
 Min, Max 0.8, 8.2 0.9, 10.4 0.9, 6.9

Year 2 (Exploratory) p-value 0.02 <0.001 0.20
 n 31 32 32
 Mean 3.70 5.07 2.96 Mean Difference −1.42 −2.11 0.68
 95% CI (2.85, 4.56) (4.16, 5.97) (2.21, 3.71) 95% CI (−2.61, −0.22) (−3.22, −1.01) (−0.36, 1.73)
 Median 2.92 5.01 1.99
 Min, Max 0.7, 8.1 0.6, 9.8 0.5, 9.2

Year 3 (Primary Outcome ITT) p-value 0.75 0.053 0.11
 n 36 34 36
 Mean 4.73 4.81 3.89 Mean Difference −0.18 −0.94 0.73
 95% CI (3.97, 5.48) (3.97, 5.65) (3.25, 4.54) 95% CI (−1.25, 0.90) (−1.88, 0.01) (−0.17, 1.62)
 Median 4.74 4.71 3.71
 Min, Max 1.1, 11.0 0.8, 11.2 0.9, 10.6

Year 3 (Primary Outcome Modified ITT) p-value 0.62 0.10 0.27
 n 30 31 31
 Mean 4.55 4.82 3.96 Mean Difference −0.30 −0.90 0.58
 95% CI (3.67, 5.43) (3.90, 5.74) (3.21, 4.71) 95% CI (−1.52, 0.92) (−1.96, 0.16) (−0.46, 1.63)
 Median 4.44 4.57 3.76
 Min, Max 1.1, 11.0 0.8, 11.2 0.9, 10.6