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Book Cover
E-book
Author Ravina, Bernard.

Title Clinical Trials in Neurology : Design, Conduct, Analysis
Published Cambridge : Cambridge University Press, 2012
Online access available from:
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Description 1 online resource (388 pages)
Series Cambridge medicine
Cambridge medicine (Series)
Contents Cover; Clinical Trials in Neurology: Design, Conduct, Analysis; Title; Copyright; Dedication; Contents; Contributors; Preface; Audience; Organization and terminology; Disclaimer; Acknowledgements; Section 1: The role of clinical trials in therapy development; Chapter 1: The impact of clinical trials in neurology; Overview; The burden of neurological disease is growing globally; Clinical investigations can have a substantial public health impact; Developing new and novel drugs is increasingly difficult; Developing neurotherapeutics has its own set of challenges
Identifying and creating compounds with optimal CNS pharmaceutical propertiesHow can biomarkers and CNS exposure measurements mitigate the risks of CNS drugdevelopment?; Biomarkers; Measuring CNS exposure and target engagement; Measuring biological effects of a therapeutic; Conclusions; References; Section 2: Concepts in biostatistics and clinical measurement; Chapter 4: Fundamentals of biostatistics; Statistical formulation of clinicalquestions; General principles of the design of controlled clinical trials; Primary outcome; Secondary and exploratory outcomes; Study population
Non-compliance and dropoutRandom error; Operations manual and training; Data entry and audit; Centralization of operations; Case report forms; On-site monitoring; Analysis of study data; Bias; Intention-to-treat; Eligibility assessment; Random error; Stratification factors; Adjustment for covariates; Interpretation of study results; Bias; The multiple comparisons problem; Subsets; Interim analyses; Methods to account for multiple comparisons; Pre-specification of analytical plan; Random error; Summary; References; Some useful population distributions; The normal and t distributions
Reference populationProjected timeline; Control group; Basic statistics for randomized clinical trials; Null and alternative hypotheses; The type I error, or 'a-level'; The type II error, or 'ß-level'; Statistical tests of significance; Sample size; Power; The p-value; Censoring; Log-rank test; Sample size formulae; Other considerations in calculating sample size; Bayesian statistics; References; Chapter 5: Bias and random error; Introduction; Study design; Bias; Random error; Sample size; Inclusion criteria; Study conduct; Bias; Allocation concealment; Blinded outcome evaluation
The scope of investigations for neurological treatments is growingConclusions; Acknowledgement; References; Chapter 2: The sequence of clinical development; Introduction; Early stage clinical development; Middle stage clinical development; Late stage clinical development; Important sources of information; Conclusions; References; Chapter 3: Unique challenges in the development of therapies for neurological disorders; Introduction; Why are CNS diseases difficult to treat?; Targets; Animal models of CNS biology and 'human disease'; Blood brain barrier and its impact on CNS drug development
Summary Comprehensive book that suggests ways to improve the efficiency of clinical trials and the development of interventions in the neurosciences
Notes Other considerations in analyzing clinical trial data: Missing data and imputation
Bibliography Includes bibliographical references and index
Notes Print version record
Subject Clinical trials.
Neurology -- Research -- Methodology.
Clinical Trials as Topic -- methods.
Nervous System Diseases -- therapy.
Drug Design.
Form Electronic book
Author Cummings, Jeff.
McDermott, Michael.
Poole, R. Michael
ISBN 0521762596
1139032445 (electronic book)
1139376586
1139379445 (electronic bk.)
9780521762595
9781139032445 (electronic book)
9781139376587
9781139379441 (electronic bk.)