Multimodal Approach to Testing the Acute Effects of Mild Traumatic Brain Injury (mTBI)

NCT ID: NCT02069613

Last Updated: 2017-11-08

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

COMPLETED

Total Enrollment

44 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-03-31

Study Completion Date

2017-08-01

Brief Summary

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The objective of the study is to determine the relative roles for various testing modalities in the diagnosis and prognosis of mild traumatic brain injury.

Detailed Description

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Subjects will undergo functional brain testing (magnetoencephalography, electroencephalography), anatomical brain imaging (diffusion tensor imaging, susceptibility-weighted imaging), neuropsychological testing (memory, language, processing speed), sleep patterns using actigraphy, and blood testing of candidate biomarkers. Testing will be done at 3 time points post-injury: 1 day, 14 days, and 30 days post-injury. Analysis of these tests collectively will be used to develop diagnostic tools for acute mTBI.

Conditions

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Concussion, Mild

Keywords

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Mild traumatic injury to extremity (for controls) mTBI concussion MEG EEG Blood MRI DTI biomarkers

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Mild traumatic brain injury (mTBI)

Patients admitted to Huntington Memorial Hospital (HMH), Pasadena CA, Emergency Department (ED) diagnosed with mTBI by history (alteration of consciousness, post-traumatic amnesia, loss of consciousness) and normal brain computed tomography (CT).

No interventions assigned to this group

Control

Patients admitted to HMH ED for minor extremity trauma (sprains) and no evidence of mTBI

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1\. Civilian (non-military) presenting to HMH ED.

Exclusion Criteria

1. Prior history of diagnosed TBI.
2. Other significant non-head injury/trauma or open wound.
3. Other significant medical co-morbidities, such as heart disease or cancer.
4. Self-reported current use or substances contributing to ED visit (e.g. illicit drugs, medications, alcohol abuse).
5. Currently diagnosed psychological condition (e.g. depression, PTSD).
6. Medications for psychological or neurological disorder.
7. Any implanted metal, such as medical device or braces on teeth.
8. Injury to the back or other injury that will make it difficult for the participant to tolerate tests.
9. Injury to dominant arm that would cause difficulty using computer or responding to stimuli during functional imaging.
10. Pregnancy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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U.S. Army Medical Research and Development Command

FED

Sponsor Role collaborator

Huntington Medical Research Institutes

OTHER

Sponsor Role lead

Responsible Party

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Michael G Harrington

Research Scientist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Michael G Harrington, MB

Role: PRINCIPAL_INVESTIGATOR

Huntington Medical Research Institutes

Locations

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Huntington Medical Research Institutes

Pasadena, California, United States

Site Status

HMRI

Pasadena, California, United States

Site Status

Molecular Neurology Program

Pasadena, California, United States

Site Status

Countries

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United States

References

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Hoge CW, McGurk D, Thomas JL, Cox AL, Engel CC, Castro CA. Mild traumatic brain injury in U.S. Soldiers returning from Iraq. N Engl J Med. 2008 Jan 31;358(5):453-63. doi: 10.1056/NEJMoa072972. Epub 2008 Jan 30.

Reference Type BACKGROUND
PMID: 18234750 (View on PubMed)

Bigler ED. Neuropsychology and clinical neuroscience of persistent post-concussive syndrome. J Int Neuropsychol Soc. 2008 Jan;14(1):1-22. doi: 10.1017/S135561770808017X.

Reference Type BACKGROUND
PMID: 18078527 (View on PubMed)

Lewine JD, Davis JT, Bigler ED, Thoma R, Hill D, Funke M, Sloan JH, Hall S, Orrison WW. Objective documentation of traumatic brain injury subsequent to mild head trauma: multimodal brain imaging with MEG, SPECT, and MRI. J Head Trauma Rehabil. 2007 May-Jun;22(3):141-55. doi: 10.1097/01.HTR.0000271115.29954.27.

Reference Type BACKGROUND
PMID: 17510590 (View on PubMed)

Huang MX, Theilmann RJ, Robb A, Angeles A, Nichols S, Drake A, D'Andrea J, Levy M, Holland M, Song T, Ge S, Hwang E, Yoo K, Cui L, Baker DG, Trauner D, Coimbra R, Lee RR. Integrated imaging approach with MEG and DTI to detect mild traumatic brain injury in military and civilian patients. J Neurotrauma. 2009 Aug;26(8):1213-26. doi: 10.1089/neu.2008.0672.

Reference Type BACKGROUND
PMID: 19385722 (View on PubMed)

Pelinka LE, Kroepfl A, Schmidhammer R, Krenn M, Buchinger W, Redl H, Raabe A. Glial fibrillary acidic protein in serum after traumatic brain injury and multiple trauma. J Trauma. 2004 Nov;57(5):1006-12. doi: 10.1097/01.ta.0000108998.48026.c3.

Reference Type BACKGROUND
PMID: 15580024 (View on PubMed)

Vos PE, Lamers KJ, Hendriks JC, van Haaren M, Beems T, Zimmerman C, van Geel W, de Reus H, Biert J, Verbeek MM. Glial and neuronal proteins in serum predict outcome after severe traumatic brain injury. Neurology. 2004 Apr 27;62(8):1303-10. doi: 10.1212/01.wnl.0000120550.00643.dc.

Reference Type BACKGROUND
PMID: 15111666 (View on PubMed)

Other Identifiers

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W81XWH-13-1-0005

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

27294/1

Identifier Type: -

Identifier Source: org_study_id