Table 2. Revised STAIR Recommendations.
A. Candidate Treatment Qualification | |
Dose Response | Treatment effect varies with changes in dose |
Time Window | Treatment remains effective when administered after clinically relevant delay times |
Histological and behavioral outcomes | Beneficial effects can be demonstrated using measures of behavior and tissue damage |
Target Engagement | Candidate treatment reaches presumed target and causes expected physiological effects |
Barrier Penetration | Candidate treatment enters brain |
B. Preclinical Assessment and validation | |
Sample Size | Sample size should be pre-specified based on known or assumed standard deviation and predicted effect size |
Inclusion/Exclusion criteria | Effective MCA occlusion is confirmed using laser Doppler or other flowmetry or symptom severity |
Randomization | Animals are randomized prior to initiation of any study procedures |
Allocation concealment | Surgeon performing stroke remains unaware of treatment assignment |
Reporting on excluded animals | Subjects lost at each experimental step after randomization are summarized |
Blinded assessment of outcome | Investigators remain unaware of treatment assignment during all assessments |
Age | Consider effects of age on outcome |
Sex | Males and females should be assessed. Dose response differences between sexes should be determined |
Co-morbidities | Ideal models of stroke co-morbid conditions (e.g., diabetes or hypertension) need to be refined |
Multiple laboratories | Concordant effects should be demonstrated across multiple laboratories using similar methods. |
Gyrencephalic species | Demonstration of efficacy in gyrencephalic species, particularly non-human primates may contribute to predicting clinical efficacy |
Circadian Effects | Preclinical testing of therapies during the awake phase of rodent models should be considered. |
Reporting of investigator or institutional conflicts of interest | Investigator and institution conflicts are reported and managed |
NB: STAIR recommendations are not guidelines or protocols, but rather consensus suggestions from an expert panel for investigators to consider.