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Chapter 10 - Medical writing for CNS indications

Published online by Cambridge University Press:  05 July 2012

Amir Kalali
Affiliation:
University of California, San Diego
Sheldon Preskorn
Affiliation:
University of Kansas School of Medicine
Joseph Kwentus
Affiliation:
University of Mississippi
Stephen M. Stahl
Affiliation:
University of California, San Diego
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Summary

Medical writers play an important role in many phases of the clinical drug development process. Measures employed in central nervous system (CNS) studies include diagnostic, efficacy, quality of life (QoL), and safety measures. This chapter provides an overview of some commonly employed measures. The analysis and presentation of efficacy findings is driven by a study's statistical analysis plan. There has been growing attention to the increasing placebo effects noted with some CNS drugs, particularly with regard to antidepressant medications. Any safety concerns that are noted in pre-clinical or prior clinical studies using the investigational product may also be targeted for specific review. Antipsychotic medications have been associated with a number of side effects including lethargy, orthostatic hypotension, extrapyramidal side effects (EPS), tardive dyskinesia, neuroleptic malignant syndrome and QT interval prolongation. Increased efficiency is reflected in the change from paper to electronic submission of regulatory documents.
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Publisher: Cambridge University Press
Print publication year: 2012

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