In this newsletter we also have a meet the team profile, tips and reminders, information on a new CTIMP study and dates for your diary.

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Dear Colleagues, Firstly, we would like to say a big thank you to everyone for working to complete CRFs over the last two months. We managed to get 1119 completed CRFs out of 1139! Fiona has now pulled the data off OpenClinica and is in the process of analysing the results. We are delighted to tell you that we recruited our 1000 th participant to the UK Meningitis Study in June well done to Blackpool who recruited the patient! We are now approaching 1250 participants in the study with recruitment going strong across 35 sites. You ll find the recruitment league table on the next page with some fantastic results from new entries (let s hope these sites keep it up!) and a good shuffle all round. Blackpool (99) and Royal Liverpool (98) are almost neck and neck to be the first site to recruit 100 patients. Welcome to the study to new sites North Devon, North Staffordshire, Northumbria, Dudley, Cornwall, Lewisham, King s College and King s Lynn. Sadly, we said goodbye to Southport and Ormskirk in October, thanks for your hard work Maria Hamilton, Dr Cecilia Jukka and Dr Judith Bowley! We are hoping to have sites in Edinburgh and Aberdeen join the study in the new year. Chloe Smith, our data manager, has moved on to a job at the Liverpool Cancer Trials Unit, we are sad to see her go but wish her the best of luck in her new role. In this newsletter we also have a meet the team profile, tips and reminders, information on a new CTIMP study and dates for your diary. Thank you again for all your help and support. Fiona McGill Tom Solomon Greg Gibson Research Fellow Chief Investigator Administrator

Site League Table Enrolled Enrolled per month Blackpool Victoria Hospital 99 3.54 Northumbria (new entry) 5 3.33 Kings College London (new entry) 11 3.14 Leicester 61 3.05 Royal Liverpool 98 2.72 Leeds Teaching Hospital 83 2.18 Manchester Royal Infirmary 53 1.96 East Lancs NHS Trust 46 1.84 South Tees 69 1.82 Bradford Royal Infirmary 62 1.77 Cornwall (new entry) 7 1.75 University Hospital of North Staffordshire 11 1.59 Stepping Hill 57 1.57 Birmingham Heartlands Hospital 25 1.54 Lancashire Teaching Hospitals 54 1.47 University Hospital of Morecambe Bay 50 1.43 Countess of Chester 44 1.26 Salford Royal 37 1.19 North Cumbria 45 1.18 Mid Yorkshire 28 1.00 Arrowe Park, Wirral 28 0.97 Leighton Hospital, Crewe 29 0.91 Scarborough 17 0.85 Pennine Acute Trust 26 0.81 Aintree Hospital 26 0.76 Southport* 25 0.74 Huddersfield 23 0.70 UHSM 15 0.68 Wigan Infirmary 23 0.68 North Devon 4 0.57 Macclesfield DGH 18 0.50 Queen Elizabeth Hospital, Kings Lynn (new entry) 1 0.50 York 9 0.45 Lewisham (new entry) 2 0.40 Walton 4 0.11 Russells Hall Hospital, Dudley 1 0.11 Edinburgh** 0 0.00 Aberdeen** 0 0.00 ** Not yet R and D approved

Site File Checks We sent out the version check sheet on 14 th October but we still haven t received these back from some sites please make sure to get this check completed or we will be chasing you up in the new year! Remember You can email through enrolment forms if they are password protected, but you can send any anonymised/redacted data by email as normal. The UK Meningitis website has been updated with the current documents Thermometers & Total Morbidity Score Unfortunately, the study has run out of thermometers and we cannot currently replace them. We are asking that unless patients have their own thermometers that they leave the fever and temperature sections blank and complete all other fields as normal. CRFs Please remember to complete all CRFs as soon as possible to avoid a backlog. As some of you will know there was a huge amount of work to get up to date in November and we d like to avoid this in future. If you don t have time to enter data straight onto OpenClinica try to fill in as much data on a paper CRF as possible before the notes get pulled away. If something has not been done or not recorded and there is no option to tick not done and the question has an to indicate a mandatory field, you can enter UNK and OpenClinica will allow you to save the section. However, please do not tick unknown or not applicable for the PCR tests as they are either done or not, please enter either not done, negative or positive. Per Patient Payments To invoice for your per patient payment please email greg1@liv.ac.uk with a completed Per Patient Payment form, Greg will approve the form and then you can send through your invoice. Please ask your finance department to send the invoice directly to Greg. Treatment Page We are sorry for the inconvenience caused by the treatment page please skip this page on OpenClinica and fax or email a scan of the page to Greg and he will enter it for you.

We would like to introduce you to some members of the wider UK Meningitis team so in this section we will put the spotlight on them! Greg Gibson What is your job/role? Research Administrator I handle enrolments, some data queries and other admin for UK Meningitis. I also work on the Enceph UK study and as part of the Brain Infections Group. Where do you work? In the Ronald Ross Building, University of Liverpool. What is your background? I previously worked in HR at the university handling recruitment, and before that I worked for an arts organisation as an administrator. What are your research interests? I like science but not working in great detail or depth with it so I enjoy seeing the raw data and how that develops into research and the results that come from studies. Name three things you like. Cheese, comics and cooking And three things you dislike. Football, mushrooms and being too hot.

NEW STUDY - dexenceph Do corticosteroids improve outcome in herpes simplex virus encephalitis? As many of you will know this is a vexed question! We now have the chance to answer it. We are currently designing a randomised controlled trial of dexamethasone in adults with HSV encephalitis which will roll out across the UK in 2015. Our goal is to show whether corticosteroids make a difference in patient s neuropsychological sequelae, functional outcome and brain swelling. This is an important question and it s a relatively simple study to add to your portfolio. Unlike UK Meningitis, which we know involves lots of patients with suspected meningitis, the new treatment trial will ONLY be for those with PROVEN HSV encephalitis, so you are likely to see only 1-2 patients per year! If you are interested in participating in this study or have any questions about it please let us know by emailing the Clinical Research Fellow, Cristina Fernandez at Cristina.fernandez@liverpool.ac.uk or you can ring her in January on 0151 795 9688. DATES FOR YOUR DIARY Neuro ID Course 2015 7-8 May 2015 Ever struggled with a patient with a brain infection? Then NeuroID is for you! Featuring case presentations and talks by UK and international experts, as well as updates on the latest brain infections research, this great value CPD course is a must for any clinician with an interest in neurological infections. 265 early bird 295 full rate Registration opening soon! https://www.liv.ac.uk/neuroidcourse/ European Congress on Clinical Microbiology and Infectious Diseases 2015 25-28 th April 2015 Copenhagen http://www.eccmid.org/ Early bird rates available before 14 th January

From the UK Meningitis Team Important contacts Fiona McGill, Research Fellow: 0151 795 9606 Greg Gibson, Research Administrator: 0151 795 9670 Richard Crew, IT Systems Developer (and all things OpenClinica related!): 0151 795 9611 Meningitis Research Foundation (for help and support for patients and medical staff): www.meningitis.org Thank you again and Merry Christmas from all at Brain Infections UK.