A critical appraisal of analyzing nasal provocation test results in allergen immunotherapy trials.

BACKGROUND: The statistical analysis of nasal provocation tests is very complex. We compared the conventional analysis with the maximally selected test statistics and the hierarchical ordered logistic model. METHODS: We re-analyzed data from a trial with 112 patients suffering from grass pollen allergy. The patients had been randomized to receive either intralymphatic immunotherapy (ILIT) or subcutaneous immunotherapy (SCIT). RESULTS: The conventional analysis indicated that the logarithmized ratio between the pre- and the post-treatment threshold concentration was significantly lower for ILIT than for SCIT. The maximally selected test statistics was used to test different threshold symptom scores that would imply positive clinical symptoms at the given allergen concentration. A threshold score of 3 maximised the difference in improvement between the ILIT and the SCIT groups. The hierarchical ordered logistic model does not take threshold allergen concentrations as the basis for analysis, but the single scores measured at each concentration. This approach simultaneously considers the treatment effect (ILIT versus SCIT), the time effect (pre- versus post-treatment), and the dose effect (different allergen concentrations). The hierarchical ordered logistic model revealed that the clinical improvement was greater after ILIT than after SCIT. CONCLUSION: As the choice of method can affect the outcome, guidelines for analysis are highly needed.

Gametic products transmitted by chickens heterozygous for chromosomal rearrangements.

Chromosomal analysis was made from 3744 chick embryos derived from reciprocal matings between parents, one of which was heterozygous for a pericentric inversion, a centric fission, or one of three translocations. The objectives were to determine the types and frequencies of genetically balanced and unbalanced gametes transmitted to early embryos by rearrangement heterozygotes and to ascertain if some gametic types were preferentially produced or utilized. The array of embryos obtained from the heterozygous sires did not deviate significantly from the expected, except in the case of the centric fission group. Among embryos derived from heterozygous dams, however, significant deviations from the expected 1:1 ratio for complementary gametic products, resulting from specific balanced and unbalanced segregation types, were found consistently in all three translocation groups and the centric fission group (P less than 0.025). It was concluded that differences exist between heterozygous sires and dams in the frequencies at which some gametic types are produced. The deviations from the expected ratios among progeny of heterozygous dams may be the result of anaphase lagging during the meiotic division of oogenesis.