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Noticias News Nouvelles The Centre for Mother, Infant, and Child Research 7 th Floor, 790 Bay Street Toronto ON CANADA M5G 1N8 Tel: 1 416 351 2533 Fax: 1 416 351 3771 email: tbs@sw.ca website: www.cmicr.ca/tbs V O L U M E 8, I S S U E 3 M A R C H 3 1, 2 0 0 9 We passed 1800 recruits!!! Great job! Overall Total: 1823 Total this month: 50 Recruitment Record! INSIDE THIS ISSUE Recruitment 1 Record A milestone has been reached: we have a new record of recruits in one month - Second Interim Analysis Changes to Emergency Help Line 1 2 Congratulations and great job!!! Keep up the excellent work!!! Query Tutorial 3 New Investigators Meeting South American Regional Meeting Feature of the Month Recruitment Excellence 4 4 5 5 Second Interim Analysis The race to the 1800th recruit has come to an end and we are on our way to the next interim analysis! Congratulations and thank you to all of our collaborators for helping us get there! Recruitment Table 2yr Table 6 8 Congratulations to Dr Grzegorz Breborowicz and Dr Anna Dera and the team at University School of Medical Sciences in Poznan, Poland, for recruiting the 1800th patient! It is imperative that we receive all outstanding data and queries now so we can start our work on the second interim analysis!

PAGE 2 Changes to the Emergency Help Line The Emergency Help Line telephone number has changed to: (1)-647-822-5799. When you call this emergency number, you will now be able to speak to someone directly, or similar to our last Help Line, you can leave a voice message. A great new feature to the emergency Help Line is that you may also contact someone by sending an email to: CMICRHELPLINE@sunnybrook.ca The Entry forms have been updated with the new instructions and will be sent to your centre with your regular top-up. Please remember: The Emergency Help Line should only be used when you are having difficulties that cannot wait until the next business day. All day-to-day inquiries should still be directed to the Data Coordinating Centre at TBS@sw.ca or (1)-416-351-2533. To randomise a patient, the calling details remain the same: 1. Complete the Entry form including page 3, questions 24-27 2. Call the Randomisation Service at (1)-416-351-3804 3. Follow the instructions given on the phone to answer the questions (recorded on Entry form question 24-27) 4. Record the study group allocation in the Entry form, question 28

PAGE 3 Query Tutorial This month we will discuss the onset of labour on the Labour form, page 1 question 3. Mark ONE only If the patient was in spontaneous labour but did not progress to active labour and labour was augmented with oxytocin then onset of labour should only be marked spontaneous. It is incorrect to also mark oxytocin in this case.

PAGE 4 New Investigators Meeting In the next newsletter, please watch for highlights from the New Investigators Meeting which is being held on April 3, 2009. Stay tuned to find out about our first meeting of its kind. South American Regional Meeting We are excited to be hosting a TBS and CHIPS South American Regional Meeting on May 14-15, 2009 in Buenos Aires, Argentina. If we have not received your reply, please contact us to confirm your attendance for the meeting by fax or email. We look forward to another successful meeting!

PAGE 5 Feature of the Month This month we would like to introduce Dr Tamas Major from Debrecen, Hungary. During a recent conversation with Dr Major, he has informed us that he is currently on a TBS data campaign. Although we have some difficulties from time to time, we make every effort to randomize as many patients as possible. Staff members give us a tremendous help, and friendly atmosphere at the first discussion with the patient makes it easier to recruit patients. ~ Dr Tamas Major Recruitment Excellence Congratulations to Dr Raul Abalos Gorostiaga and the team at Hospital Ramon Carrillo in Santiago del Estero, Argentina; Dr Danielly Scaranello Nunes Santana and the team at Hospital Universitario de Jundiai in Jundiai, Brazil; Dr Luis Leighton and the team at Hospital Dr Gustavo Fricke in Vina del Mar, Chile; Dr Marwan Hakim and the team at Nazareth Hospital (EMMS) in Nazareth, Israel; Dr Donnette Simms- Stewart and the team at University Hospital of the West Indies in Kingston, Jamaica; Prof Miroslava Gojnic and the team at University of Belgrade in Belgrade, Serbia. Keep up the excellent work! We will be sending a gold seal to place on your Certificate of Achievement.

Page 6 Twin Birth Study Recruitment (Projected sample size of 2800) as of March 31, 2009 Jan - Jan - Jan - Jan - Jan - Jul - Annual Dec Dec Dec Dec Dec Jun Dec Jan Feb Mar Grand Goal 2003 2004 2005 2006 2007 2008 2008 2009 2009 2009 Total COUNTRY ARGENTINA 63 60 65 96 107 54 68 9 10 11 480 BRAZIL 57 2 44 71 54 35 28 7 5 11 257 CANADA 86 3 25 53 46 41 11 18 1 5 5 208 POLAND 15 4 28 18 44 14 21 6 3 138 ISRAEL 43 21 27 16 14 10 22 2 2 1 115 EGYPT 20 19 14 15 6 9 3 5 71 AUSTRALIA 32 2 15 12 17 10 4 1 1 62 CHILE 16 8 11 13 8 5 11 1 2 3 62 UK 51 2 2 15 18 7 9 1 5 59 THE NETHERLANDS 7 7 9 17 6 4 2 1 46 ESTONIA 3 5 12 8 7 4 3 1 2 42 JAMAICA 4 23 5 9 1 2 40 USA 36 4 13 10 8 3 2 40 SPAIN 5 2 6 10 9 5 3 1 2 38 JORDAN 9 5 5 8 9 6 2 1 2 38 SERBIA 11 9 18 2 2 5 36 HUNGARY 4 5 11 6 3 3 2 2 1 33 ROMANIA 3 2 5 2 4 2 1 16 BELGIUM 3 5 7 3 15 GERMANY 9 3 4 4 3 14 CROATIA 4 4 3 2 9 GREECE 6 1 3 4 Total 487 3 182 333 373 385 199 226 37 35 50 1823 CENTRES BY COUNTRY (Shaded area is prior to start-up) ARGENTINA Hospital LC Lagomaggiore, Mendoza 12 31 32 27 22 10 15 1 2 1 141 Hospital Posadas, Buenos Aires 6 22 28 17 19 4 2 2 2 2 98 Hospital Ramon Carrillo, Santiago del Estero 10 2 15 19 12 16 3 1 4 72 Hospital Avellaneda, Tucuman 6 2 11 13 4 9 2 41 Hospital JR Vidal, Corrientes 6 4 10 9 9 1 3 36 Hospital Penna, Bahia Blanca 4 12 10 4 2 28 Hospital Sarda, Buenos Aires 10 3 5 6 5 2 2 1 24 Hospital Angela Iglesia de Llano, Corrientes 3 5 9 1 1 16 Hospital Juan A Fernandez, Buenos Aires 4 4 8 1 13 Hospital Alvarez, Buenos Aires 2 1 1 Centres that are no longer recruiting 0 10 BRAZIL University of Campinas, Campinas 5 2 17 15 17 6 7 2 3 69 Maternidade Escola da UFRJ, Rio de Janeiro 6 8 16 18 8 6 3 59 University of Pernambuco, Recife 7 13 14 10 12 5 1 55 Hospital Universitario Antonio Pedro, Niteroi 5 1 10 5 1 1 1 19 Laranjeiras Clinica Perinatal, Rio de Janeiro 8 8 3 1 1 13 ISCMPA-Maternidade Mario Totta, Porto Alegre 6 5 4 2 1 12 Hospital Universitario de Jundiai, Jundiai 5 2 5 7 UFPE, Recife 5 4 1 2 7 Hospital Sao Lucas, Porto Alegre 5 2 3 2 7 Botucatu Medical School, Botucatu 2 2 2 1 5 Hospital Materno Infantil, Goiania 3 2 1 1 4 CANADA Sunnybrook Health Sciences Centre, Toronto 5 3 14 11 13 18 1 7 1 1 69 McMaster University Medical Centre, Hamilton 5 10 7 4 2 2 25 IWK Health Centre, Halifax 7 1 4 6 4 3 3 1 1 23 Regina General Hospital, Regina 5 5 7 3 2 1 18 Trillium Health Centre, Mississauga 6 6 4 6 16 Mount Sinai Hospital, Toronto 11 5 2 3 10 Lions Gate Hospital, Vancouver 3 6 1 1 1 9 Foothills Medical Centre, Calgary 7 1 5 1 1 8 SMBD Jewish General Hospital, Montreal 6 2 2 2 2 8 Royal Columbian Hospital, New Westminster 5 3 3 6 Royal University Hospital, Saskatoon 6 4 1 1 6 Eastern Health, St John's 4 1 2 3 Toronto East General, Toronto 5 1 1 2 North Bay General Hospital, North Bay 2 2 2 St Joseph's Health Care, London 9 1 1 2 Centres that are no longer recruiting 0 1 POLAND University School of Medical Sciences, Poznan 8 3 24 15 33 8 18 4 3 108 Polish Mothers Memorial Hospital, Lodz 5 1 2 10 6 2 2 23 Medical University of Gdansk, Gdansk 2 1 3 1 1 1 7

Page 7 Jan - Jan - Jan - Jan - Jan - Jul - Annual Dec Dec Dec Dec Dec Jun Dec Jan Feb Mar Grand Goal 2003 2004 2005 2006 2007 2008 2008 2009 2009 2009 Total ISRAEL Edith Wolfson Medical Center, Holon 5 11 6 6 4 2 1 30 Ma'ayney HaYeshua Medical Center, Bnei Brak 10 5 4 5 4 1 4 23 Nazareth Hospital (EMMS), Nazareth 3 5 13 1 1 1 21 HaEmek Medical Center, Afula 7 1 7 2 2 12 Bnai Zion Medical Center, Haifa 8 4 7 11 Poriya Government Hospital, Tiberias 4 3 3 1 4 11 Hillel Yaffe Medical Center, Hadera 6 3 2 1 1 7 EGYPT Assiut University Hospital, Assiut 20 19 14 15 6 9 3 5 71 AUSTRALIA Ipswich Hospital, Ipswich 3 1 12 7 2 22 St George Hospital, Sydney 3 2 5 1 2 1 11 Mater Mothers' Hospital, Brisbane 6 2 3 3 1 1 1 11 Toowoomba Base Hospital, Toowoomba 2 4 2 6 Monash Medical Centre, Clayton 4 4 1 5 Logan Hospital, Meadowbrook 5 3 1 4 Townsville Hospital, Townsville 3 1 1 2 Women's and Children's Hospital, Adelaide 6 1 1 CHILE Hospital Dr Gustavo Fricke, Vina del Mar 5 8 11 8 6 3 9 1 2 2 50 Hospital Dr Sotero del Rio, Puente Alto 11 5 2 2 2 1 12 UK Nottingham City Hospital, Nottingham 9 2 2 3 2 2 5 1 17 Bradford Royal Infirmary, Bradford 8 8 4 1 1 14 Basildon & Thurrock University, Basildon 6 1 5 2 1 9 Queen Elizabeth Hospital, King's Lynn 3 3 1 1 5 University Hospital of North Staffordshire, Stoke-on-Trent 8 3 1 4 Derriford Hospital, Plymouth 6 1 1 1 1 4 Queens Medical Centre, Nottingham 6 1 2 3 Lewisham Hospital, London 5 3 3 THE NETHERLANDS Atrium Medical Center, Heerlen 3 4 5 7 5 4 2 1 28 Academisch Ziekenhuis Maastricht, Maastricht 2 3 2 1 6 Sint Lucas Andreas Ziekenhuis, Amsterdam 2 4 1 5 Centres that are no longer recruiting 0 7 ESTONIA Tartu University Hospital - Women's Clinic, Tartu 3 5 12 8 7 4 3 1 2 42 JAMAICA University Hospital of the West Indies, Kingston 4 23 5 9 1 2 40 USA East Bay Perinatal Medical Associates, Oakland 12 9 5 4 1 19 Maricopa Medical Center, Phoenix 8 3 3 2 8 University of South Carolina, Columbia 4 1 2 3 6 University of Iowa Hospitals and Clinics, Iowa City 3 1 1 2 University of Miami, Miami 9 1 1 Centres that are no longer recruiting 0 4 SPAIN Hospital Clinic-University of Barcelona, Barcelona 5 2 6 10 9 5 3 1 2 38 JORDAN Islamic Hospital, Amman 9 5 5 8 9 6 2 1 2 38 SERBIA University of Belgrade, Belgrade 11 9 18 2 2 5 36 HUNGARY University of Debrecen, Debrecen 4 5 11 6 3 3 2 2 1 33 ROMANIA University of Pharmacy and Medicine, Cluj-Napoca 3 2 5 2 4 2 1 16 BELGIUM Vrije Universiteit Brussel, Brussels 3 5 7 3 15 GERMANY Ludwig Maximilians University of Munich, Munich 2 1 4 3 8 CUB - Virchow Klinikum, Berlin 5 3 3 CUB - Benjamin Franklin, Berlin 2 2 1 3 CROATIA Sveti Duh Hospital, Zagreb 4 4 3 2 9 GREECE Alexandra Maternity, Athens 6 1 3 4 Centres awaiting first patient: [COUNTRY: Hospital, City (annual goal)] [month/year start-up package sent] AUSTRALIA: Royal North Shore, St Leonards (3) [11/06]; CANADA: Children's & Women's Health Centre of BC, Vancouver (11) [02/08], St Paul s Hospital, Vancouver (3) [01/09]; THE NETHERLANDS: Maxima Medical Centre, Veldhoven (3) [06/08]; UK: Aberdeen Maternity, Aberdeen (6) [11/06], Liverpool Women's Hospital, Liverpool (12) [05/07]; USA: Washington University, St Louis (5) [01/07];

Page 8 2 Year Follow-up of TBS Babies The status of the TBS 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% follow-up!! Status 2003 2004 2005 2006 2007 2008 2009 Totals As of March 2009 COUNTRY ARGENTINA 60 50 65 57 96 76 107 12 122 30 480 195 BRAZIL 2 2 44 36 71 48 54 3 63 23 257 89 CANADA 3 3 25 21 53 41 46 32 41 29 11 208 97 POLAND 4 4 28 26 18 14 44 3 35 9 138 47 ISRAEL 21 21 27 23 16 12 14 32 5 115 56 EGYPT 19 19 14 14 15 5 6 12 5 71 38 AUSTRALIA 2 2 15 10 12 7 17 2 14 2 62 21 CHILE 8 8 11 11 13 11 8 1 16 6 62 31 UK 2 2 2 2 15 4 18 2 16 6 59 10 THE NETHERLANDS 7 7 9 9 17 14 6 1 6 1 46 31 ESTONIA 5 5 12 12 8 8 7 1 7 3 42 26 JAMAICA 23 1 14 3 40 1 USA 4 2 13 7 10 3 8 1 5 40 13 JORDAN 5 5 5 5 8 3 9 8 3 38 13 SPAIN 2 2 6 6 10 9 9 1 8 3 38 18 SERBIA 27 9 36 HUNGARY 5 5 11 4 6 3 5 3 33 9 ROMANIA 2 2 5 5 2 2 4 4 3 16 13 BELGIUM 5 7 3 15 GERMANY 3 2 4 4 4 3 14 6 CROATIA 4 4 3 2 2 2 9 8 GREECE 1 3 4 Total 3 3 182 161 333 272 373 254 385 32 425 122 1823 722 100.0% 88.5% 81.7% 68.1% 8.3% 40% CENTRES BY COUNTRY (Shaded area is prior to start-up) ARGENTINA Hospital LC Lagomaggiore, Mendoza 31 27 32 31 27 27 22 1 25 4 141 86 Hospital Posadas, Buenos Aires 22 21 28 22 17 12 19 5 6 6 98 60 Hospital Ramon Carrillo, Santiago del Estero 2 2 15 15 19 4 28 8 72 21 Hospital Avellaneda, Tucuman 2 2 11 11 13 13 2 41 13 Hospital JR Vidal, Corrientes 4 10 18 4 36 Hospital Penna, Bahia Blanca 12 7 10 1 6 28 8 Hospital Sarda, Buenos Aires 3 5 11 5 24 Hospital Angela Iglesia de Llano, Corrientes 5 4 9 1 2 16 5 Hospital Juan A Fernandez, Buenos Aires 12 1 13 Hospital Ramos Mejia, Buenos Aires 7 2 1 2 10 2 Hospital Alvarez, Buenos Aires 1 1 BRAZIL University of Campinas, Campinas 2 2 17 11 15 6 17 1 13 5 69 20 Maternidade Escola da UFRJ, Rio de Janeiro 8 8 16 10 18 14 3 59 18 University of Pernambuco, Recife 13 12 14 12 10 2 17 1 55 26 Hospital Universitario Antonio Pedro, Niteroi 1 1 10 9 5 2 1 19 10 Laranjeiras Clinica Perinatal, Rio de Janeiro 8 7 3 1 1 13 7 ISCMPA-Maternidade Mario Totta, Porto Alegre 5 4 4 4 3 12 8 Hospital Universitario de Jundiai, Jundiai 7 7 UFPE, Recife 4 1 2 7 Hospital Sao Lucas, Porto Alegre 5 2 7 Botucatu Medical School, Botucatu 4 1 5 Hospital Materno Infantil, Goiania 2 2 4 CANADA Sunnybrook Health Sciences Centre, Toronto 3 3 14 13 11 4 13 8 18 8 2 69 28 McMaster University Medical Centre, Hamilton 10 10 7 7 4 4 25 17 IWK Health Centre, Halifax 1 1 4 4 6 6 4 6 2 23 11 Regina General Hospital, Regina 5 4 7 6 3 2 1 18 10 Trillium Health Centre, Mississauga 6 4 4 6 16 4 Mount Sinai Hospital, Toronto 5 3 2 1 3 3 10 7 Lions Gate Hospital, Vancouver 6 6 1 1 2 9 7 Foothills Medical Centre, Calgary 1 1 5 4 1 1 1 8 6 SMBD Jewish General Hospital, Montreal 2 4 2 8 Royal University Hospital, Saskatoon 4 1 1 6 Royal Columbian Hospital, New Westminster 3 3 3 3 6 6 Eastern Health, St John's 1 1 2 3 1 Toronto East General, Toronto 1 1 2 North Bay General Hospital, North Bay 2 2 St Joseph's Health Care, London 1 1 2 York Central Hospital, Richmond Hill 1 1 POLAND Univ School of Medicine, Poznan 3 3 24 24 15 13 33 3 26 7 108 43 Polish Mothers Memorial Hospital, Lodz 1 2 10 8 2 23 Medical University of Gdansk, Gdansk 1 1 3 2 1 1 1 1 7 4

Page 9 Status 2003 2004 2005 2006 2007 2008 2009 Totals As of March 2009 ISRAEL Edith Wolfson Medical Center, Holon 11 11 6 6 6 6 4 2 1 30 23 Ma'ayney HaYeshua Medical Center, Bnei Brak 5 5 4 4 5 1 4 5 23 10 Nazareth Hospital (EMMS), Nazareth 18 3 21 HaEmek Medical Center, Afula 1 1 7 6 2 2 2 12 9 Bnai Zion Medical Center, Haifa 4 4 7 7 11 11 Poriya Government Hospital, Tiberias 3 3 3 1 4 11 3 Hillel Yaffe Medical Center, Hadera 3 3 1 7 EGYPT Assiut University Hospital, Assiut 19 19 14 14 15 5 6 12 5 71 38 AUSTRALIA Ipswich Hospital, Ipswich 1 1 12 2 9 22 3 Mater Mothers' Hospital, Brisbane 2 2 3 2 3 1 2 11 4 St George Hospital, Sydney 2 2 5 5 1 1 3 11 8 Toowoomba Base Hospital, Toowoomba 4 1 2 6 1 Monash Medical Centre, Clayton 4 2 1 5 2 Logan Hospital, Meadowbrook 3 1 1 1 4 2 Townsville Hospital, Townsville 1 1 1 2 1 Women's and Children's Hospital, Adelaide 1 1 CHILE Hospital Dr Gustavo Fricke, Vina del Mar 8 8 11 11 8 8 6 1 12 5 50 28 Hospital Dr Sotero del Rio, Puente Alto 5 3 2 4 1 12 3 UK Nottingham City Hospital, Nottingham 2 2 2 2 3 2 2 7 1 17 6 Bradford Royal Infirmary, Bradford 8 2 4 2 14 2 Basildon & Thurrock University, Basildon 1 5 1 3 9 1 Queen Elizabeth Hospital, King's Lynn 3 2 5 University Hospital of North Staffordshire, Stoke-on-Trent 3 1 4 Derriford Hospital, Plymouth 1 1 2 1 4 1 Queens Medical Centre, Nottingham 3 3 Lewisham Hospital, London 3 3 THE NETHERLANDS Atrium Medical Center, Heerlen 4 4 5 5 7 7 5 1 6 1 28 17 Maaslandziekenhuis Sittard, Sittard 2 2 5 5 7 7 Academisch Ziekenhuis Maastricht, Maastricht 3 3 2 2 1 6 5 Sint Lucas Andreas Ziekenhuis, Amsterdam 4 2 1 5 2 ESTONIA Tartu University Hospital - Women's Clinic, Tartu 5 5 12 12 8 8 7 1 7 3 42 26 JAMAICA University Hospital of the West Indies, Kingston 23 1 14 3 40 1 USA East Bay Perinatal Medical Associates, Oakland 9 4 5 1 4 1 19 5 Maricopa Medical Center, Phoenix 3 2 3 2 8 2 University of South Carolina, Columbia 1 1 2 2 3 1 6 4 University of Iowa Hospitals and Clinics, Iowa City 1 1 2 Jamaica Hospital Medical Center, Jamaica 2 2 2 2 Texas Tech UHSC, Lubbock 2 2 University of Miami, Miami 1 1 JORDAN Islamic Hospital, Amman 5 5 5 5 8 3 9 8 3 38 13 SPAIN Hospital Clinic-University of Barcelona, Barcelona 2 2 6 6 10 9 9 1 8 3 38 18 SERBIA University of Belgrade, Belgrade 27 9 36 HUNGARY University of Debrecen, Debrecen 5 5 11 4 6 3 5 3 33 9 ROMANIA University of Pharmacy and Medicine, Cluj-Napoca 2 2 5 5 2 2 4 4 3 16 13 BELGIUM Vrije Universiteit Brussel, Brussels 5 7 3 15 GERMANY Ludwig Maximilians University of Munich, Munich 1 1 4 4 3 8 5 CUB - Virchow Klinikum, Berlin 3 3 CUB - Benjamin Franklin, Berlin 2 1 1 3 1 CROATIA Sveti Duh Hospital, Zagreb 4 4 3 2 2 2 9 8 GREECE Alexandra Maternity, Athens 1 3 4