COntrolled MAp Trauma Brain Injury (COMAT Study)

NCT ID: NCT03792581

Last Updated: 2019-05-14

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-01

Study Completion Date

2019-12-30

Brief Summary

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The goal of this randomized controlled trial will be to show that the use of a novel automated system to guide vasopressor administration in head trauma injury patients will results in more time spent with a mean arterial pressure (MAP) within the predefined MAP compared to patients managed without any automated system (manually management)

Detailed Description

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In head trauma patients, the maintenance of MAP within a very narrow range is desired to avoid secondary ischemic diseases. However, the MAP needed to reach can vary over time based on intracranial pressure. Additionally, it is well know that the nurses in the Intensive care unit managed multiple patients simultaneously and cannot dedicate 100% of his-her time to adjust vasopressor infusion and/or fluid administration. Using a novel automated system can overcome this issue and may lead to more time in MAP target than the traditional management.

All patients will have the same automated system for fluid administration using the EV1000 monitoring using the AFM mode ( Assisted fluid management). This system will recommend to the clinical when to administer a fluid bolus to optimize SV and SVV. So fluid administration will be standardized in both groups. The only difference will be the management of MAP.

The goal will be to compare a treatment period of at least 3 hours during which the patient will be under continuous noradrenaline infusion. This treatment time should be within the first 48 hours of patient admission in the Intensive care unit.

Conditions

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Closed-Loop Communication

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Manual versus automated management of MAP
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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EV1000 monitor

MAP management will be done as usual ( adjustment by nurses) and fluid management will be managed using the EV1000 monitoring device with the automated decision support system

Group Type ACTIVE_COMPARATOR

EV1000 and closed-loop system

Intervention Type DEVICE

This system will recommend when patients need fluid or not and adjust vasopressor administration automatically

EV1000 monitor + closed-loop system

fluid management will be done using the automated decision support system and MAP will be adjusted by the automated closed-loop system for vasopressor administration

Group Type EXPERIMENTAL

EV1000 and closed-loop system

Intervention Type DEVICE

This system will recommend when patients need fluid or not and adjust vasopressor administration automatically

Interventions

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EV1000 and closed-loop system

This system will recommend when patients need fluid or not and adjust vasopressor administration automatically

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Severe Head trauma Patients ( Glasgow score ≤8), intubated, ventilated and sedated

Exclusion Criteria

* Glasgow score \>8
* Bilateral mydriasis at the initial management
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bicetre Hospital

OTHER

Sponsor Role collaborator

University of California, Irvine

OTHER

Sponsor Role collaborator

University of California, Los Angeles

OTHER

Sponsor Role collaborator

Erasme University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Alexandre Joosten

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jacques Duranteau, PhD

Role: STUDY_DIRECTOR

APHP

Locations

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Joosten Alexandre

Paris, LE Kremlin Bicetre, France

Site Status

Countries

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France

Other Identifiers

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2018-A02976-49

Identifier Type: -

Identifier Source: org_study_id

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