Treatment of Chronic Subdural Hematoma by Corticosteroids

NCT ID: NCT02650609

Last Updated: 2020-06-09

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

Clinical Phase

PHASE3

Total Enrollment

202 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-24

Study Completion Date

2020-03-20

Brief Summary

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Chronic subdural hematomas are a frequent neurosurgical pathology in the elderly. Gold standard is surgical evacuation of these hematomas. Physiopathology of chronic subdural hematoma involves numerous inflammatory processes which could be inhibited by steroids.

Detailed Description

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The primary objective is to evaluate the efficacy of corticosteroids treatment in patients with Chronic subdural hematomas without clinical or radiological signs of severity.

Secondary objectives are to assess the effect of methylprednisolone on:

* quality of life evolution,
* morbidity and mortality,
* radiological evolution of the lesions.

Conditions

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Chronic Subdural Hematomas

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Methylprednisolone

Methylprednisolone will be supplied as powder and stored in capsules containing 16 mg with lactose as excipient.

Capsules will be administered orally in the morning, during breakfast with a glass of water.

Dose is adapted according to the weight of the patient (1mg/kg):

* \<60 kg: 3 pills of 16 mg/day
* 60-80kg: 4 pills of 16 mg/day
* \>80kg: 5 pills of 16 mg/day The duration of the treatment is 21 days.

Group Type EXPERIMENTAL

Methylprednisolone

Intervention Type DRUG

Placebo

Placebo capsules will only contain lactose. Capsules will be administered orally in the morning, during breakfast with a glass of water.

Dose is adapted according to the weight of the patient (1mg/kg):

* \<60 kg: 3 pills of 16 mg/day
* 60-80kg: 4 pills of 16 mg/day
* \>80kg: 5 pills of 16 mg/day The duration of the treatment is 21 days.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Methylprednisolone

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18 years old,
* With chronic or subacute, uni or bilateral subdural hematoma,
* Confirmed by cerebral scan without contrast enhancement,
* Without clinical and radiological signs of severity,
* Written informed consent from patients or their next of kin according to the patients cognitive status.

Exclusion Criteria

* Diabetics patients,
* Contraindication for methylprednisolone,
* Previous surgery for chronic subdural hematoma during the past 6 months,
* Pre-existing severe dementia related to other etiology than the Chronic subdural hematomas,
* Existing neurological pathology that can be associated with dementia,
* Patients treated with corticosteroids,
* Protected person (adults legally protected (under judicial protection, guardianship or supervision), person deprived of their liberty, pregnant woman, lactating woman and minor),
* Participating in other concomitant research.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rennes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xavier XM MORANDI, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

CHU Rennes

Pierre-Louis PH HENAUX, MD

Role: PRINCIPAL_INVESTIGATOR

CHU Rennes

Pierre-Jean PL LE RESTE, MD

Role: PRINCIPAL_INVESTIGATOR

CHU Rennes

Locations

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CHU Amiens

Amiens, , France

Site Status

CHU Angers

Angers, , France

Site Status

CHU Besançon

Besançon, , France

Site Status

CHU Bordeaux Neurochirurgie A

Bordeaux, , France

Site Status

CHU Bordeaux Neurochirurgie B

Bordeaux, , France

Site Status

CHU Brest

Brest, , France

Site Status

CHU Caen

Caen, , France

Site Status

CHU Lille

Lille, , France

Site Status

HC Lyon

Lyon, , France

Site Status

AP-HM - Hôpital La Timone

Marseille, , France

Site Status

CHU Nancy

Nancy, , France

Site Status

CHU Nantes

Nantes, , France

Site Status

CHU Poitiers

Poitiers, , France

Site Status

CHU Rouen

Rouen, , France

Site Status

CHU Saint Etienne

Saint-Etienne, , France

Site Status

CHU Strasbourg

Strasbourg, , France

Site Status

CHU Tours

Tours, , France

Site Status

Countries

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France

References

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Henaux PL, Le Reste PJ, Laviolle B, Morandi X. Steroids in chronic subdural hematomas (SUCRE trial): study protocol for a randomized controlled trial. Trials. 2017 Jun 5;18(1):252. doi: 10.1186/s13063-017-1990-8.

Reference Type DERIVED
PMID: 28583162 (View on PubMed)

Other Identifiers

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2015-000927-96

Identifier Type: -

Identifier Source: org_study_id

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