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By, venkatachalapathi.s
Cerebrospinal fluid (CSF) sampling
Abstract:
● Sampling of cerebrospinal fluid (CSF) is an
essential step for early-phase drug development
studies, and particularly for studies in neurology.
● In addition, CSF biomarkers are vital for
indicating pharmacodynamic action of CNS drugs in
clinical trials, as well as providing an excellent
basis for go/no go decisions in the drug
development process.
Lumber puncture;
What CHDR Offers?
● Extensive experience in early-phase clinical trials
involving healthy volunteers and patients with a variety
of conditions, especially neurodegenerative diseases
● Capacity to conduct numerous lumbar punctures (~300 single
punctures per year) in our Clinical Research Unit
● Excellent quality of CSF collection with high success rate
and less than 2% post-puncture headache
● An experienced and highly-trained team of physicians and
two in-house neurologists assisted by dedicated nursing
staff
● Expertise and support from the department of
anaesthesiology of our partner hospital, the Leiden
University Medical Center
● 24/7 pharmacy and bioanalytical laboratory facilities
CSF sampling
techniques applied
at CHDR
CHDR has experience with
intrathecally
administered drugs and
long-term CSF sampling
in healthy subjects and
patient populations.
Techniques:
1.Single lumbar puncture:
- Performed under local
anaesthesia
- Used for direct PK and/or
PD assessments in the CNS
compartment, as well as for
intrathecal drug
administration
2.Continuous sampling with
spinal catheter:
- Performed under local
anaesthesia
- Used when serial CSF
sampling is needed for
pharmacokinetic and/or
pharmacodynamic profiling
Infectious diseases:
Viruses, bacteria, fungi, and parasites can all
infect the CNS. Certain infections can be found by
CSF analysis. Common CNS infections include:
● meningitis
● encephalitis
● tuberculosis
● fungal infections
● west Nile virus
● eastern equine encephalitis virus (EEEV)
Interpreting your test results
Normal results mean that nothing abnormal was found in
the spinal fluid. All measured levels of CSF components
were found to be within normal range.
Abnormal results may be caused by one of the following:
● a tumor
● metastatic cancer
● hemorrhaging
● encephalitis, which is an inflammation of the brain
● an infection
● inflammation
THANK YOU!!!

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Cerebrospinalfluid(CSF) sampling

  • 2. Abstract: ● Sampling of cerebrospinal fluid (CSF) is an essential step for early-phase drug development studies, and particularly for studies in neurology. ● In addition, CSF biomarkers are vital for indicating pharmacodynamic action of CNS drugs in clinical trials, as well as providing an excellent basis for go/no go decisions in the drug development process.
  • 4. What CHDR Offers? ● Extensive experience in early-phase clinical trials involving healthy volunteers and patients with a variety of conditions, especially neurodegenerative diseases ● Capacity to conduct numerous lumbar punctures (~300 single punctures per year) in our Clinical Research Unit ● Excellent quality of CSF collection with high success rate and less than 2% post-puncture headache ● An experienced and highly-trained team of physicians and two in-house neurologists assisted by dedicated nursing staff ● Expertise and support from the department of anaesthesiology of our partner hospital, the Leiden University Medical Center ● 24/7 pharmacy and bioanalytical laboratory facilities
  • 5. CSF sampling techniques applied at CHDR CHDR has experience with intrathecally administered drugs and long-term CSF sampling in healthy subjects and patient populations.
  • 7. 1.Single lumbar puncture: - Performed under local anaesthesia - Used for direct PK and/or PD assessments in the CNS compartment, as well as for intrathecal drug administration 2.Continuous sampling with spinal catheter: - Performed under local anaesthesia - Used when serial CSF sampling is needed for pharmacokinetic and/or pharmacodynamic profiling
  • 8. Infectious diseases: Viruses, bacteria, fungi, and parasites can all infect the CNS. Certain infections can be found by CSF analysis. Common CNS infections include: ● meningitis ● encephalitis ● tuberculosis ● fungal infections ● west Nile virus ● eastern equine encephalitis virus (EEEV)
  • 9. Interpreting your test results Normal results mean that nothing abnormal was found in the spinal fluid. All measured levels of CSF components were found to be within normal range. Abnormal results may be caused by one of the following: ● a tumor ● metastatic cancer ● hemorrhaging ● encephalitis, which is an inflammation of the brain ● an infection ● inflammation