This application from the State University of New York (SUNY) responds to the NINDS RFA to participate as a Clinical Site in the Network for Excellence in Neuroscience Clinical Trials (NEXT). We have brought together the 4 SUNY Academic Health Centers (AHC), their local and diverse communities, and their liaisons with industry and hospital and clinic networks. This will insure a robust and accessible infrastructure to facilitate rapid development and implementation of protocols in neurological disorders affecting adult and pediatric populations. By combining 4 SUNY campuses into one application, we have created an innovative and very large network of patients with extremely diverse ethnic and racial backgrounds that will facilitate a sustained and powerful influence on neurological clinical trial performance leading to a faster pipeline to phase 3 trials. Momentum for successful SUNY cross-campus projects has increased dramatically over the past several years with key leadership forming and supporting the formation of SUNY REACH via institutional hard dollars and grants. There is now significant support and collaborative activities for neurological diseases within the SUNY REACH and this SUNY NEXT proposal will further enhance infrastructure and expand our SUNY Clinical Trials Network. We have built this network and continue to refine it to provide a comprehensive array of disease-specific expertise (adult and pediatric neurologic specialists and subspecialists), clinical trial expertise and experience including trial coordinators, clinical/translational research infrastructure, institutional commitment, and ongoing/expanding community-based advice and research. Our network can coordinate a large, geographically diverse cadre of specialist investigators to implement studies efficiently in response to disease-specific opportunities. We also have a group of junior/new clinical trialists, including under-represented minority investigators, who we will train in the performance of neurology clinical trials. We will explore, given our expertise and connectivity in telemedicine, the feasibility of performing clinical trials to more remote, smaller sites affiliate with the SUNY NEXT to gain greater representation of rural Americans into clinical trials. Our success will shift paradigms for collaborative structuring of clinical trials and ultimately improv public health.

Public Health Relevance

The burden of neurological disease is great and treatments are needed to reduce morbidity and mortality. We proposed a 4 campus network combining breadth and depth of neurological expertise to test new treatments in a large NINDS multi-center consortium. We bring a experienced clinical trialists with a highly diverse patient population.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Cooperative Clinical Research--Cooperative Agreements (U10)
Project #
5U10NS077378-07
Application #
9293377
Study Section
Special Emphasis Panel (ZNS1)
Program Officer
Cordell, Janice
Project Start
2011-09-30
Project End
2018-06-30
Budget Start
2017-07-01
Budget End
2018-06-30
Support Year
7
Fiscal Year
2017
Total Cost
Indirect Cost
Name
Suny Downstate Medical Center
Department
Neurology
Type
Schools of Medicine
DUNS #
040796328
City
Brooklyn
State
NY
Country
United States
Zip Code
11203
Sharma, Mohit; Helzner, Elizabeth; Sinert, Richard et al. (2016) Patient characteristics affecting stroke identification by emergency medical service providers in Brooklyn, New York. Intern Emerg Med 11:229-36
Law, Susan W; Levine, Steven R (2016) Stroke. Support for IV tPA in ischaemic stroke in elderly people. Nat Rev Neurol 12:8-9
Brandler, Ethan S; Sharma, Mohit; McCullough, Flynn et al. (2015) Prehospital Stroke Identification: Factors Associated with Diagnostic Accuracy. J Stroke Cerebrovasc Dis 24:2161-6
Balucani, Clotilde; Bianchi, Riccardo; Feldmann, Edward et al. (2015) To treat or not to treat? Pilot survey for minor and rapidly improving stroke. Stroke 46:874-6
Lederman, Yitzchok S; Balucani, Clotilde; Lazar, Jason et al. (2014) Relationship between QT interval dispersion in acute stroke and stroke prognosis: a systematic review. J Stroke Cerebrovasc Dis 23:2467-78
Levine, Deborah A; Walter, James M; Karve, Sudeep J et al. (2014) Smoking and mortality in stroke survivors: can we eliminate the paradox? J Stroke Cerebrovasc Dis 23:1282-90
Tark, Brian E; Messe, Steven R; Balucani, Clotilde et al. (2014) Intracerebral hemorrhage associated with oral phenylephrine use: a case report and review of the literature. J Stroke Cerebrovasc Dis 23:2296-300
Gropen, Toby I; Gokaldas, Reshma; Poleshuck, Rebecca et al. (2014) Factors related to the sensitivity of emergency medical service impression of stroke. Prehosp Emerg Care 18:387-92
Rao, Neal M; Levine, Steven R; Gornbein, Jeffrey A et al. (2014) Defining clinically relevant cerebral hemorrhage after thrombolytic therapy for stroke: analysis of the National Institute of Neurological Disorders and Stroke tissue-type plasminogen activator trials. Stroke 45:2728-33
Brandler, Ethan S; Sharma, Mohit; Sinert, Richard H et al. (2014) Prehospital stroke scales in urban environments: a systematic review. Neurology 82:2241-9

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