NINDS Clinical Trials in Stroke
- 1 December 2007
- journal article
- Published by Wolters Kluwer Health in Stroke
- Vol. 38 (12) , 3302-3307
- https://doi.org/10.1161/strokeaha.107.485144
Abstract
Since 1977 the National Institute of Neurological Disorders and Stroke (NINDS) at the National Institutes of Health (NIH) has sponsored 28 phase 3 trials to evaluate treatments of stroke, which when all completed will have randomized a total of 44 862 patients in the United States and other countries. NINDS stroke clinical trials have been successful in finding beneficial and cost-effective treatments for cerebrovascular disease. Future trials are likely to be larger and have simpler designs which allow for the inclusion of more patients and which collect less data for each patient. In addition, measures of cognitive outcomes, particularly timed tests of executive function, disability scales, and quality-of-life outcomes will become more common. The stroke research community can take pride in the solid base of evidence that has been built over the past 2 decades. If we continue to follow the discoveries of science, continue to create new trial methodology, and increase participation in clinical trials, significant advances in the treatment of cerebrovascular disease will continue.Keywords
This publication has 20 references indexed in Scilit:
- Effect of Constraint-Induced Movement Therapy on Upper Extremity Function 3 to 9 Months After StrokeJAMA, 2006
- Effect of a US National Institutes of Health programme of clinical trials on public health and costsThe Lancet, 2006
- The Families In Recovery From Stroke Trial (FIRST): Primary Study ResultsPsychosomatic Medicine, 2004
- A Clinical Trial of Estrogen-Replacement Therapy after Ischemic StrokeNew England Journal of Medicine, 2001
- Low Molecular Weight Heparinoid, ORG 10172 (Danaparoid), and Outcome After Acute Ischemic Stroke: A Randomized Controlled TrialJAMA, 1998
- Tissue Plasminogen Activator for Acute Ischemic StrokeNew England Journal of Medicine, 1995
- A randomized trial of two doses of nicardipine in aneurysmal subarachnoid hemorrhageJournal of Neurosurgery, 1994
- A Randomized Clinical Study of a Calcium-Entry Blocker (Lidoflazine) in the Treatment of Comatose Survivors of Cardiac ArrestNew England Journal of Medicine, 1991
- Randomized Clinical Study of Thiopental Loading in Comatose Survivors of Cardiac ArrestNew England Journal of Medicine, 1986
- Failure of Extracranial–Intracranial Arterial Bypass to Reduce the Risk of Ischemic StrokeNew England Journal of Medicine, 1985