Protocol for Deferral of Consent in Acute Stroke Trials
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Article Information
- Received June 10, 2022
- Accepted in final form September 23, 2022
- First Published November 22, 2022.
Article Versions
- Previous version (November 22, 2022 - 12:45).
- You are viewing the most recent version of this article.
Author Disclosures
- Hannah Faris, BSc,
- Brian Dewar, MLIS,
- Mark Fedyk, PhD,
- Dar Dowlatshahi, MD, PhD, FRCPC,
- Bijoy Menon, MD, MSc,
- Richard H. Swartz, MD,
- Michael D. Hill, MD, MSc, FRCPC and
- Michel Shamy, MD, MA, FRCPC
- Hannah Faris, BSc,
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- Brian Dewar, MLIS,
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- Mark Fedyk, PhD,
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- Dar Dowlatshahi, MD, PhD, FRCPC,
Astra Zeneca Canada
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International Journal of Stroke
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(1) Heart & Stroke Foundation of Canada
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- Bijoy Menon, MD, MSc,
Biogen, Neurostasis, (Commercial)
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Associate Editor, Journal of Stroke
A patent for triaging systems in ischemic stroke
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1. Commercial Entity (Circle NVI).
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Research funding from 1) Canadian Institute of Health Research, 2) Heart and Stroke Foundation of Canada, 3) Alberta Innovates Health Solutions, 4) Hotchkiss Brain Institute and the 5) Faculty of Medicine, University of Calgary
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1) Commercial Entity Circle NVI, 20212)Neurostasis (Commercial), 2022
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- Richard H. Swartz, MD,
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Founder, owner, FollowMD Inc., a virtual vascular risk reduction clinic.
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Grant and personnel funding from (1) Heart and Stroke Foundation of Canada, (2) Canadian Institute of Health Research (CIHR), (3) Ontario Brain Institute, (4) Department of Medicine at Sunnybrook Health Sciences Centre and the University of Toronto, (5) SE Black Centre for Brain Resilience and Recovery.
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- Michael D. Hill, MD, MSc, FRCPC and
Commercial (paid activities)Tenecteplase Advisory Board - Boehringer Ingelheim 2019-currentBrainsgate Advisory Board - 2021-2022Academic studies (unpaid activities)ONCOVIR study - DSMB chair - ongoingSELECT2 study - medical safety monitor - ongoingDUMAS study DSMB - chair - ongoingARCADIA study - medical safety monitor - ongoingBRAIN-AF study DSMB - ongoingARTESIA study DSMB - ongoingTIPS trial DSMB chair - ongoingPLUTO study - DSMB - ended 2021RACECAT study DSMB - chair - ended 2020
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Editorial board - Stroke (ongoing), Can J Neurological,Sciences (ongoing), Precision Medicine (ongoing), International Journal of Stroke (Associate Editor - ended Sep 2020)
Patent granted.62/086,077Systems and Methods for Assisting in Decision-Making and Triaging for Acute Stroke Patients
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Canadian Stroke Consortium - Director - ongoing [Not-for-profit sector, volunteer]Canadian Neuroscience Federation - 2012-2020Board of Directors, 2021-current (Chair) [Not-for-profit sector, volunteer]Circle NVI - 2019-2022 (completed) - Board of Directors (for profit sector)
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SUN Pharma - adjudication committee for clinical trials outcomes. Paid work. [For profit sector]
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Grant funding from industry - Hoffmann-La RocheCanada 2004 & 2009, Bayer Canada 2007, Merck Canada 2003-2007, Covidien(Medtronic) 2013-2017, Boehringer-Ingelheim 2016-present, Stryker 2017-2020, NoNO Inc 2019-present, Biogen 2019-present, Medtronic 2022-ongoing
NIH (NINDS) (2001-ongoing)CIHR (1999-ongoing) (Public funding sector)Alberta Innovates Health Solutions 2014-ongoing (Public funding sector)Heart & Stroke Foundation Canada (Public funding sector)
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Heart & Stroke Foundation Alberta (1999-2020) [Charitable funding sector]
Circle NVI
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Pure Web (private company - hold stock)Basking Neuroscience (stock options)
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- Michel Shamy, MD, MA, FRCPC
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(1) The Neurohospitalist, associate editor, 2017-2022
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New Frontiers in Research Fund Project Grant 2022-2023Role: PIFeasibility of Advance Consent for Acute Stroke Trials$232,000No relation to this projectCIHR SPOR Grant 2021-2022Role: PIAdvance Consent for Acute Stroke Trials$98,000No relation to this projectCIHR Project Grant 2019-2022Role: Co-IAcT Quicr Trial - indirectly related to this paper - no specific funding for this work$1.7 million
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- From the Ottawa Hospital Research Institute (H.F., B.D., D.D., M.S.), Ottawa, Ontario, Canada; School of Medicine (M.F.), University of California, Davis; Department of Medicine (D.D., M.S.), University of Ottawa & the Ottawa Hospital, Ontario; Department of Clinical Neurosciences (B.M., M.D.H.), University of Calgary and Calgary Stroke Program, Alberta; and Department of Medicine (R.H.S.), University of Toronto & Sunnybrook Health Sciences Centre, Ontario, Canada.
- Correspondence
Dr. Shamy mshamy{at}toh.ca
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- Abstract
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- Introduction
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- Guidelines for Deferral of Consent: Canada, the United States, and the European Union
- Recent Experiences With Deferral of Consent in Stroke Trials
- How to Apply Deferral of Consent: A 6-Step Operationalized Approach
- Conclusion
- Study Funding
- Disclosure
- Appendix Authors
- Footnotes
- References
- Figures & Data
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