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June 30, 2004 Volume 5, Issue 6 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: 876 Total this month: 43 THE INTERIM ANALYSIS OF THE FIRST 800 PATIENTS With the enrollment of the 800 th patient in May we have now begun the countdown to the Interim Analysis. However, before we can proceed with the MACS Interim Analysis we need to receive all MACS data forms and responses to all queries. Please make every effort to return your completed data forms and data corrections as quickly as possible. The RCT outline for MACS 5 has been approved! We will be submitting the full grant application in the Spring of 2005. We will be in touch with you soon with more details.

Page 2 of 2 MACS news Site Visits Dr Kellie Murphy and Lana Kiehn held a MACS Collaborators meeting in Tel Aviv, Israel. Kellie and Lana would like to extend their thanks to all of the collaborators in Israel who attended the meeting and a special thanks to Drs Harel, Sadan and Lurie for their hospitality. Kellie and Lana also visited Islamic Hospital and Jordan University Hospital in Amman, Jordan and presented MACS to a group of obstetricians and neonatologists. Our thanks to Dr El-Zibdeh for all his help with organising this terrific visit. More site visits are being planned for Fall 2004. Let s welcome our newest MACS centres: Hospital Italiano (Buenos Aires, ARGENTINA) Ramon Carrillo (Santiago del Estero, ARGENTINA) Queen Mother s Hospital (Glasgow, UK) WELCOME ON BOARD! MUGS THIS MONTH MACS mugs are on their way to the following centres, who have recruited 5 more women into the study: IWK Health Centre (Halifax, CANADA), North Bay General (North Bay, CANADA), University School of Medicine (Poznan, POLAND), Universidad Catolica (Santiago, CHILE), Hospital Penna (Bahia Blanca, ARGENTINA), CEMIYA (Cali, COLOMBIA) MACS mugs are also on their way to these 2 centres for reaching their annual goal for 2004: Medical University of Gdansk (Gdansk, POLAND) Research Centre of OB, GYN & Perinatalogy (Moscow, RUSSIAN FEDERATION) Please find enclosed with this newsletter the RCOG guidelines regarding antenatal corticosteroid usage.

MACS Recruitment Projected sample size of 1900 as of June 30, 2004 Apr - Jan - Jan - Jul - Jan - Annual Dec Dec Jun Dec Mar Apr May June Grand Goal 2001 2002 2003 2003 2004 2004 2004 2004 Total COUNTRY CANADA 142 29 67 33 33 29 6 4 7 208 POLAND 37 70 51 25 9 3 3 2 163 ISRAEL 178 20 50 28 28 18 3 7 4 158 CHILE 61 20 14 9 8 7 5 3 66 73 2 12 21 5 5 9 4 58 HUNGARY 9 17 8 6 4 3 38 USA 50 8 9 11 3 2 2 1 36 ARGENTINA 75 2 4 1 15 13 35 DENMARK 15 9 13 4 1 3 30 SWITZERLAND 10 3 6 3 5 3 20 COLOMBIA 26 1 6 5 5 17 JORDAN 23 6 6 3 15 BRAZIL 5 3 2 1 1 7 RUSSIAN FEDERATION 5 1 2 1 1 2 7 SPAIN 10 3 1 2 1 7 THE NETHERLANDS 11 2 3 1 6 CHINA 18 1 1 1 3 UK 5 1 1 2 Total 753 69 254 172 150 96 39 53 43 876 CENTRES BY COUNTRY (Shaded area is prior to start-up) CANADA Mount Sinai, Toronto 23 9 18 3 8 10 2 1 3 54 Royal Alexandra, Edmonton 14 2 8 7 4 2 1 1 25 Royal University, Saskatoon 13 8 9 4 2 23 CHUS Fleurimont, Sherbrooke 10 3 9 2 3 4 2 23 IWK Health Centre, Halifax 16 5 7 5 2 1 20 BC Women's, Vancouver 24 7 5 2 2 1 17 St Boniface General, Winnipeg 13 5 2 4 4 1 1 17 North Bay General, North Bay 3 1 4 2 1 2 10 Regina General, Regina 10 5 1 3 9 Sunnybrook & Women's College, Toronto 12 3 5 8 Dr Everett Chalmers Regional, Fredericton 4 1 1 2 POLAND Univ School of Medicine, Poznan 18 35 17 13 3 1 1 70 Res Inst at Polish Mothers Memorial, Lodz 14 21 17 2 3 2 2 47 Med Univ of Gdansk, Gdansk 5 14 17 10 3 1 1 46 ISRAEL Haemek, Afula 13 10 4 7 5 2 4 32 Rabin, Petach Tikva 26 9 10 6 2 2 1 30 Edith Wolfson, Holon 12 8 9 6 2 1 1 27 Ma'ayney Hayeshua, Bnei Brak 16 7 1 4 5 1 1 19 Meir, Kfar-Saba 18 3 5 7 3 18 Soroka, Beer Sheva 38 1 12 1 14 Bnai Zion, Haifa 13 3 3 4 1 1 12 Poriya Government, Tiberias 7 3 3 Sheba Medical Center, Ramat-Gan 22 2 2 Hadassah Ein Kerem, Jerusalem 13 1 1 CHILE Sotero del Rio, Puente Alto 26 16 6 6 8 4 3 43 Universidad Catolica, Santiago 9 4 8 3 2 3 20 Hospital Clinico San Borja Arriaran, Santiago 26 1 2 3 Klinikum Nurnburg Sud, Nurnburg 15 2 9 6 2 1 2 1 23 Benjamin Franklin, Berlin 15 3 7 2 12 St Hedwig Hospital, Regensburg 4 2 1 1 4 University of Leipzig, Leipzig 5 2 1 1 4 Helios Klinikum, Erfurt 5 3 3

Apr - Jan - Jan - Jul - Jan - Annual Dec Dec Jun Dec Mar Apr May June Grand Goal 2001 2002 2003 2003 2004 2004 2004 2004 Total University of Marburg, Marburg 4 2 1 3 University Women's Hospital, Homburg 5 1 1 1 3 TU Munchen, Munchen 4 1 1 2 Dr Horst-Schmidt-Kliniken, Wiesbaden 8 1 1 2 Bonn University, Bonn 3 1 1 MHH Hannover, Hannover 5 1 1 HUNGARY University of Debrecen, Debrecen 9 17 8 6 4 3 38 USA Montefiore Medical Center, Bronx 13 7 6 7 2 1 1 24 Bethesda, Cincinnati 13 2 1 1 1 5 Winthrop, Mineola 16 1 1 University of Illinois, Chicago 8 1 1 Centres that are no longer recruiting 0 5 ARGENTINA Hospital Penna, Bahia Blanca 10 11 7 18 Posadas, Buenos Aires 13 2 3 1 2 1 9 Hospital Sarda, Buenos Aires 22 1 3 4 LC Lagomaggiore, Mendoza 26 1 2 3 Hospital Italiano, La Plata 4 1 1 DENMARK Aarhus University, Aarhus 15 9 13 4 1 3 30 SWITZERLAND University Women's Hospital, Basel 5 2 3 5 3 13 CHU Vaudois, Lausanne 5 3 4 7 COLOMBIA CEMIYA, Cali 26 1 6 5 5 17 JORDAN Islamic, Amman 23 6 6 3 15 BRAZIL Hospital Geral, Caxias do Sul 5 3 2 1 1 7 RUSSIAN FEDERATION Research Centre of Obs, Gyn & Perinatology, Moscow 5 1 2 1 1 2 7 SPAIN UB Hospital Clinic, Barcelona 10 3 1 2 1 7 THE NETHERLANDS Academisch Ziekenhuis, Maastricht 5 1 3 1 5 Atrium, Heerlen 6 1 1 CHINA Peace Maternity, Shanghai 18 1 1 1 3 UK The Queen Elizabeth Hospital, King's Lynn 5 1 1 2 Centres awaiting first patient: [COUNTRY: Hospital, City (annual goal)] [month/year start-up package sent] ARGENTINA: Ramos Mejia, Buenos Aires (4) [05/04]; Hospital Italiano, Buenos Aires (6) [06/04]; Ramon Carrillo, Santiago del Estero (20) [06/04]. RUSSIAN FEDERATION: Research Institute, Ivanovo (10) [05/04]. SWITZERLAND: University Hospital, Zurich (6) [03/04]. UK: Forth Park, Kirkcaldy (10) [10/03]; Royal Free, London (9) [04/04]; Queen Mothers Hospital, Glasgow (13) [06/04]. Keep up the Good Work! Quote of the Month: If you do the best you can, you will find, nine times out of ten, that you have done as well as or better than anyone else. Anonymous

2 Year Follow-up of MACS Babies The status of the MACS 2-year 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% Status 2001 2002 2003 2004 Totals As of June 2004 COUNTRY CANADA 29 28 67 21 66 46 208 49 POLAND 70 3 76 17 163 3 ISRAEL 20 18 50 19 56 32 158 37 CHILE 20 23 23 66 2 33 23 58 HUNGARY 17 14 7 38 USA 8 7 9 14 5 36 7 ARGENTINA 2 33 35 DENMARK 9 9 13 5 3 30 9 SWITZERLAND 3 3 6 3 8 3 20 6 COLOMBIA 17 17 JORDAN 12 3 15 RUSSIAN FEDERATION 1 6 7 BRAZIL 3 4 7 SPAIN 3 4 7 THE NETHERLANDS 5 1 6 CHINA 3 3 UK 1 1 2 Total 69 65 254 46 322 231 876 111 94% 18% 13% CENTRES BY COUNTRY (Shaded area is prior to start-up) CANADA Mount Sinai, Toronto 9 9 18 3 11 16 54 12 Royal Alexandra, Edmonton 2 2 8 5 11 4 25 7 CHUS Fleurimont, Sherbrooke 3 3 9 5 5 6 23 8 Royal University, Saskatoon 8 7 9 2 6 23 9 IWK Health Centre, Halifax 5 1 12 3 20 1 BC Women's, Vancouver 7 7 5 4 4 1 17 11 St Boniface General, Winnipeg 5 6 6 17 North Bay General, North Bay 5 5 10 Regina General, Regina 5 1 1 3 9 1 Sunnybrook & Women's College, Toronto 3 5 8 Dr Everett Chalmers Regional, Fredericton 2 2 POLAND Univ School of Medicine, Poznan 35 1 30 5 70 1 Res Inst at Polish Mothers Memorial, Lodz 21 1 19 7 47 1 Med Univ of Gdansk, Gdansk 14 1 27 5 46 1 ISRAEL Haemek, Afula 10 5 11 11 32 5 Rabin, Petach Tikva 9 7 10 1 8 3 30 8 Edith Wolfson, Holon 8 15 4 27 Ma'ayney Hayeshua, Bnei Brak 7 7 1 1 9 2 19 8 Meir, Kfar-Saba 3 5 10 18 Soroka, Beer Sheva 1 1 12 9 1 14 10 Bnai Zion, Haifa 3 3 3 2 5 1 12 5 Poriya Government, Tiberias 3 1 3 1 Sheba Medical Center, Ramat-Gan 2 2 Hadassah Ein Kerem, Jerusalem 1 1 CHILE Sotero del Rio, Puente Alto 16 12 15 43 Universidad Catolica, Santiago 4 11 5 20 Hospital Clinico San Borja Arriaran, Santiago 3 3 Klinikum Nurnburg Sud, Nurnburg 2 15 6 23 Benjamin Franklin, Berlin 10 2 12 University of Leipzig, Leipzig 2 2 4

Status 2001 2002 2003 2004 Totals As of June 2004 St Hedwig Hospital, Regensburg 2 2 4 Helios Klinikum, Erfurt 3 3 University Women's Hospital, Homburg 3 3 University of Marburg, Marburg 2 1 3 TU Munchen, Munchen 1 1 2 Dr Horst-Schmidt-Kliniken, Wiesbaden 2 2 Bonn University, Bonn 1 1 MHH Hannover, Hannover 1 1 HUNGARY University of Debrecen, Debrecen 17 14 7 38 USA Montefiore Medical Center, Bronx 7 7 6 9 2 24 7 Bethesda, Cincinnati 2 2 1 5 Baystate Medical Center, Springfield 2 2 Good Samaritan, Cincinnati 1 1 2 Winthrop, Mineola 1 1 Albany (No longer recruiting) 1 1 University of Illinois, Chicago 1 1 ARGENTINA Hospital Penna, Bahia Blanca 18 18 Posadas, Buenos Aires 2 7 9 Hospital Sarda, Buenos Aires 4 4 LC Lagomaggiore, Mendoza 3 3 Hospital Italiano, La Plata 1 1 DENMARK Aarhus University, Aarhus 9 9 13 5 3 30 9 SWITZERLAND University Women's Hospital, Basel 2 8 3 13 CHU Vaudois, Lausanne 3 3 4 3 7 6 COLOMBIA CEMIYA, Cali 17 17 JORDAN Islamic, Amman 12 3 15 SPAIN UB Hospital Clinic, Barcelona 3 4 7 RUSSIAN FEDERATION Research Centre of Obs, Gyn & Perinatology, Moscow 1 6 7 BRAZIL Hospital Geral, Caxias do Sul 3 4 7 THE NETHERLANDS Academisch Ziekenhuis, Maastricht 4 1 5 Atrium, Heerlen 1 1 CHINA Peace Maternity, Shanghai 3 3 UK The Queen Elizabeth Hospital, King's Lynn 1 1 2