Comparison of an Isotonic Balanced Fluid, Sterofundin® , With 0.9% Saline in Traumatic Brain Injury(TBI)

NCT ID: NCT02866604

Last Updated: 2016-10-26

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

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-31

Study Completion Date

2019-02-28

Brief Summary

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The main objective of this study is to compare the clinical outcomes of TBI patients receiving only Sterofundin or 0.9% saline as main fluid therapy.

Detailed Description

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Study Design: Prospective single centre double-blind randomized controlled trial

Study endpoints/outcomes

Primary outcomes:

* 30 day mortality
* Functional neurological outcomes at 6 months based on Extended Glasgow Outcome Scale (GOS-E)

Secondary outcomes:

* Acid-base and electrolyte balance
* Daily mean change in intracranial pressure (ICP)
* Episodes of intracranial hypertension
* Duration of mechanical ventilation
* Length of ICU stay and ICU mortality

Study Duration: 2 years Site: UMMC. Departments involved: Emergency Medicine, Surgery, Anaesthesiology and Pharmacy

Methodology. Investigators will assess patients admitted to the Emergency Department, UMMC, for eligibility.

Randomisation:

Investigators will randomize patients in a 1:1 ratio to either 0.9% saline intravenous fluid group or Sterofundin® intravenous fluid group. An independent statistician not involved with the research will perform a block of eight randomisation using computerised number generator list.

Conduct of study The Department of Pharmacy will identically seal all 0.9% saline and Sterofundin® intravenous fluid bottles and label them, according to their type, as either A or B. The patients, investigators and medical and nursing staff will not be aware of the designation of the letters A and B to the fluids.

Investigators will administer the study fluid will immediately after patient randomisation and this will last for 72 hours.

Other general care of the traumatic brain injury patients from both study arms will continue as per Neurosurgical Unit protocol and Brain Trauma Foundation guidelines.

Data handling

Investigators will collect all data relevant to both primary and secondary outcomes (see also attached proforma):

Statistical analysis Investigators will conduct students t test, Chi squared and the Mann-Whitney U test as appropriate. Investigators will adjust results with univariable and multivariable logistic regression and report their odds ratio. Investigators will present survival analysis using Kaplan Meier curves and compare them using log rank test.

Conditions

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Brain Injuries

Keywords

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Traumatic brain injury isotonic balanced fluid

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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Strerofundin

Days of intervention: 3 days

Group Type ACTIVE_COMPARATOR

Sterofundin

Intervention Type PROCEDURE

0.9% saline

Days of intervention: 3 days

Group Type ACTIVE_COMPARATOR

0.9% saline

Intervention Type PROCEDURE

Interventions

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Sterofundin

Intervention Type PROCEDURE

0.9% saline

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients age between 18 and 65 years of age
* Non-penetrating moderate (GCS 9-12) or severe (GCS 3-8) traumatic brain injury
* Within 12 hours since the recorded time of injury

Exclusion Criteria

* Pregnancy
* Polytrauma
* Cardiac arrest at presentation
* GCS of three with bilateral fixed dilated pupils,
* Evidence of severe cardiac, respiratory, renal or liver dysfunction
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Malaya

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Malaya Medical Centre

Petaling Jaya, Kuala Lumpur, Malaysia

Site Status

Countries

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Malaysia

Central Contacts

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Sia S Fu, MSurg, PhD

Role: CONTACT

Phone: +603-79492441

Email: [email protected]

Facility Contacts

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Sia S Fung, MSurg, PhD

Role: primary

Other Identifiers

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201510-1766

Identifier Type: -

Identifier Source: org_study_id