Table 1

Reasons for failure to translate preclinical promise to clinical trial success

PreclinicalClinical
ProblemSolutionProblemSolution
Selection biasRandomisationPowerLarge phase III trials
Assessment biasBlind outcome assessmentTime windowRequire early enrolment
PowerPrespecified sample sizeRecanalisationRequire documented recanalisation
ReproducibilityRepeat in multiple labs
Attrition biasSubject trackingHeterogeneityBroad inclusion criteria
GeneralisabilityRepeat in more than one model
Relevance and external validityEvaluate in animals with comorbidities of both sexes and after ageing