Gale Kittle, RN, MPH has served as the Director, Outcome Measurements Training for NEALS and the Barrow Neurological Institute Clinical Research Organization (BNI CRO) for the past 7 years. She provides training and oversees the validation and certification process for core outcomes (ALSFRS-R, vital capacity, and muscle strength) employed in ALS clinical trials, including NEALS trials, the HEALEY Platform trials, and numerous sponsored trials. She is passionate about quality clinical trial outcomes and has provided training to over 1,200 ALS clinical evaluators globally. Prior to this, she helped to establish the ALS clinical trial program at the Gregory W. Fulton ALS and Neuromuscular Center at BNI in Phoenix, Arizona. Gale has over 30 years of neurological nursing experience, including 15 years of experience in both academic and industry led drug and device trials in neurodegenerative disease. She holds a Bachelor degree in Nursing from Arizona State University, and a Master of Public Health degree from the University of Arizona.