Hannah kunkle trial

Patricia Crigger appeared to be very worn and distracted. She looked disheveled looking like she came in from a storm. Rebecca Littrell came to court in a dressy, casual pants suit. The most shocking was Sherry Bell. She appeared in court in slacks and a home decorated applique sweatshirt. She looked like a bag lady coming to court looking for a free lawyer.

The judge and bailiff spent the large part of organizing moving the trial from a court room to the Central Grand Jury Room. That room was the only one capable of seating over people. The judge had ruled the same questions before, and again the judge denied the motions. After lunch, voir dire began. The judge warned the panel that these trials may go on to December Nelms promised them that the trial will not go into Christmas.

I do need to thank Judge Nelms and the prosecutor. He asked the panel did anyone know Bill Baumbach…. The jury panel was a captive audience and he had their complete attention. That kind of advertising is priceless. After lunch, the judge told the folks on the jury panel, that if they want to ask for an excuse for serving on the jury, he and the counsel would meet with each of them individually, and the judge and attorneys would vote if they could be excused.

That took most all afternoon — from my perspective the procedure had as much drama as watching paint dry. After the excuses, there were members left in the panel. Each defendant had 7 strikes against a potential juror, and the State had 28 strikes. The whole process was finished a little after 6 PM. The judge sworn in 10 men and 2 women as the jury.

I wonder if a male jury is less forgiving to female defendants, then a jury made up of mostly female jurors. The trial will begin again at AM at the Ceremonial Courtroom. The Prosecution, lead by John Helms, Jr. With a clear voice and methodical manner, he told the jury of four women and six men that this was a case that involved the abuse of taxpayer dollars and the interference with free and fair elections.

Helms stated that the crime alleged to be committed by the Defendants is the misuse of labor to promote the campaign of Patricia Crigger. Again, Helms repeated that there is no crime in having the secret Blue Book time, but, instead, the use of said time for campaign work is what offends.

Helms produced a poster with snap shots of the Defendants and explained their respective job titles. The proximity of their respective work spaces added to their camaraderie. Kunkle had been in office for many years and they were concerned they would lose their jobs with a new regime. A lunch meeting was held at Fudruckers in January — two meetings to permit proper coverage of the office. Records were provided — but none of the Blue Book time was supplied.

The Human Resources Department noticed irregularities in time keeping. If an employee swiped their card in the reader, the time would probably not be at the exact hour, for example. The HR department audited the time records. Helms stated that despite the FOIA press request, the HR audit, and a raid by the Texas Rangers, the Defendants never conducted any type or form of internal investigation.

Hinton specializes in representing legal professionals and elected officials. An experienced litigator with a folksy and easy manner, Hinton addressed the jury and agreed with much of the characterization of the prosecution.

Over the years, time clocks gave way to computers and swipe cards. Blue Book time was kept manually at first then it was kept on the computer. Every time the HR department asked the clerks to change the way they kept time, they complied. What occurred is not illegal. As an elected official, Hannah Kunkle could do what she wanted with her budget. Hinton stated that Crigger was the most qualified person in Collin County for the job. But this, according to Hinton, was against the will of Crigger.

After the election, Crigger told the supervisors to alert the employees to use their Blue Book time because this practice of Blue Book time would be discontinued in January when Crigger took office. Allegedly, Roach, who was seeking re election at the time, asked that the clerks of his court display his signs, alongside those of Crigger at campaign sites. Yes attorneys and non attorneys alike — this is a LOOONG trial and there are many players — usually there are only two sides to a dispute.

Walpole is an experienced criminal attorney who recently defended Warren Jeffs at the YFZ child sexual assault trial, and is a self described victim of the former district attorney. He is an aggressive litigator and wastes no time with pretences. He said that the law is not a sword, it is a shield. He told the jurors that the original indictments against these Defendants were for keeping the Blue Book Hours — and nothing more. At this point the Prosecution objected to this but he was quickly overruled by the judge.

He describes Duty as a disgruntled employee who is a cousin by marriage to Littrell. Allegedly, Duty had previously arranged to have paid leave on that day. As it turns out, it snowed that day and all the employees were able to take leave pursuant to a snow day. Duty did not want to use her paid leave for that day and requested that HR change her timesheet to reflect this change. HR refused and Duty complained to Littrell. Littrell told her that she can use her accrued Blue Book Time instead.

For whatever reason, this offended Duty. So, she then complained to Judge Roach. Walpole stated that the Defendants are not in a position of power and have no influence over anybody. And she did not know. And she did nothing wrong. Yoon, a young attorney and former prosecutor, spoke briefly about his clinet. She was advised that she could help the campaign and she did not realize that she was doing anything wrong.

There was no intent for a conspiracy. This motion was denied. Helms, for the Prosecution, requested that any testimony regarding the prior indictments and attempts to indict the Defendants be excluded. This was denied by the court also. Helms protested that he did not want it to appear that he was a party to the prior indictments. Hardin addressed each individual juror by name and reminded them that this is the second week of Advent. Hardin is a prominent, long time, and well known Collin County attorney.

He has a folksy and casual manner with the jurors. His style is a conversational one which causes him to segue to various points of information — and the summary here reflects that style. Kristy created a flyer for the occasion. He said that Judge Roach, an honorable man, was subpoenaed, and will testify at the trial. Not sure why the prosecution did not object to this one — LIL. Hardin then segued to the actual election. Roberge called Roach and Roach allegedly went to the Election office.

Hardin then describes the raid by the Texas Rangers. The office was shut down during business hours. The Rangers confiscated records, computers, and even hand searched the purses of the employees.

Hardin relates that the Defendants, with the exception of Kunkle, were indicted two times before and the indictments were dropped. This lead to the appointment of a prosecutor pro tem — John Helms, Jr.. Hardin relates that Helms and his team interviewed various employees.

Pursuant to these interviews, Littrell asked Kunkle to write a letter vouching for her and the other defendants. This, asserts Hardin, is the reason that Kunkle was indicted in May Hardin then describes his repeated requests for a continuance and his difficulty in obtaining discovery from the Prosecution.

He stated that Kunkle, upon her announcement to retire, spent many days at the end of her term caring for her husband and was not involved in the minutiae of the office. He conclude by stating that Kunkle specifically forbid any campaigning in the office. Initially, when a person redeemed PTO time from the Blue Book, their supervisor would manually enter a PeopleSoft record showing that employee had actually been at work. PeopleSoft is the software system they use in the HR department and payroll department.

Normally, entries are automatically created when a person scans his or her badge. This created the PeopleSoft record needed to get the employee paid without requiring a manual entry. Her response was that because her cousin Littrell was involved in the hiring process and everyone knew she was going to get the job.

Duty admitted that she had been the beneficiary of the Blue Book system. She received 40 Blue Book hours for the weekend, which she redeemed. Defense attorneys pointed this out more than once. And each time she distinguished her use of the Blue Book as being related to work she did for the county vs.

She admitted that Kunkle never said anything about anyone getting reimbursed for campaign time. Littrell sent a reminder email using the county computers regarding the Fuddrucker lunch.

Walpole pointed out during his cross that if the Blue Book system was so secret, why did they talk about it openly and freely during lunch hour at a popular restaurant? Sometimes so many people would be out of the office working on the campaign that there were not enough people for the office to function properly.

There has never been a delay, in my experience — MC]. On cross, Walpole asked her WHO complained about the service. Hazard ratios were estimated by Cox proportional hazards regression. Adverse events and serious adverse events were graded per standard criteria. Results In total, women mean [SD] age, Patients achieving a total pathologic complete response had longer event-free survival and higher 6-year overall survival rates than those with residual disease.

Incidence of adverse events of [ Conclusions and Relevance This final analysis of the HannaH trial further confirms the comparable efficacy and safety of subcutaneous and intravenous trastuzumab and highlights the suitability of subcutaneous trastuzumab as an alternative route of administration for patients with ERBB2-positive early breast cancer. Trial Registration ClinicalTrials. Subcutaneous trastuzumab may offer several advantages compared with intravenous trastuzumab, including shorter treatment times, a reduction in the use of health care resources, increased convenience for patients, and greater patient preference.

The 2-year follow-up analyses demonstrated similar 3-year event-free survival EFS rates 6 and confirmed the comparability of the safety profiles for subcutaneous trastuzumab and intravenous trastuzumab observed in the primary analysis.

In this final analysis of the HannaH trial, we report the long-term efficacy and safety outcomes at a median follow-up of approximately 6 years. We also examine the effect of hormone receptor status and total pathologic complete response tpCR; absence of invasive neoplastic cells in the breast and ipsilateral axillary lymph nodes, regardless of ductal carcinoma in situ status on long-term efficacy.

The HannaH trial was an open-label, prospective, multicenter, international, neoadjuvant-adjuvant, randomized, phase 3 noninferiority clinical trial. Details of the study design have been published 5 and can also be found in Supplement 1.

The study was performed in accordance with the Declaration of Helsinki 10 and Good Clinical Practice guidelines. Approval for the study protocol and all material provided to the patients was obtained from the independent ethics committees at the participating institutions. All patients provided written informed consent. After surgery, patients received an additional 10 cycles of subcutaneous trastuzumab or intravenous trastuzumab according to their initial randomization in the adjuvant setting to complete 1 year of trastuzumab-based anti-ERBB2 therapy.

The coprimary end points were serum trough concentration predose cycle 8 and pathologic complete response of patients receiving subcutaneous trastuzumab vs those receiving intravenous trastuzumab. Target sample sizes and power calculations for the primary analysis have been reported. Efficacy analyses were conducted for all patients in the intention-to-treat population who had at least 1 efficacy assessment after the first administration of the study drug.

Hazard ratios HRs from timewise comparisons of results are unstratified and were estimated by Cox proportional hazards regression. Adverse events AEs were graded per standard criteria. Of the enrolled patients from 81 centers across 24 countries between October 19, , and December 1, , 5 were randomized to receive subcutaneous trastuzumab and were randomized to receive intravenous trastuzumab. At the clinical cutoff January 24, , the median duration of follow-up was 5.

Event-free survival was similar among patients treated with subcutaneous trastuzumab and those treated with intravenous trastuzumab who achieved a tpCR HR, 1. Six-year OS rates were also higher among patients who achieved tpCR compared with those with residual disease Figure , D.

Given the similarity of the associations between tpCR and EFS within each study group, the groups were pooled for further exploratory analyses. The EFS benefit for patients achieving tpCR compared with patients with residual disease after neoadjuvant treatment was evident both for patients with hormone receptor—positive and hormone receptor—negative disease Table 1.

Similar results were seen for patients by estrogen receptor status alone. Overall rates of AEs of [ The incidence of cardiac AEs was low and was similar for patients treated with subcutaneous trastuzumab and patients treated with intravenous trastuzumab 44 of [ To our knowledge, the HannaH trial is the largest randomized clinical trial investigating the use of subcutaneous trastuzumab and intravenous trastuzumab for patients with ERBB2-positive EBC.

Event-free survival and OS results after 6 years of follow-up continue to support the noninferiority of subcutaneous trastuzumab to intravenous trastuzumab observed in the primary analysis. The limitations of the study include the small and unbalanced sample sizes used in the subgroup analyses. In addition, the exploratory subgroup analyses were not preplanned. This final analysis of the phase 3 HannaH trial further supports the long-term comparability of the efficacy and safety of subcutaneous trastuzumab and intravenous trastuzumab, consistent with previous reports from this study.

Published Online: April 18, Author Contributions: Mr Meyenberg and Dr Heinzmann had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

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