Table 2

Questions that enable the interpretation of experimental findings on neuroprotection

1.Is the protection a consequence of modifying the insult?
2.Is the protection the result of ameliorating the processes of neurodegeneration that have been induced?
3.In what way is the insult in the model similar to those seen in clinical practice?
4.Is the experimental paradigm weighted toward a particular type of ischaemia induced pathology?
5.Do we know that the agent is getting to the site where we think its mechanism of action takes place?
6.Do we understand the mechanism by which a drug or agent is acting in a given experimental model?
7.Does the ability to protect neurons in one animal model extrapolate to similar activity in other animal models?
8.Has there been sufficient preclinical data, using appropriate species?
9.Does the experimental end point translate to a clinically relevant end point?
10.What are the effects of the drug in the human being? Can it cross the blood-brain barrier? How is it metabolised? What are the interactions? Is it protein bound? etc.