[GP name] [GP address] 14 March 2016 Dear Dr [GP name] IIH:DT. Assessing the therapeutic efficacy of an 11β-hydroxysteroid dehydrogenase type 1 inhibitor (AZD4017) in idiopathic intracranial hypertension (IIH). Phase II Study. Re: [participant name], [participant DOB], [participant address] This patient has been identified, from the [insert clinic] at the [insert hospital], as being potentially suitable to take part in the above clinical trial. The study is sponsored by the University of Birmingham (Chief Investigator: Dr Alexandra Sinclair) and is being organised locally in association with the Neuro-opthalmology department and the Wellcome Trust Birmingham Clinical Research Facility (WTCRF). Participants enrolled onto the study will have clinical measurements, biochemical markers, safety monitoring, visual assessments, 24-hour urinary steroid profiles, lumbar punctures with CSF sampling, DXA scanning and fat and skin biopsies. Each participant will be involved in the study for approximately 4 months and be asked to attend 8 visits to the WTCRF and 4 telephone consultations. Patients can continue their IIH treatment e.g. acetazolamide, but this must remain at a stable dose throughout the study. The aims of the study are to assess the impact of an 11β-hydroxysteroid dehydrogenase type 1 inhibitor on intracranial pressure, papilloedema, symptoms of IIH, and to assess the safety profile of the drug in this population. The patient has been invited to participate in the study, either after discussing the study with a nurse or investigator in clinic, by phone after their visit to the WTCRF or by an invitation mailing following their visit. The patient has been given a brief overview of the study and the option to express an interest in being contacted by research staff to discuss the study further. No involvement is required from your practice. If they agree to participate in the study please do not change any idiopathic intracranial treatment or start hormone-manipulating medications without notifying the research team. When their study visits are complete or they decide not to continue with the study we will write to you to commence any treatment. If you have any queries regarding the study, please do not hesitate to contact me on 0121 371 3718. . IIH:DT GP Letter 1 V1.2. 141014 Page 1 of 2 Figure 1. IIH:DT Study Flow Chart Assessed for Eligibility Screening and enrolment (Week 0) N=30 Randomised 1:1 Treatment with AZD4017 N=15 Treatment with Placebo Dropouts N=15 Dropouts Follow-up (Week 1,2,3,4,6,8,10) N=12 End of study (Week 12) N=12 Post-study Follow-up (Week 16) Thank you for your help. Yours sincerely Dr Keira Markey Clinical Research Fellow to Dr Alexandra Sinclair University of Birmingham. . IIH:DT GP Letter 1 V1.2. 141014 Page 2 of 2