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FutureSearch Trials of Neurology & Sleep Lab 5508 Parkcrest Drive, Suite 310, Austin, TX 78731

FutureSearch Trials of Neurology & Sleep Lab 5508 Parkcrest Drive, Suite 310, Austin, TX 78731. Presented By Bobbie Theodore Alliance Director clinicaltrials@btheodore.com www.clinicaltrialcenters.com. Site Highlights. Dedicated Research Site – Established in 2000

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FutureSearch Trials of Neurology & Sleep Lab 5508 Parkcrest Drive, Suite 310, Austin, TX 78731

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  1. FutureSearch Trials of Neurology & Sleep Lab 5508 Parkcrest Drive, Suite 310, Austin, TX 78731 Presented By Bobbie Theodore Alliance Director clinicaltrials@btheodore.com www.clinicaltrialcenters.com

  2. Site Highlights • Dedicated Research Site – Established in 2000 • A full time research facility in Austin, TX, distinguished for expertise in Sleep Medicine • Large sleep practice and sleep lab on premises of research facility with 6 beds dedicated to research • Early Phase through Phase IV, including Proof of Concept, PK, Dose-Ranging, EEG monitoring • Central IRB • Large site database of 30,000 sleep disorder patients and large practice database of over 2,500 sleep, pain and neurology disorder patients, accumulated over the last 40 years of treatment • Capability to electronically send PSG reports via a secured server • Full time dedicated Site Recruitment Specialists meet targeted quality enrollment swiftly via database, community outreach, and established referral system • Full time Research, Regulatory, QA, Training & IT Staff

  3. Site Highlights • Facility • FutureSearch Trials Sleep Lab, is a 6-bed facility designed and fully outfitted specifically for clinical trials in operation 24 hours a day, 7 days/nights per week • Certified by both Clinilabs and Henry Ford Hospital Sleep Center for Sleep Study Collection and by Clinilabs for Electronic Data Transfer

  4. PI Highlights John Douglas Hudson, M.D. • Dr. Hudson is the Founder and President of Sleep Medicine Consultants and is the primary sleep specialist in the Austin, TX area. He maintains strong relationships with other area sleep disorder clinics, community hospitals, residential facilities, and physician practices for additional recruitment.  • Dr. Hudson has been a top enroller on PSG and outpatient sleep disorder studies for the past 9 years, enrolling approximately 10 subjects per month. He is a preferred pharma and CRO site. • Double Board Certified Neurology and Sleep Medicine • Principal Investigator and Private Practitioner • 40 years treatment experience, 9+ years Investigator Experience, 100+ clinical trials including sleep, pain and neurology disorders • PSG and Sleep Disorder Thought Leader – provides protocol training and consulting • Dr. Hudson’s neurology practice and sleep lab is located on premises of the FutureSearch research facility where he has conducted over 100 clinical trials • Adult and elderly PSG studies as well as outpatient, diary sleep studies.

  5. Staff Highlights • Highly Experienced Staff • Dr. Hudson’s sleep lab manager, Jim Spector, is a Registered Polysomnographic Technologist (RPSGT) and Certified Clinical Research Coordinator certified by both Clinilabs and Henry Ford Hospital Sleep Center as a scoring technologist, with 30 years experience, and more than 5 years experience conducting PSG clinical trials. • Technicians are trained in Good Clinical Practices and Sleep Study Procedures, and undergo study specific training on a monthly basis • Masters, Ph.D., and M.D. level Clinical Raters with experience in a variety of sleep, pain and movement scales • Experienced full time dedicated Certified Clinical Research Coordinators including 2 RNs, 2 MDs and a PA who serve as Sub-I’s • Extensive experience using and instructing patients in the use of Actigraphy

  6. Trial Experience • Sleep Disorders50+ studies, inpatient PSG and outpatient 10+ PSG studies – insomnia, restless legs syndrome 50+ Sleep Disorder studies – insomnia, narcolepsy, OSA, shift worker, restless legs syndrome, non-restorative sleep, delayed sleep phase syndrome, excessive sleepiness associated with OSA/Hypopnea with Comorbid MDD or Dysthymic Disorder • Pain & Neurology35+ studies, broad range of indications 30+ Pain studies – fibromyalgia, diabetic neuropathy, post herpetic neuralgia, low back pain 8+ Neurology studies – Parkinson’s, epilepsy, Multiple Sclerosis, TBI • Other5+ studies, broad range of indications 5+ Other – COPD, tinnitus, Pharmacogenomics, flexible dose, stuttering, PDS

  7. Additional Interests & Experience • Phase I • Dr. Hudson is interested in Phase I Studies and has been Investigator on 15-20 PK studies (pharmacokinetics), 1-5 PD studies (pharmacodynamics), 15-20 PG studies (pharmacogenomics) • Pain Stimulation • Experience with testing auditory thresholds during sleep • Experience with hundreds of patients in sleep lab who suffer from pain syndromes • Understand the relationship between pain and sleep staging and arousal patterns • Understand how to measure arousals and alterations of sleep architecture • End Stage Renal Disease from a Sleep or RLS standpoint • Affiliated with a Large Outpatient Renal Dialysis Unit • Two Urologists to serve as Sub-Is • Autonomic Dysfunction and Hypertension in RLS patients • Experience and understanding of issues with autonomic testing of sleep patients

  8. Device Experience Dr. Hudson has been in the sleep world since 1979 when CPAP first came on the scene. His site has tested various CPAPs and designed their own polysomnogram unit, as there was nothing of its kind commercially available at the time. He began utilizing the Vagal Nerve Stimulator for epilepsy patients in the 1980s and has about 25 patients with the devices implanted. While the device is not for sleep, a recent report shows that VNS often worsens sleep apnea. They are, therefore, more attentive to that issue. Currently, VNS is being studied to treat fibromyalgia and FutureSearch has done many fibro trials. All FutureSearch staff are familiar with the VNS and know how to interrogate and adjust the settings. Dr. Hudson has done penile tumescent sleep studies for male impotence using a variety of devices, and has been involved with the devices used to more or less microwave the soft palate in hopes it would help obstructive sleep apnea (somnoplasty). FutureSearch has also tested Alpha Stim/ Cerebral Electrical Stimulation

  9. Testimonials • Hello all, • I just wanted to congratulate you on your screening efforts so far for the XXX study. Based on XXX, it looks like your site has screened 21 subjects through today. That puts your site as one of the highest screening sites in the study. • We appreciate all the work you have done so far. Your site continues to be responsive to emails and phone calls. Also, your data is entered into the XXX in a timely manner and the queries are addressed quickly. • Thanks again and please let me know if you need anything. • Sincerely, • xxx, Clinical Research Associate • Dear Dr. Hudson,I hope you are doing well. I was reviewing the XXX-sponsored trial enrollment numbers in my region (So. Texas), and I was impressed with your enrollment numbers in the XXX Polysomnography study (XXX). I just wanted to say thank you so much for all of the hard work by you and your staff!Sincerely,xxx, PharmDSr. Regional Medical Scientist, Neuroscience/UrologyClinical Development & Medical Affairs • Dr. Hudson, Jessie and Kevin, • We are impressed with your site’s level of activity! We talk of you often to the sponsor. We are glad that we chose you as a site to participate in this study. We are tracking on timelines for the end of enrollment. We would not be able to do that if it were not for sites like yours. • Kind regards, • xxx, RN MSN, Clinical Trial Manager

  10. Rating Expertise Includes: Certified, experienced raters, including M.D., Ph.D. and M.A.-level

  11. Research Quality • Organizational Commitment • Dedicated internal QA function at each site • Site-based internal training programs • Publications, advisory board membership and protocol consulting roles • Outcomes • Numerous Sponsor and CRO audits with favorable feedback • Separation from placebo • Top enroller sleep disorders and RLS

  12. Sleep Sample Metrics *Sponsor approved site to enroll more elderly patients as they exceeded their target

  13. Sleep Sample Metrics (cont’d)

  14. Sleep Sample Metrics (cont’d) Additional therapeutic area metrics available upon request

  15. Recent Sleep Protocols A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Polysomnography Study to Evaluate the Safety and Efficacy of XXX in [adults and] Elderly Patients with Primary Insomnia A Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Tolerability of XXX Treatment in Improving Clinical Condition Late in the Shift and in Improving Functional and Patient-Reported Outcomes in Adult Patients With Excessive Sleepiness Associated With Shift Work Disorder A Fixed Dose Randomized, Double-blind, 12-Week Study of XXX in Subjects with Moderate to Severe Idiopathic Restless Legs Syndrome A 12 week, randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Fixed-Dosage, Study to Evaluate the Efficacy and Safety of XXX as Treatment for Patients With Excessive Sleepiness Associated With Mild or Moderate Closed Traumatic Brain Injury A Randomized Phase II, Double-blind, Placebo-controlled, Multi-center Crossover Study of XXX as a Daily Treatment for Excessive Daytime Sleepiness (EDS) Associated with Narcolepsy A Randomized Double-Blind, Placebo-Controlled, 3-Way Crossover, Multicenter Polysomnography Study of XXX and XXX in Adults with Restless Legs Syndrome

  16. Curriculum Vitae

  17. Contact Info • Website: www.clinicaltrialcenters.com • For more information please contact Alliance Team: Bobbie Theodore – Alliance Director clinicaltrials@btheodore.com email (866) 669-0234 or (916) 939-6696 Annie Speno – Operations Manager annie@btheodore.com email 916-934-0569 phone / 866-745-8708 fax Jeanette Caruso – Site Liaison & Budgets/Contracts Manager jeanette@btheodore.com email 916-933-3023 phone / 916-933-3097 fax

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