Handbook of Neuroemergency Clinical Trials, Second Edition, focuses on the practice of clinical trials in acute neuroscience populations, or what have been called neuroemergencies. Neuroemergencies are complex, life-threatening diseases and disorders, often with devastating consequences, including death or disability. The overall costs are staggering in terms of annual incidence and costs associated with treatment and survival, yet despite their significance as public health issues, there are few drugs and devices available for definitive treatment. The book focuses on novel therapies and the unique challenges their intended targets pose for the design and analysis of clinical trials. This volume provides neurologists, neuroscientists, and drug developers with a more complete understanding of the scientific and medical issues of relevance in designing and initiating clinical development plans for novel drugs intended for acute neuroscience populations. The editors provide the best understanding of the pitfalls associated with acute CNS drug development and the best information on how to approach and solve issues that have plagued drug development.
ACUTE ISCHEMIC STROKE 1. Acute Ischemic Stroke 2. Subarachnoid Hemorrhage 3. Clinical Trials in Spontaneous Intracerebral Hemorrhage 4. Imaging Biomarkers in Stroke Trials TRAUMATIC BRAIN INJURY 5. Traumatic Brain Injury 6. Improving approaches to evaluate efficacy and safety of drugs for traumatic brain injury 7. Brain Imaging in Traumatic Brain Injury 8. The Use of Blood-Based Biomarkers to Improve the Design of Clinical Trials of Traumatic Brain Injury 9. Biostatistical Issues in TBI Clinical Trials SEIZURE EMERGENCIES 10. Acute Seizures and Status Epilepticus 11. Post-traumatic Seizures NONTRAUMATIC NEUROEMERGENCIES 12. Neuroemergencies in Critical Care Patients 13. Neuro-Emergency Clinical Trials: Migraine 14. Acute Visual Deficits DEVICES FOR NEUROEMERGENCIES 15. Implications for new trials in acute ischemic stroke in the new era of endovascular therapy KEY ISSUES IN NEUROEMERGENCY CLINICAL TRIALS 16. The Role of a Project Medical Officer in Acute Neuroemergency Clinical Studies 17. Regulatory Considerations 18. Military Perspectives on Brain Injuries: Implications for Clinical Trials