Blood Biomarkers of Injury and Outcome in Traumatic Brain Injury

NCT ID: NCT01730443

Last Updated: 2014-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Total Enrollment

576 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-07-31

Study Completion Date

2014-07-31

Brief Summary

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Blood samples will be drawn on traumatic brain injury patients who are participating in the ProTECT III study.

Detailed Description

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Blood samples will be drawn on traumatic brain injury patients who are participating in the ProTECT III study just prior to the initiation of the study drug infusion and 24 and 48 hours from the time they are enrolled in the study to test for biomarkers that may help predict how severe the injury is and how well they improve. The investigators will also test to see if the study medication is being absorbed and is staying at a consistent level in the blood stream.

Conditions

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Traumatic Brain Injury

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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On progesterone treatment

The group assigned to progesterone treatment.

No interventions assigned to this group

group assigned to placebo

The group that will not be receiving progesterone treatment

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Moderate to severe brain injury (iGCS 12-4 or motor response 2-5 if intubated).
* Age \>18 years (or developmental stage Tanner 5 in patients where age is not known)
* Blunt, traumatic, closed head injury (altered mental status due to brain injury)
* Able to initiate study drug infusion within 4 hours from time of injury -

Exclusion Criteria

* Non-survivable injury as determined by treating
* Bilateral dilated unresponsive pupils
* Spinal cord injury with neurological deficits, pre-injury paralysis (quad/paraplegic)
* Inability to perform activities of daily living (ADL) without assistance
* Cardiopulmonary arrest
* Status epilepticus on arrival or concern for post ictal state
* systolic blood pressure \< 90 for two consecutive readings at least 5 minutes apart any time prior to randomization
* O2 Sat \< 90 for at least 5 consecutive minutes any time prior to randomization
* Prisoner or ward of state
* Known active breast or reproductive organ cancers (via medical records or family interview)
* Known allergy to progesterone or Intralipid components (egg yolk) (via medical records or family interview)
* Known history of blood clotting disorder (Protein S or C deficiency, etc.) or history of pulmonary embolism (via medical records or family interview) or active/ongoing thromboembolic event (myocardial infarction, ischemic stroke, pulmonary embolism, deep vein thrombosis).
* Blood or serum ethanol (EtOH) ≥ 250 mg %
* Positive qualitative urine or serum pregnancy test
* Concern for inability to follow up at 6 months (residence in foreign country, homeless with limited contacts,
* undocumented immigrants, or high likelihood of becoming incarcerated during study period, etc.)
* Patient in Opt Out registry or wearing Opt Out bracelet -
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Neurological Disorders and Stroke (NINDS)

NIH

Sponsor Role collaborator

Emory University

OTHER

Sponsor Role lead

Responsible Party

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Michael Frankel

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Michael Frankel, MD

Role: PRINCIPAL_INVESTIGATOR

Emory University

Locations

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Banner Good Samaritan Health Center

Phoenix, Arizona, United States

Site Status

Maricopa Integrated Health System

Phoenix, Arizona, United States

Site Status

Scottsdale Healthcare

Phoenix, Arizona, United States

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University of Arizona

Tucson, Arizona, United States

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Stanford Medical Center

Palo Alto, California, United States

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San Francisco General Hospital

San Francisco, California, United States

Site Status

Regional Medical Ctr.-San Jose

San Jose, California, United States

Site Status

Santa Clara Valley Medical Center

San Jose, California, United States

Site Status

Grady Memorial Hospital

Atlanta, Georgia, United States

Site Status

University of Kentucky Hospital

Lexington, Kentucky, United States

Site Status

University of Maryland Shock Trauma

Baltimore, Maryland, United States

Site Status

Johns Hopkins

Baltimore, Maryland, United States

Site Status

Detroit Receiving

Detroit, Michigan, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Sinai Grace Hospital

Detroit, Michigan, United States

Site Status

Hurley Medical Center

Flint, Michigan, United States

Site Status

Beaumont Health System

Royal Oak, Michigan, United States

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Hennepin County Medical Center

Minneapolis, Minnesota, United States

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North Memorial Hospital

Robbinsdale, Minnesota, United States

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Regions Medical Center

Saint Paul, Minnesota, United States

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St. Johns Mercy Medical Center

St Louis, Missouri, United States

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NYP Columbia

New York, New York, United States

Site Status

University Hospital

Cincinnati, Ohio, United States

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Oregon Health Sciences University

Portland, Oregon, United States

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St. Lukes Hospital

Bethlehem, Pennsylvania, United States

Site Status

Geisinger Medical Center

Danville, Pennsylvania, United States

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Penn State Hershey Medical Center

Hershey, Pennsylvania, United States

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Hahnemann University Hospital

Philadelphia, Pennsylvania, United States

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University of Pennsylvania Hospital

Philadelphia, Pennsylvania, United States

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Jefferson Hospital

Philadelphia, Pennsylvania, United States

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Temple University

Philadelphia, Pennsylvania, United States

Site Status

Regional Medical Center/Elvis Presley Memorial Trauma Center

Memphis, Tennessee, United States

Site Status

Brackenridge Hospital

Austin, Texas, United States

Site Status

Memorial Hermann Hospital

Houston, Texas, United States

Site Status

Brooke Army Medical Center

San Antonio, Texas, United States

Site Status

Virginia Commonwealth

Richmond, Virginia, United States

Site Status

Froederdt Memorial Hospital

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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1R01NS071867

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB00014409a

Identifier Type: -

Identifier Source: org_study_id