Lisa Benincosa, PhD
SVP,
Clinical Pharmacology Strategy
Neurological clinical trials face a range of unique challenges due to the complexity of the peripheral and central nervous systems, the intricate nature of neurological diseases, and the complexity of measuring neurological and psychiatric outcomes. Memory and other cognitive impairments, behavioural abnormalities, reduced motor capability, and sensory deficiencies, all create a high burden on patients as well as the caregivers on whom many are dependent.
For more than 30 years, Allucent has been at the forefront of neuroscience clinical development projects worldwide, involving over 140 clinical trials in more than 40 indications, bringing hope and breakthrough treatments to countless patients suffering from neurological disorders.
Neurological clinical development requires the specialized services and solutions of a neuroscience CRO to ensure a comprehensive regulatory strategy, a robust study design, effective patient-focused recruitment strategies, and industry-leading technology solutions.
ACE: Neuroscience and Psychiatry offers cross-functional expertise through clinical pharmacology experts, regulatory strategists, biostatistical consultants, medical affairs, and operational experts, who share your deep commitment to developing therapies for neurodegenerative, neurological, rare neurological, pain, and psychiatric conditions.
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Neurological clinical trials face challenges like navigating evolving regulatory guidelines, obtaining informed consent in vulnerable populations, and defining meaningful endpoints while managing confounders like placebo response, all essential for compliance and trial success.
Allucent interacts extensively with international regulatory agencies to stay updated with the requirements and developments in neurological, pain, and psychiatric trials and treatments, in order to navigate the unique challenges these trials present including:
Neurological clinical trials encompass a wide range of complex design challenges ranging from the assessment of brain penetration to enable translational PK/PD for dose selection, to high placebo response in certain psychiatric indications and pain, necessitating careful training and control measures. Neurological and psychiatric trials also often require multiple subjective assessment scales, demanding standardized and extensive rater training. Additionally, increasing use of invasive drug administration and fluid biomarker sampling, along with specialized imaging, further complicate trial execution and design.
The combined expertise of Allucents clinical pharmacology experts, regulatory strategists, biostatistical consultants, and medical affairs team provide robust and efficient design recommendations, from first-in-human neurological and psychiatric studies through to pivotal trials. This includes defining appropriate and clinically meaningful endpoints, dose optimization, managing placebo response, and supporting long-term follow-up to maximise quality and impact of the research, ultimately leading to better patient outcomes and more effective treatments.
Allucent has establish relationships with site and hospital networks worldwide with experience and expertise in conducting neurological clinical trials across all phases of development, including those requiring complex neuroimaging and neurophysiological monitoring by radiologists and neuroimaging specialists for image acquisition, interpretation, and protocol development.
Ensuring diverse, representative patient populations in neuroscience trials is often required by regulators but may pose challenges to patient recruitment, particularly in rare neurological conditions. Additionally, many of these trials require prolonged follow-up periods, which may result in loss of study subjects over time.
Our Dedicated Patient Engagement Team offers tailored strategies to support patient recruitment, consent, engagement, diversity and compliance, working across neurological, pain and psychiatric conditions. To ensure patient participation is more accessible and less burdensome Allucent implements on-site, decentralized, and hybrid trial designs such as those that include DCT. By utilizing remote assessments, wearables, eCOAs, reliable caregivers, and site networks we can further enhance recruitment and retention strategies and improve trial success.
Allucent has an established list of industry leading preferred partners providing technology solutions that collectively enhance the design, implementation, and management of neuroscience clinical trials, including:
Our partners provide streamlined and efficient collaboration, ensuring patient safety and resulting in exceptional data quality.
Allucent has conducted a wide range of neuroscience clinical trials, from early phase trials where dose escalation was dependent on repeated CSF sampling and neuroimaging, to worldwide Phase III trials with various interim analyses or adaptive designs.
140+
Studies
1,950+
Sites
15,450+
Patients
680+
Consulting Projects
All-time years of experience
With global breadth and depth across a wide range of neuroscience & psychiatric indications, Allucent partners with biotech companies to bring innovative therapies to light.
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