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Dr Amy Brenner

Assistant Professor

United Kingdom

Tel.
+44 020 7958
As a Research Fellow in the Clinical Trials Unit at LSHTM, I provide epidemiological expertise on several international randomised controlled trials investigating the effectiveness of tranexamic acid (TXA) for the prevention and treatment of life-threatening bleeding. These include the WOMAN-2 trial for the prevention of postpartum haemorrhage in anaemic women and the CRASH-4 trial of intramuscular TXA for mild head injury in older adults. I am the Principal Investigator of the I'M WOMAN trial which aims to assess the effects of intramuscular compared to intravenous TXA for postpartum haemorrhage.

I previously worked on the CRASH-3 trial of TXA for intracranial haemorrhage and the HALT-IT trial for gastrointestinal haemorrhage. As the LSHTM CTU PPI Lead, I organised and facilitated focus groups discussions and surveys, co-produced a patient-reported outcome measure, and collaborated with organisations representing patients and the public.

Before joining the School, I worked in the Cancer Screening and Prevention Research Group at Imperial College London. I have a BSc in Biological Sciences from Imperial College London, an MSc and PhD in Epidemiology from LSHTM, and over a decade of clinical research experience. I have a PhD byPublication on outcome measures in clinical trials of tranexamic acid for bleeding.

Affiliations

Department of Medical Statistics
Faculty of Epidemiology and Population Health

Teaching

Lecturer, Practical Facilitator and Co-Module Organiser - Study Design: Writing a Study Proposal module (2019-present)

Practical Facilitator - Basic Epidemiology, STEPH, DANES (2018-present)

Project Supervisor - distance learning MSc in Epidemiology (2018-present)

Research

My current research is focused on increasing equitable access to tranexamic acid, inlcuding finding alternative routes of TXA administration for the treatment and prevention of postpartum haemorrhage.

The TRANSFORM project is generating evidence and demand, raising awareness, and addressing supply issues to ensure tranexamic acid access for all mothers with bleeding after childbirth. The I’M WOMAN trial, part of the TRANSFORM project, is looking at easier and more accessible ways to give TXA – intramuscularly, rather than intravenously – with the aim of expanding access to timely TXA treatment.

I am also interested in methodological issues in emergency care trials, outcome measures, the pathophysiology of bleeding, the relationship between anaemia, pain and fibrinolysis, patient and public involvement in research, women's rights and obstetric violence.

I am the Project Lead of the TRANSFORM project (Tranexamic acid access for all mothers with bleeding after childbirth) and Principal Investigator of the I'M WOMAN trial, funded by Unitaid.
Research Area
Clinical trials
Global Health
Health outcomes
Maternal health
Methodology
Public health
Critical care
Epidemiology
Randomised controlled trials
Disease and Health Conditions
Non-communicable diseases
Wounds and injuries
Country
Nigeria
Pakistan
United Kingdom
Kenya
Tanzania
Region
World
Sub-Saharan Africa (all income levels)
South Asia

Selected Publications

Tranexamic acid for post-partum haemorrhage: What, who and when.
BRENNER, A; KER, K; SHAKUR-STILL, H; ROBERTS, I;
2019
Best Practice & Research Clinical Obstetrics & Gynaecology
Outcome measures in clinical trials of treatments for acute severe haemorrhage.
BRENNER, A; ARRIBAS, M; Cuzick, J; Jairath, V; Stanworth, S; KER, K; SHAKUR-STILL, H; ROBERTS, I;
2018
Trials
Tranexamic acid for significant traumatic brain injury (The CRASH-3 trial): Statistical analysis plan for an international, randomised, double-blind, placebo-controlled trial
ROBERTS, I; Belli, A; BRENNER, A; Chaudhri, R; Fawole, B; Harris, T; Jooma, R; MAHMOOD, A; Shokunbi, T; SHAKUR, H;
2018
Wellcome Open Research
The impact of early outcome events on the effect of tranexamic acid in post-partum haemorrhage: an exploratory subgroup analysis of the WOMAN trial.
BRENNER, A; SHAKUR-STILL, H; Chaudhri, R; Fawole, B; Arulkumaran, S; ROBERTS, I; WOMAN Trial Collaborators,;
2018
BMC pregnancy and childbirth
Effect of early tranexamic acid treatment on fatigue in patients with mild traumatic brain injury: data from the CRASH-3 clinical trial [version 3; peer review: 2 approved, 1 not approved]
MANSUKHANI, R; Belli, A; BRENNER, A; Chaudhri, R; Frimley, L; Faizah Jamaluddin, S; Jooma, R; SHAKUR-STILL, H; Shokunbi, T; ROBERTS, I;
2024
Wellcome open research
Tranexamic acid for postpartum bleeding: a systematic review and individual patient data meta-analysis
KER, K; Sentilhes, L; SHAKUR-STILL, H; Madar, H; Deneux-Tharaux, C; Saade, G; Pacheco, L; Ageron, F-X; Mansukhani, R; BALOGUN, E; BRENNER, A; Prowse, D; Arribas, M; Ahmadzia, H; Chaudhri, R; Olayemi, O; Roberts, I;
2024
The Lancet
Effect of early tranexamic acid treatment on fatigue in patients with mild traumatic brain injury: data from the CRASH-3 clinical trial
MANSUKHANI, R; Belli, A; BRENNER, A; Chaudhri, R; Frimley, L; Faizah Jamaluddin, S; Jooma, R; SHAKUR-STILL, H; Shokunbi, T; ROBERTS, I;
2024
Wellcome Open Res
Effect of early tranexamic acid treatment on fatigue in patients with mild traumatic brain injury: data from the CRASH-3 clinical trial.
MANSUKHANI, R; Belli, A; BRENNER, A; Chaudhri, R; Frimley, L; Faizah Jamaluddin, S; Jooma, R; SHAKUR-STILL, H; Shokunbi, T; ROBERTS, I;
2024
Wellcome open research
Impact of time to start of tranexamic acid treatment on rebleed risk and outcome in aneurysmal subarachnoid hemorrhage.
Germans, MR; Tjerkstra, MA; Post, R; BRENNER, A; Vergouwen, MD I; Rinkel, GJ; Roos, YB; Van den Berg, R; Coert, BA; Vandertop, WP; Verbaan, D; ULTRA Investigators,;
2024
European stroke journal
Tranexamic acid by the intramuscular or intravenous route for the prevention of postpartum haemorrhage in women at increased risk: a randomised placebo-controlled trial (I'M WOMAN).
BRENNER, A; SHAKUR-STILL, H; Chaudhri, R; Muganyizi, P; Olayemi, O; ARRIBAS, M; Kayani, A; Javid, K; Bello, A; Roberts, I; I’M WOMAN Trial Collaborative Group,;
2023
Trials
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