title: The Right Therapy for Neurological Disorders: From Randomized Trials to Clinical Practice - Patients versus Investigator Expectations and Needs.
abstract: BACKGROUND
  People living with amyotrophic lateral sclerosis (ALS) are now more proactive in making decisions about their treatment options, in particular with increased awareness through social media and the Internet. Together with increased awareness about the disease comes increased frustration that there is still only one Food and Drug Administration (FDA)-approved drug that modestly improves survival.
  
  
  CONCLUSIONS
  While efforts are underway to improve clinical trial design, patient involvement in trial design, clinical outcomes, and risk/benefit evaluations have become more recognized and will play a major role in the future success of clinical trials. This chapter addresses the perspective of people living with ALS and their perceptions of clinical trials. We describe various organizations and programs available that provide increased education and patient involvement.
  
  
  CONCLUSIONS
  Stronger partnerships between those living with ALS, clinicians, government, nonprofit organizations, and regulatory agencies will significantly impact treatment development.
authors.forename: Lucie I
authors.initials: LI
authors.lastname: Bruijn
authors.forename: Steve
authors.initials: S
authors.lastname: Kolb
mesh_terms: D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D009422:Nervous System Diseases / Q000523:psychology* / Q000628:therapy*; D016032:Randomized Controlled Trials as Topic; D012108:Research Personnel / Q000523:psychology*