Ava Puccio, RN, PhD

  • Associate Professor
  • Co-Director, Neurotrauma Clinical Trials Center

Ava M. Puccio, RN, PhD, is an associate professor with tenure in the Department of Neurological Surgery and also co-director of the Neurotrauma Clinical Trials Center in collaboration with David O. Okonkwo, MD, PhD

Dr. Puccio received her bachelor of science in neuroscience and nursing as well as her doctoral degree from the University of Pittsburgh. Her dissertation examined focusing on brain oxygenation and oxidative stress biomarkers. She has continued this translational work in the severe traumatic brain injury (TBI) population having an instrumental role in the current Phase 3 clinical trial, ‘Brain Oxygenation Optimization in Severe TBI Phase 3 (BOOST3)’ study, comparing intracranial pressure (ICP) monitoring only to ICP and brain oxygenation therapies. She was the recipient of a K99/R00 award from the National Institutes of Health exploring the genetic underpinnings of secondary injury. She has over 25+ years of clinical trial design, involvement and management, with several completed and ongoing traumatic brain and spine injury research studies.

As an early adopter of team science, Dr. Puccio has been involved in the Transforming Research and Clinical Knowledge in TBI (TRACK-TBI) network since its inception and is the principal investigator of the National TBI Biospecimens Repository. She is also instrumental in multiple collaborative initiatives in biomarker exploration and validation within TRACK-TBI, BioBOOST, BioHOBIT and others.

Dr. Puccio’s specialized areas of interest are focused on improving outcomes in traumatic brain injury and spinal cord injury patients, with clinical venues of controlled normothermia, mechanisms of brain oxygenation and exploring biomarker and genetic expression. 

Dr. Puccio values training the next generation of scientists. Her previous mentees include undergraduates, medical students, residents, clinical fellow and academic postdoctoral students. 

In June of 2025, Dr. Puccio received the Mary Ann Liebert Award for Science from the National Neurotrauma Society. This career achievement award recognizes a female researcher who has made notable scientific contributions in the field of neurotrauma and who has made recent impactful contributions to education, mentoring or advocacy.

Dr. Puccio has leadership positions in TRACK-TBI, Neurocritical Care Society and is a reviewer for the NIH, Department of Defense and several foundations. She is involved in many working groups including the NINDS Common Data Element (CDE) Working Group TBI

Dr. Puccio's publications can be reviewed through the National Library of Medicine's publication database.

Specialized Areas of Interest

Traumatic brain injury research; biomarkers.

Board Certifications

RN License: Pennsylvania

Hospital Privileges

UPMC Mercy
UPMC Presbyterian

Professional Organization Membership

International Initiative for Traumatic Brain Injury Research
National Neurotrauma Society
Neurocritical Care Society
Sigma Theta Tau International Nursing Honor Society
Society of Critical Care Medicine
Women in Neurotrauma Research

Professional Activities

Guest Lecturer, Pathophysiology Across the Lifespan, University of Pittsburgh
Copeland Foundation Grant Committee, University of Pittsburgh
Biomarker Working Group, TRACK-TBI, University of California, San Francisco
Working Group, Genetic Associations in Neurotrauma (GAIN) Consortium
Biomarker Working Group, International TBI Research (InTIBIR)
Executive and Steering Committee, TRACK-TBI, University of California, San Francisco

Education & Training

  • BS, Neuroscience, University of Pittsburgh, 1988
  • BSN, Nursing, University of Pittsburgh, 1994
  • MSN, Nursing, University of Pittsburgh, 2000
  • PhD, Nursing/Neuroscience, University of Pittsburgh, 2008

Honors & Awards

  • Mary Ann Liebert, Inc. (formerly known as Rosand Franklin award), for Neurotrauma Research Excellence, 2025
  • Cold Spring Harbor Scholarship, 2012
  • Ruth Perkins Kuehn Nursing Research Award, 2011
  • Cameos of Caring Nursing Scholarship, 2007
  • Society of Critical Care Nursing Section Award, 2006

Research Activities

Dr. Puccio is conducting many cutting-edge biomarker and high definition fiber tracking imaging and observational research studies. She is very involved in the Transforming Research and Clinical Knowledge in TBI (TRACK-TBI) consortium and was awarded a Department of Defense grant as principal investigator of the National TBI Biospecimens Repository which collects, catalogues and stores cerebrospinal fluid, blood, serum DNA and RNA samples obtained from mild, moderate and severe TBI patients at 17 clinical sites. 

Her expertise in the blood-based biomarker field has led to her recognition as a world-renowned expert in the field and she recently served on the National Institute of Neurological Disorders and Stroke TBI Classification and Nomenclature Workshop. She also is the contact principal investigator for a NIH-funded U01 study, ‘INFORM-TBI: Analytical Validation Study to Promote Clinical Implementation of Emerging TBI Biomarkers’, which aims to overcome reproducibility challenges of biomarkers across platforms, including understanding the effect of pre-analytical and analytical factors.

Analyses from repository samples has provided additional validation to the recent FDA-approval of the use of 2 biomarkers, glial fibrillary acidic protein (GFAP) and ubiquitin C-terminal hydrolase L1 (UCH-L1) obtained within 24 hours of a suspected TBI in determining the need for a brain CT scan, and is the central PI of the biorepository for a FDA-pivotal trial with Abbott Laboratories which results are pending. The success of this biorepository has also spring-boarded opportunities to acquire additional ongoing grant support through the DoD, as the biorepository for the biomarkers in the Brain Oxygenation Optimization Study Trial (Bio- BOOST), as well as TRACK-TBI Geriatric Initiative (NIH funded) to further define the elderly TBI cohort and TRACK Precision Medicine an initiative for personalized care in TBI.

Media Appearances