TS-000338 — Worldwide, malaria affects 2 million individuals annually. Cerebral malaria is the most severe neurological manifestation of malaria with case fatality rates ranging from 15-40%. Researchers at Nationwide Children’s Hospital have developed a method for using Transcranial Doppler to detect distinct waveform morphologies and identify pathogenic mechanisms leading to neuronal injury in children with cerebral malaria. Benefits: By identifying the specific sub-type of cerebral malaria, clinicians will be able to treat patients for their particular pathology, improving therapeutic outcomes. Stage of Development Following proof of concept studies, the researchers evaluated its use clinically in over 180 children with cerebral malaria and 140 control patients. The published study validated the use of transcranial Doppler ultrasound (TCD) in identifying distinct patient phenotypes which can serve as a guide for appropriate therapeutic regimens to specifically target the pathologic sub-type of cerebral malaria. Potential Applications/Markets: TCD can be used to identify pathogenic mechanisms leading to neuronal injury in children with cerebral malaria. We found 5 distinct waveform morphologies that are related to 5 different pathogenic mechanisms in children with malaria. To date, all clinical trials aimed at improving neurologic outcomes of these children have failed. We believe they have failed because drugs are not targeting the correct pathogenic mechanism in each child. In the future, TCD will be able to be used to determine which pathologic category individual children fall in and determine appropriate treatment strategies for them (clinical use). Additionally, this information is imperative to all future therapeutic trials looking at adjunctive agents aimed at the reduction of neurologic injury in these children research tool, probably before the clinical use). Opportunity/Seeking: Commercial Partner Licensing