Using Real-Time Functional Brain Imaging to Enhance Recovery From TBI

NCT ID: NCT01908647

Last Updated: 2014-04-28

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-30

Brief Summary

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In this randomized, controlled clinical trial, we will evaluate the effects of (1) a brain-training program that uses real-time neurofeedback in functional magnetic resonance imaging (fMRI) to allow people to learn how to gain voluntary control over activity in targeted brain regions and/or (2) 8 weeks of computer-based cognitive training using a software program (Cognitive Remediation for Brain Injury (CRBI)) versus control training tasks on cognitive learning and symptoms. In addition, the investigators will measure brain function (active and resting functional magnetic resonance imaging) and structure (high resolution magnetic resonance imaging) before and after treatment.

Detailed Description

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Conditions

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Traumatic Brain Injury Post Traumatic Stress Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Exp RT fMRI/Exp Cognitive Training

Both experimental conditions.

Group Type EXPERIMENTAL

RT fMRI

Intervention Type BEHAVIORAL

Real-time fMRI with neurofeedback.

Cognitive Training

Intervention Type BEHAVIORAL

Computer based attention training.

Exp RT fMRI/Ctrl Cognitive training

Experimental real-time fMRI and control cognitive training.

Group Type EXPERIMENTAL

RT fMRI

Intervention Type BEHAVIORAL

Real-time fMRI with neurofeedback.

Control Cognitive Training

Intervention Type BEHAVIORAL

Computer-based games used as a control for the computer based cognitive training intervention.

Ctrl RT fMRI/Exp Cognitive Training

Control RT fMRI (real-time functional MRI) and experimental cognitive training.

Group Type EXPERIMENTAL

Cognitive Training

Intervention Type BEHAVIORAL

Computer based attention training.

Control RT fMRI

Intervention Type BEHAVIORAL

Control condition for real-time fMRI.

Ctr RT fMRI/Ctr Cognitive Training

Control real-time fMRI and control cognitive training.

Group Type SHAM_COMPARATOR

Control RT fMRI

Intervention Type BEHAVIORAL

Control condition for real-time fMRI.

Control Cognitive Training

Intervention Type BEHAVIORAL

Computer-based games used as a control for the computer based cognitive training intervention.

Interventions

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RT fMRI

Real-time fMRI with neurofeedback.

Intervention Type BEHAVIORAL

Cognitive Training

Computer based attention training.

Intervention Type BEHAVIORAL

Control RT fMRI

Control condition for real-time fMRI.

Intervention Type BEHAVIORAL

Control Cognitive Training

Computer-based games used as a control for the computer based cognitive training intervention.

Intervention Type BEHAVIORAL

Other Intervention Names

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Real-time fMRI

Eligibility Criteria

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Inclusion Criteria

* Mild TBI: PTA/confusion≤1 hour immediately after injury; or LOC \<30 min \[69\] confirmed by the Ohio confirmed by the Ohio State University TBI Identification Method-Short Form (OSU TBI-ID-SF).
* Age 18-45 years
* Right handed \[70\].
* Minimum of 4 months and within 36 months post-injury
* Can participate in fMRI and outcome assessment
* Adequate visual, auditory, sensory-motor function for training program.
* Fluent in English
* Persistent cognitive dysfunction confirmed by an objective measure

Exclusion Criteria

* History of hypoxic event
* Pre-existing significant neurological (e.g. MS) or psychiatric (e.g. schizophrenia, bi-polar) disorders.
* Current illicit drug use or ETOH abuse
* Contraindications to MRI (metal, pregnant, pacemaker, claustrophobia, etc.).
* Unwilling or unable (e.g. language barrier) to participate
* Hospitalization during study
* Current Med Board for discharge, Litigation/ + malingering test \[71\]
* Use of medications to enhance cognitive function (e.g. Ritalin)
* Initial Glascow Coma Score \<13 or penetrating head injury
* Subjects must not show suicidal ideation as measured by the Columbia-Suicide Severity Rating Scale (C-SSRS; 111). Subjects with a score of 4 or 5 (as recommended by the FDA for treatment trials) will be excluded and referred for appropriate treatment.
* Subjects should not be enrolled in a concurrent TBI clinical trial.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Geneva Foundation

OTHER

Sponsor Role collaborator

Massachusetts Institute of Technology

OTHER

Sponsor Role collaborator

Van Boven, Robert W., M.D.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert Van Boven, M.D.

Role: PRINCIPAL_INVESTIGATOR

The Geneva Foundation

Locations

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Carl R Darnall Army Medical Center (CRDAMC)

Fort Hood, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Kaela Miller

Role: CONTACT

737-346-7017

Facility Contacts

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Robert Van Boven, M.D.

Role: primary

847-477-9317

Michel-Alexis Courines, M.D.

Role: backup

254-288-8309

Other Identifiers

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W81XWH-11-2-0180

Identifier Type: -

Identifier Source: org_study_id

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