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March 31, 2005 Volume 6, Issue 3 MACS news Data Coordinating Centre: MIRU 7 th Floor, 790 Bay Street Toronto ON Canada M5G 1N8 Phone: (1) 416-351-2530 Fax: (1) 416-351-2531 E-mail: macs@sw.ca Website: www.utoronto.ca/macs Overall Total: 1259 Total this month: 52 MUGS THIS MONTH A huge HURRAH!! to the following centres who are receiving MACS mugs because they have recruited 5 or more women into the study. The team here at MACS wishes the following centres a healthy warm drink in their new mugs: Mount Sinai (Toronto, CANADA) Hospital Penna (Bahia Blanca, ARGENTINA) Ramon Carrillo (Santiago del Estero, ARGENTINA) Hospital Italiano (Buenos Aires, ARGENTINA) Hospital J.R. Vidal (Corrientes, ARGENTINA) Sotero del Rio (Puente Alto, CHILE) Hospital Clinico San Borja Arriaran (Santiago, CHILE) CEMIYA (Cali, COLOMBIA) Also, another mug is on its way to Hospital Penna (Bahia Blanca, ARGENTINA) and to Universidad del Norte (Barranquilla, COLOMBIA) for already reaching their annual goal for 2005! MEETINGS We are excited about the Brazil Collaborators meeting in Campinas, which is being held on June 16 & 17, 2005, and we look forward to bringing several new sites into MACS. A huge THANK YOU to the UK collaborators who came out on a snowy morning to meet with us in London and talk about MACS! We appreciate your support and enthusiasm.

Page 2 of 2 MACS news HAVE YOU RECEIVED YOUR COPY OF THE DSMB REPORT? We have recently mailed the full Data Safety and Monitoring Board (DSMB) letter to all of our collaborators. As most of you know, on February 9, 2005, the DSMB met to review the pre-planned interim analysis data and the news was excellent! The Committee observed nothing in the data to raise concerns about the safety of participants and they eagerly await the completion of the trial. Which means we are excited to continue to work with all of you towards our goal of enrolling 1900 women into MACS!! The DSMB also commented on the exemplary conduct and quality of the trial. This means a huge CONGRATULATIONS and THANK YOU to all of you who have contributed to this achievement!! Finally the DSMB report strongly supported both the 2 and 5-year follow-up portion of the MACS study. THIS MONTH S REMINDER Please let us know, by fax or email, as soon as your new shipment of study drug arrives. We need to ensure that all sites have their new supply so that recruitment can continue without interruption!

MACS Recruitment Projected sample size of 1900 as of March 31, 2005 Apr - Jan - Jan - Jan - Jul - Annual Dec Dec Dec Jun Dec Jan Feb Mar Grand Goal 2001 2002 2003 2004 2004 2005 2005 2005 Total COUNTRY CANADA 142 29 67 66 46 22 7 5 6 248 ARGENTINA 123 2 33 112 10 13 28 198 POLAND 37 70 76 17 22 2 5 2 194 ISRAEL 178 20 50 56 32 25 5 3 2 193 CHILE 61 20 23 23 15 5 1 4 91 GERMANY 73 2 33 23 17 2 1 3 81 COLOMBIA 27 17 18 3 1 5 44 HUNGARY 9 17 14 7 4 42 USA 50 8 9 14 5 5 1 42 DENMARK 15 9 13 5 3 3 33 SWITZERLAND 16 3 6 8 3 2 1 1 24 JORDAN 23 12 3 15 SPAIN 10 3 4 3 2 12 RUSSIAN FEDERATION 15 1 6 4 11 BOLIVIA 3 8 1 9 BRAZIL 5 3 4 7 THE NETHERLANDS 11 5 1 6 UK 14 1 1 2 4 CHINA 18 3 1 4 PERU 21 1 1 Total 851 69 254 322 231 263 36 32 52 1259 CENTRES BY COUNTRY (Shaded area is prior to start-up) CANADA Mount Sinai, Toronto 23 9 18 11 16 6 1 3 3 67 Royal Alexandra, Edmonton 14 2 8 11 4 6 2 1 34 Royal University, Saskatoon 13 8 9 6 2 25 CHUS Fleurimont, Sherbrooke 10 3 9 5 6 1 24 IWK Health Centre, Halifax 16 5 12 3 2 22 BC Women's, Vancouver 24 7 5 4 1 1 1 19 St Boniface General, Winnipeg 13 5 6 6 1 1 19 North Bay General, North Bay 3 5 5 2 1 1 14 Regina General, Regina 10 5 1 3 1 1 11 Sunnybrook & Women's College, Toronto 12 3 5 1 9 Dr Everett Chalmers Regional, Fredericton 4 2 1 1 4 ARGENTINA Hospital Penna, Bahia Blanca 10 18 53 6 8 12 97 Posadas, Buenos Aires 13 2 7 11 3 3 2 28 LC Lagomaggiore, Mendoza 26 3 12 1 1 17 Ramon Carrillo, Santiago del Estero 20 11 5 16 Hospital Italiano, Buenos Aires 6 7 1 1 3 12 Hospital J.R. Vidal, Corrientes 13 8 2 10 Hospital Sarda, Buenos Aires 22 4 1 3 8 Ramos Mejia, Buenos Aires 4 5 5 Hospital Italiano, La Plata 4 1 2 3 Hospital Fiorito, Avellaneda 5 2 2 POLAND Univ School of Medicine, Poznan 18 35 30 5 17 1 3 91 Med Univ of Gdansk, Gdansk 5 14 27 5 4 1 1 52 Res Inst at Polish Mothers Memorial, Lodz 14 21 19 7 1 1 1 1 51 ISRAEL Haemek, Afula 13 10 11 11 15 3 1 51 Rabin, Petach Tikva 26 9 10 8 3 2 1 33 Edith Wolfson, Holon 12 8 15 4 1 28 Ma'ayney Hayeshua, Bnei Brak 16 7 1 9 2 3 1 1 24 Meir, Kfar-Saba 18 3 5 10 1 3 22 Soroka, Beer Sheva 38 1 12 1 1 15 Bnai Zion, Haifa 13 3 3 5 1 12 Hadassah Ein Kerem, Jerusalem 13 1 2 3 Poriya Government, Tiberias 7 3 3 Sheba Medical Center, Ramat-Gan 22 2 2 CHILE Sotero del Rio, Puente Alto 26 16 12 15 12 3 1 1 60 Universidad Catolica, Santiago 9 4 11 5 1 21 Hospital Clinico San Borja Arriaran, Santiago 26 3 2 2 3 10

Apr - Jan - Jan - Jan - Jul - Annual Dec Dec Dec Jun Dec Jan Feb Mar Grand Goal 2001 2002 2003 2004 2004 2005 2005 2005 Total GERMANY Klinikum Nurnburg Sud, Nurnburg 15 2 15 6 3 26 Benjamin Franklin, Berlin 15 10 2 1 2 1 16 University of Marburg, Marburg 4 2 1 5 1 9 Helios Klinikum, Erfurt 5 3 3 1 7 St Hedwig Hospital, Regensburg 4 2 2 2 1 7 University of Leipzig, Leipzig 5 2 2 1 5 University Women's Hospital, Homburg 5 3 1 4 TU Munchen, Munchen 4 1 1 1 3 Dr Horst-Schmidt-Kliniken, Wiesbaden 8 2 2 Bonn University, Bonn 3 1 1 MHH Hannover, Hannover 5 1 1 COLOMBIA CEMIYA, Cali 26 17 18 3 1 3 42 Universidad del Norte, Barranquilla 1 2 2 USA Montefiore Medical Center, Bronx 13 7 6 9 2 2 26 University of Illinois, Chicago 8 1 3 1 5 Bethesda, Cincinnati 13 2 2 1 5 Winthrop, Mineola 16 1 1 Centres that are no longer recruiting 0 5 HUNGARY University of Debrecen, Debrecen 9 17 14 7 4 42 DENMARK Aarhus University, Aarhus 15 9 13 5 3 3 33 SWITZERLAND University Women's Hospital, Basel 5 2 8 3 1 14 CHU Vaudois, Lausanne 5 3 4 1 1 9 University Hospital, Zurich 6 1 1 JORDAN Islamic, Amman 23 12 3 15 SPAIN UB Hospital Clinic, Barcelona 10 3 4 3 2 12 RUSSIAN FEDERATION Research Centre of Obs, Gyn & Perinatology, Moscow 5 1 6 1 8 Research Institute, Ivanovo 10 3 3 BOLIVIA Instituto de Salud Reproductiva/UDIME, Santa Cruz 3 8 1 9 BRAZIL Hospital Geral, Caxias do Sul 5 3 4 7 THE NETHERLANDS Academisch Ziekenhuis, Maastricht 5 4 1 5 Atrium, Heerlen 6 1 1 UK Royal Free, London 9 2 2 The Queen Elizabeth Hospital, King's Lynn 5 1 1 2 CHINA Peace Maternity, Shanghai 18 3 1 4 PERU Hospital Nacional Cayetano Heredia, Lima 21 1 1 Centres awaiting first patient: [COUNTRY: Hospital, City (annual goal)] [month/year start-up package sent] UK: Forth Park, Kirkcaldy (10) [10/03]. Quote of the Month: Keep up the Good Work! The race goes not always to the swift but to those who keep on running. Anonymous

18-24 Month Follow-up of MACS Babies The status of the MACS 18-24 Month Follow-up is displayed in the following table for centres that recruited patients. Centres are listed according to the total number of recruits by country and centre. See below for the number of follow-up assessments performed by your centre! Let's aim for 100% follow-up for 2002!! Status 2001 2002 2003 2004 2005 Totals As of March 2005 COUNTRY CANADA 29 29 67 58 66 16 68 18 248 103 ARGENTINA 2 145 51 198 POLAND 70 63 76 14 39 9 194 77 ISRAEL 20 20 50 38 56 4 57 10 193 62 CHILE 20 14 23 2 38 10 91 16 GERMANY 2 33 40 6 81 COLOMBIA 35 9 44 HUNGARY 17 1 14 11 42 1 USA 8 7 9 3 14 10 1 42 10 DENMARK 9 9 13 1 5 6 33 10 SWITZERLAND 3 3 6 3 8 5 2 24 6 JORDAN 12 3 15 SPAIN 3 7 2 12 RUSSIAN FEDERATION 1 10 11 BOLIVIA 8 1 9 BRAZIL 3 4 7 THE NETHERLANDS 5 1 1 6 1 UK 1 3 4 CHINA 4 4 PERU 1 1 Total 69 68 254 181 322 37 494 120 1259 286 98.6% 71.3% 11.5% 23% CENTRES BY COUNTRY (Shaded area is prior to start-up) CANADA Mount Sinai, Toronto 9 9 18 13 11 1 22 7 67 23 Royal Alexandra, Edmonton 2 2 8 8 11 4 10 3 34 14 Royal University, Saskatoon 8 8 9 8 6 2 2 25 18 CHUS Fleurimont, Sherbrooke 3 3 9 8 5 7 24 11 IWK Health Centre, Halifax 5 5 12 2 5 22 7 BC Women's, Vancouver 7 7 5 5 4 2 2 1 19 14 St Boniface General, Winnipeg 5 5 6 1 6 2 19 6 North Bay General, North Bay 5 7 2 14 Regina General, Regina 5 3 1 4 1 11 3 Sunnybrook & Women's College, Toronto 3 3 5 4 1 9 7 Dr Everett Chalmers Regional, Fredericton 3 1 4 ARGENTINA Hospital Penna, Bahia Blanca 71 26 97 Posadas, Buenos Aires 2 18 8 28 LC Lagomaggiore, Mendoza 15 2 17 Ramon Carrillo, Santiago del Estero 11 5 16 Hospital Italiano, Buenos Aires 7 5 12 Hospital J.R. Vidal, Corrientes 8 2 10 Hospital Sarda, Buenos Aires 5 3 8 Ramos Mejia, Buenos Aires 5 5 Hospital Italiano, La Plata 3 3 Hospital Fiorito, Avellaneda 2 2 POLAND Univ School of Medicine, Poznan 35 33 30 5 22 4 91 38 Med Univ of Gdansk, Gdansk 14 11 27 6 9 2 52 17 Res Inst at Polish Mothers Memorial, Lodz 21 19 19 3 8 3 51 22 ISRAEL Haemek, Afula 10 5 11 26 4 51 5 Rabin, Petach Tikva 9 9 10 8 8 1 5 1 33 18 Edith Wolfson, Holon 8 7 15 2 5 28 9 Ma'ayney Hayeshua, Bnei Brak 7 7 1 1 9 5 2 24 8 Meir, Kfar-Saba 3 5 11 3 22 Soroka, Beer Sheva 1 1 12 12 1 1 1 15 14 Bnai Zion, Haifa 3 3 3 3 5 1 12 6 Hadassah Ein Kerem, Jerusalem 3 3 Poriya Government, Tiberias 3 2 3 2 Sheba Medical Center, Ramat-Gan 2 2 CHILE Sotero del Rio, Puente Alto 16 10 12 1 27 5 60 11

Status 2001 2002 2003 2004 2005 Totals As of March 2005 Universidad Catolica, Santiago 4 4 11 1 6 21 5 Hospital Clinico San Borja Arriaran, Santiago 5 5 10 GERMANY Klinikum Nurnburg Sud, Nurnburg 2 15 9 26 Benjamin Franklin, Berlin 10 3 3 16 University of Marburg, Marburg 2 6 1 9 Helios Klinikum, Erfurt 6 1 7 St Hedwig Hospital, Regensburg 2 4 1 7 University of Leipzig, Leipzig 2 3 5 University Women's Hospital, Homburg 4 4 TU Munchen, Munchen 1 2 3 Dr Horst-Schmidt-Kliniken, Wiesbaden 2 2 Bonn University, Bonn 1 1 MHH Hannover, Hannover 1 1 COLOMBIA CEMIYA, Cali 35 7 42 Universidad del Norte, Barranquilla 2 2 USA Montefiore Medical Center, Bronx 7 7 6 2 9 4 26 9 University of Illinois, Chicago 4 1 5 Bethesda, Cincinnati 2 1 2 1 5 1 Good Samaritan, Cincinnati 1 1 2 Baystate Medical Center, Springfield 2 2 Winthrop, Mineola 1 1 Albany Medical Center, Albany 1 1 HUNGARY University of Debrecen, Debrecen 17 1 14 11 42 1 DENMARK Aarhus University, Aarhus 9 9 13 1 5 6 33 10 SWITZERLAND University Women's Hospital, Basel 2 8 3 1 14 CHU Vaudois, Lausanne 3 3 4 3 1 1 9 6 University Hospital, Zurich 1 1 JORDAN Islamic, Amman 12 3 15 SPAIN UB Hospital Clinic, Barcelona 3 7 2 12 RUSSIAN FEDERATION Research Centre of Obs, Gyn & Perinatology, Moscow 1 7 8 Research Institute, Ivanovo 3 3 BOLIVIA Instituto de Salud Reproductiva/UDIME, Santa Cruz 8 1 9 BRAZIL Hospital Geral, Caxias do Sul 3 4 7 THE NETHERLANDS Academisch Ziekenhuis, Maastricht 4 1 5 Atrium, Heerlen 1 1 1 1 UK Royal Free, London 2 2 The Queen Elizabeth Hospital, King's Lynn 1 1 2 CHINA Peace Maternity, Shanghai 4 4 PERU Hospital Nacional Cayetano Heredia, Lima 1 1