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Scientific Symposium Opening session CTOS (1 pm to 5 pm)

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2 Scientific Symposium Opening session CTOS (1 pm to 5 pm)
CTOS reception (5pm to 6pm) Dinner/Consensus Discussion (6pm to 9 pm) Panel George Demetri, MD Scott Schuetze, MD, PhD Laurence Baker, DO (moderator)

3 Gleevec G Vs. Gem/TXT STS 219 87
start date Gleevec Nov ’01 G Vs. Gem/TXT STS Jan ’03 Columbia 15 NP Emory P* Mayo 6 MD Anderson 45 20 U of Michigan 69 29 Memorial Sloan Kettering 34 11 National Cancer Institute P Partners Dana Farber Massachusetts General 1 UofCalifornia Los Angeles Washington Cancer Center 14 10 Lutheran General ** 42 Total 219 87 P=Participating NP=Not Participating *Awaiting Contract **No longer accruing

4 CR PR CR PR SD SD PD PD Month 2 Month 4

5 PRACTICAL ADVANTAGES OF THE BAYESIAN DESIGN
The hierarchical model allows data from each subtype to provide information about parameters in all other subtypes It avoids two undesirable approaches, conducting : - One trial, assuming one common parameter, ignoring the subtypes, or - Separate trials that ignore each others’ data User-friendly front ends greatly facilitate trial conduct

6 95% Posterior Credible Intervals by Histologic Subtype
q = Pr( Response )

7 74 yo man with myofibroblastic sarcoma
Pre-Gleevec H &. E 8 weeks on Rx cKIT

8 65 yo man with malignant fibrous histiocytoma
Pre-Gleevec H & E 2 weeks on Rx cKIT

9 Planned Studies Gemcitabine/docetaxel in bone sarcomas
Imatinib neoaduvant treatment of DFSP AMG 706 Phase II trial in sarcoma BMS SRC inhibitor Ziopharm active ifosphamide moiety Uterine sarcoma adjuvant therapy


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