Validation of Non-Invasive Intracranial Pressure (ICP) Monitoring Device

NCT ID: NCT03865576

Last Updated: 2019-03-07

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

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-03-01

Study Completion Date

2019-10-31

Brief Summary

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For purposes of validation, this study compares intracranial pressure measurements obtained with a novel self-calibrating, non-invasive, intracranial pressure measuring (ICP) device, with the values obtained from (a) patients in an intensive care unit (ICU) whose meet standard clinical indications for ICP measurement and whose ICP is measured using gold-standard implanted intracranial instrumentation and in (b) ambulatory subjects who meet clinical indications for lumbar puncture.

Detailed Description

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This study is designed to validate intracranial pressure measurements obtained with a novel, self-calibrating, non-invasive, intracranial pressure measuring (ICP) device based on trans-cranial Doppler technology. The ophthalmic artery is utilized as a natural ICP sensor. Up to 80 subjects will be recruited in 4 centers to achieve a power of 90% and a p\<0.05 compared to the values obtained from (a) patients in an ICU whose meet standard clinical indications for ICP measurement and whose ICP is measured using gold-standard implanted intracranial instrumentation and in (b) ambulatory subjects who meet clinical indications for lumbar puncture. At least two comparative readings, separated by an hour or more, will be obtained from each subject.

Conditions

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Intracranial Hypertension Abnormality of Intracranial Pressure

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Thomas Jefferson University

Patients in intensive care with altered intracranial pressure.

Intervention: Non-invasive ICP measurement using transorbital Doppler ultrasound device.

Comparison of measurements obtained with values derived from surgically implanted ICP monitoring sensors.

Non-invasive ICP measurement

Intervention Type DIAGNOSTIC_TEST

Intracranial pressure will be measured non-invasively using transorbital Doppler ultrasound. Values will be compared to ICP measured by lumbar puncture or implanted ICP sensors

Honor Health in Phoenix

Patients in intensive care with altered intracranial pressure.

Intervention: Non-invasive ICP measurement using transorbital Doppler ultrasound device.

Comparison of measurements obtained with values derived from surgically implanted ICP monitoring sensors.

Non-invasive ICP measurement

Intervention Type DIAGNOSTIC_TEST

Intracranial pressure will be measured non-invasively using transorbital Doppler ultrasound. Values will be compared to ICP measured by lumbar puncture or implanted ICP sensors

Emory University Hospital in Atlanta

Patients in intensive care with altered intracranial pressure.

Intervention: Non-invasive ICP measurement using transorbital Doppler ultrasound device.

Comparison of measurements obtained with values derived from surgically implanted ICP monitoring sensors

Non-invasive ICP measurement

Intervention Type DIAGNOSTIC_TEST

Intracranial pressure will be measured non-invasively using transorbital Doppler ultrasound. Values will be compared to ICP measured by lumbar puncture or implanted ICP sensors

University of Washington

Patients in intensive care with altered intracranial pressure.

Intervention: Non-invasive ICP measurement using transorbital Doppler ultrasound device. .

Comparison of measurements obtained with values derived from surgically implanted ICP monitoring sensors and lumbar puncture

Non-invasive ICP measurement

Intervention Type DIAGNOSTIC_TEST

Intracranial pressure will be measured non-invasively using transorbital Doppler ultrasound. Values will be compared to ICP measured by lumbar puncture or implanted ICP sensors

Interventions

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Non-invasive ICP measurement

Intracranial pressure will be measured non-invasively using transorbital Doppler ultrasound. Values will be compared to ICP measured by lumbar puncture or implanted ICP sensors

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* ICU patients suspected of having an abnormality of ICP undergoing monitoring with commercially-available, FDA-approved instrumentation.

Exclusion Criteria

History of:

* Glaucoma or optic hypertension
* Severe orbital or ophthalmic injury
* Orbital or intraocular surgery that might interfere with orbital compliance
* Congenital malformations of the eye and/or orbit that might interfere with orbital compliance or orbital vascular anatomy
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Neurosciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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T Forcht Dagi, MD, DMedSc

Role: STUDY_DIRECTOR

Boston Neurosciences

Locations

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Honor Health Research Institute

Phoenix, Arizona, United States

Site Status

Emory University Hospital

Atlanta, Georgia, United States

Site Status

Thomas Jefferson Hospital

Philadelphia, Pennsylvania, United States

Site Status

University of Washington

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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nICP-1

Identifier Type: -

Identifier Source: org_study_id

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