Annual Meeting November 6, 2015 Austin, TX

1. Annual Meeting November 6, 2015 Austin, TX

2. AGENDA • Welcome Dr. Steven Warach • Summary of Accomplishments Dr. Steven Warach • NASCare Dr. Mark Goldberg • V-STOP II Dr. Jane Anderson • LESTER Dr. Teddy Wu • American Heart Go Red Women Network Grant (and other plans) • Stroke Data Mapping Project Christy Ankrom • Public comments

3. Lone Star Stroke Consortium (LSS) Primary Objectives To improve the lives of Texans at risk for or suffering stroke. To establish a state-wide clinical research network linking academic health institutions with proven expertise in stroke research to community stroke centers. To conduct patient-centered research and therapeutic trials within Texas aimed at the prevention and treatment of stroke. Funding LSS is funded from the Texas State Legislature through DSHS Opportunities to leverage State funding for external grants in support of specific projects are being pursued.

4. Lone Star Stroke Consortium Operations and Structures Member Organizations Baylor College of Medicine Seton Healthcare Family Texas Tech Health Sciences Center Texas Council on Cardiovascular Disease and Stroke University of Texas Health Sciences Center Houston University of Texas Health Sciences Center San Antonio University of Texas Southwestern Medical Center University of Texas System

5. Lone Star Stroke Consortium Operations and Structures Executive Committee (EC) Baylor College of Medicine - Kent Seton Healthcare Family - Warach Texas Tech Health Sciences Center – Cruz-Flores Texas Council on Cardiovascular Disease and Stroke - Rutledge University of Texas Health Sciences Center Houston - Savitz University of Texas Health Sciences Center San Antonio - Brey UT Southwestern Medical Center - Goldberg University of Texas System - Hurn At Large - Grotta

6. Lone Star Stroke Consortium Operations and Structures Hub Coordinating Center – Principal Investigator Baylor College of Medicine - Kent Seton Healthcare Family - Warach University of Texas Health Sciences Center Houston - Savitz University of Texas Health Sciences Center San Antonio - Brey University of Texas Southwestern Medical Center – Goldberg • Five Hub Coordinating Centers • Four Spoke Centers per Hub identified • 25 Total enrolling research centers

7. Lone Star Stroke Hubs and Spokes HUB: Baylor College of Medicine CHRISTUS Hospital-St. Elizabeth Valley Baptist Medical Center- Harlingen St. Luke’s Woodlands St. Luke’s Hospital at The Vintage HUB:UT Southwestern Medical Center Methodist Dallas Medical Center Methodist Mansfield Medical Center Good Shepherd Medical Center - Marshall CHRISTUS St. Michael Hospital – Atlanta

8. Lone Star Stroke Hubs and Spokes • HUB: Seton Healthcare Family - AustinSeton Medical Center Williamson – Round RockSeton Medical Center Hays - KyleSt. Joseph Regional Health Center – BryanProvident Hospital – Waco • HUB: UT Health Science Center San AntonioSt. Luke’s Baptist HospitalCHRISTUS Santa Rosa Hospital-Westover HillsCHRISTUS Santa Rosa Hospital – New BraunfelsTexas Tech University Medical Center of El Paso

9. Lone Star Stroke Hubs and Spokes HUB: The University Of Texas Health Science Center at Houston Citizens Medical Center- VictoriaMemorial Hermann – SouthwestMemorial Hermann Memorial City HospitalHuntsville Memorial HospitalBaptist Hospitals of Southeast Texas Beaumont Hospital

10. Lone Star Stroke Hubs and Spokes HUB: Baylor College of MedicineCHRISTUS Hospital-St. ElizabethValley Baptist Medical Center- HarlingenSt. Luke’s WoodlandsSt. Luke’s Hospital at The Vintage HUB:UT Southwestern Medical Center Methodist Dallas Medical Center Methodist Mansfield Medical Center Good Shepherd Medical Center - Marshall CHRISTUS St. Michael Hospital – Atlanta

11. Lone Star Stroke Consortium Operations and Structures How New Projects Begin Pilot studies – Proposed to and Approved by Executive Committee Full studies Approved by Executive Committee and then External Advisory Committee (EAC) Dr. Karen Johnston – University of Virginia Dr. Jeffrey Saver – UCLA Dr. Maria Aguilar – Mayo Clinic Dr. David Hess – Georgia Regents University

12. Lone Star Stroke Progress • Lone Star Stroke has met its milestone driven deliverables as specified in the DSHS contract • Activity at five Hubs and 21 spoke partner sites has begun. • The LSS research network serves annually more than seven thousand Texans with stroke and cerebrovascular disease. These patients comprise the population screened for inclusion in LSS clinical studies. • Four clinical research projects have been approved forward by the External Advisory Committeeand are in progress

13. Lone Star Stroke Progress • The LSS was selected to make a presentation to the recent 2015 International Stroke Conference of the American Heart Association, the world’s largest gathering of stroke researchers • LSS Hub UTHSC Houston was named Regional Coordinating Center for the NIH StrokeNet clinical trials network and LSS centers are sites in StrokeNet, assuring a steady pipeline of externally funded studies into Lone Star Stroke. • LSS administrative coordinating core has been established at the Austin Hub and the data management core at the UTHSC Houston Hub.

14. www.lonestarstroke.org • Website and newsletter to disseminate information • Publications and Contributions of LSS investigators

15. Active Studies CLOTBUST-ER. Status: completed. Lone Star Stroke participated in this world-wide clinical trial that evaluated a Texas technology to assess whether ultrasound delivered into a clot improves the efficacy of tPA therapy for stroke. Lone Star Stroke sites enrolled 26 patients, 9 by telemedicine, about 5% of all patients. The study was halted and analyses are on-going to determine whether any subgroups of patients benefited. • NASCare • V-STOP II • LESTER