Handbook of Neuroemergency Clinical Trials

Edited by

  • Brett Skolnick, Novo Nordisk Pharmaceuticals, Inc., Princeton, NJ, USA
  • Wayne Alves, Valeant Pharmaceuticals Inc., Costa Mesa, CA, USA
  • Brett Skolnick, Novo Nordisk Pharmaceuticals, Inc., Princeton, NJ, USA

During the 1990’s, scientific advances in understanding the mechanisms and pathophysiology of acute central nervous system injury were offset by a history of disappointing results from Phase III clinical trials of novel neuroprotective drugs. Numerous novel compounds were “tested,” and seemingly fell by the wayside. This book is intended to focus on novel therapies and the unique challenges their intended targets pose for the design and analysis of clinical trials. The authors explore the issues facing research in this area and the strategies that might lead to future success in this critical area of unmet medical need. It represents a compendium of information gained from over 20 years of clinical trial experience in areas of acute neurology and neurosurgery. From the knowledge of clinical assessment using standardized tools, to the intricate design of difficult hyper-acute neuroemergencies trials, the reader will benefit from the authors’ perspectives.
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Book information

  • Published: December 2005
  • Imprint: ACADEMIC PRESS
  • ISBN: 978-0-12-648082-5


Table of Contents

STROKE AND TRAUMA1. Acute Ischemic Stroke (Christopher Bladin, Stephen Davis) 2. Subarachnoid Hemorrhage (Nader Pouratian, Aaron S. Dumont, Neal F. Kassell) 3. Spontaneous Intracerebral Hemorrhage (Michael D. Hill) 4. Traumatic Brain Injury (Lawrence F. Marshall, Wayne Alves) CENTRAL NERVOUS SYSTEM EMERGENCIES5. Acute Seizures and Status Epilepticus (Susan T. Herman) 6. Clinical Trials in Neuro-opthamology (Laura Balcer, Madhura A. Tamhankar) 7. Brain Resuscitation (Edwin M. Nemoto)8. Clinical Trials in Brain Injury after Cardiac Arrest (Romergryko G. Geocadin, Daniel F. Hanley)SPECIAL ISSUES IN ACUTE NEUROSCIENCE CLINICAL TRIALS9. Efficient Dose-Response Finding Strategies for Acute Neuroemergency Treatments (Tom Parke, Michael Krams, Peter Mueller, Don Berry)10. Biostatistical Issues in Neuroemergency Clinical Trials (Wayne M. Alves) 11. Data and Safety Monitoring Boards (Brett Skolnick) 12. Role of the Project Medical Officer (Joseph Kwentus) 13. Ethical Considerations (Wayne Alves) PERSPECTIVES ON NEUROEMERGENCY DRUG DEVELOPMENT14. Industry Perspective on Drug Development (Thomas C. Wessel, Chris Gallen) 15. Regulatory Considerations (Lisa Travis)