Diagnostic and Prognostic Biomarkers of Idiopathic Intracranial Hypertension

NCT ID: NCT04032379

Last Updated: 2023-03-07

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

RECRUITING

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-02-14

Study Completion Date

2027-05-31

Brief Summary

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Idiopathic intracranial hypertension (IIH) is a condition of unknown etiology, primarily affecting overweight females of childbearing age. Typically, patients experience headache and visual symptoms due to increased intracranial pressure (ICP) and papilledema. The diagnosis is difficult, and outcomes vary from no sequelae to blindness or chronic headaches. No clear prognostic indicators exist. Treatment consists of medication, weight loss, and possibly surgical intervention.There is an unmet need of defining biomarkers with prognostic or diagnostic value and defining predictors of a poor outcome.

This project is a prospective, population-based cohort study including clinical data and a biobank (blood samples and cerebrospinal fluid).

The investigator's primary aim is to identify biomarkers of diagnostic or prognostic value and to create a clinical IIH database. The clinical database will answer questions about patient characteristics at baseline and during follow-up, identify predictors of outcome, and help create a standardized programme for follow-up and

Detailed Description

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This study is a multicenter, prospective, population-based cohort study with consecutive inclusion of patients in which the diagnosis of IIH is suspected. This study is carried out in collaboration between the Danish Headache Center, Rigshospitalet-Glostrup, and the Neurological Department at Odense University Hospital.

Patients are eligible for inclusion into the study if:

1. IIH is suspected
2. \> 18 years old and able to provide written informed consent.

At baseline included patients will have:

A.) Medical history B.) Neurological, ophthalmological and general medical examination C.) Relevant neuro-imaging D.) Blood samples and lumbar puncture F.) Evaluation by other specialist, including neuro-psychologists, if appropriate.

Subsequently patients are divided into three sub-groups according to revised Friedmann criteria:

1. Certain IIH or IIH-WOP
2. Suspected, but unconfirmed, IIH
3. IIH ruled out

Patients are followed at a headache center and by neuro-ophthalmologist according to standard clinical practice.

Conditions

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Benign Intracranial Hypertension

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Certain IIH or IIH-WOP

According to revised diagnostic criteria, Friedmann, 2013.

Standard treatment

Intervention Type OTHER

No intervention, some patients have additional neuro-psychological testing.

Suspected IIH

IIH is suspected, does not fulfill diagnostic criteria.

Standard treatment

Intervention Type OTHER

No intervention, some patients have additional neuro-psychological testing.

IIH ruled out

Patients in whom another diagnosis is made.

Standard treatment

Intervention Type OTHER

No intervention, some patients have additional neuro-psychological testing.

Interventions

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Standard treatment

No intervention, some patients have additional neuro-psychological testing.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Able to and willing to provide informed consent
2. More than 18 years of age
3. Suspicion of IIH (based on clinical evaluation by neurologist or opthalmologist)

Exclusion Criteria

1.) Unable to consent (e.g. language, mental retardation).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Odense University Hospital

OTHER

Sponsor Role collaborator

Danish Headache Center

OTHER

Sponsor Role lead

Responsible Party

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Johanne Severinsen

Clinical assistant, M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rigmor Jensen, M.D., Dr.Med.

Role: STUDY_DIRECTOR

The Danish Headache Center, Rigshospitalet-Glostrup

Dagmar Beier, M.D., Ph.D.

Role: STUDY_DIRECTOR

Odense University Hospital

Locations

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The Danish Headache Center, Department of Neurology, Rigshospitalet-Glostrup

Copenhagen, Glostrup, Denmark

Site Status RECRUITING

Odense University Hospital, Department of Neurology

Odense, Region Syddanmark, Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Johanne Severinsen, M.D.

Role: CONTACT

004538633553

Facility Contacts

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Johanne Severinsen, M.D.

Role: primary

Dagmar Beier, M.D., Ph.D.

Role: primary

References

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Durcan FJ, Corbett JJ, Wall M. The incidence of pseudotumor cerebri. Population studies in Iowa and Louisiana. Arch Neurol. 1988 Aug;45(8):875-7. doi: 10.1001/archneur.1988.00520320065016.

Reference Type BACKGROUND
PMID: 3395261 (View on PubMed)

Wall M, Kupersmith MJ, Kieburtz KD, Corbett JJ, Feldon SE, Friedman DI, Katz DM, Keltner JL, Schron EB, McDermott MP; NORDIC Idiopathic Intracranial Hypertension Study Group. The idiopathic intracranial hypertension treatment trial: clinical profile at baseline. JAMA Neurol. 2014 Jun;71(6):693-701. doi: 10.1001/jamaneurol.2014.133.

Reference Type BACKGROUND
PMID: 24756302 (View on PubMed)

Yri HM, Jensen RH. Idiopathic intracranial hypertension: Clinical nosography and field-testing of the ICHD diagnostic criteria. A case-control study. Cephalalgia. 2015 Jun;35(7):553-62. doi: 10.1177/0333102414550109. Epub 2014 Sep 16.

Reference Type BACKGROUND
PMID: 25228684 (View on PubMed)

Yri HM, Ronnback C, Wegener M, Hamann S, Jensen RH. The course of headache in idiopathic intracranial hypertension: a 12-month prospective follow-up study. Eur J Neurol. 2014 Dec;21(12):1458-64. doi: 10.1111/ene.12512. Epub 2014 Jul 29.

Reference Type BACKGROUND
PMID: 25070715 (View on PubMed)

Yri HM, Fagerlund B, Forchhammer HB, Jensen RH. Cognitive function in idiopathic intracranial hypertension: a prospective case-control study. BMJ Open. 2014 Apr 8;4(4):e004376. doi: 10.1136/bmjopen-2013-004376.

Reference Type BACKGROUND
PMID: 24713214 (View on PubMed)

Digre KB, Nakamoto BK, Warner JE, Langeberg WJ, Baggaley SK, Katz BJ. A comparison of idiopathic intracranial hypertension with and without papilledema. Headache. 2009 Feb;49(2):185-93. doi: 10.1111/j.1526-4610.2008.01324.x.

Reference Type BACKGROUND
PMID: 19222592 (View on PubMed)

Peng KP, Fuh JL, Wang SJ. High-pressure headaches: idiopathic intracranial hypertension and its mimics. Nat Rev Neurol. 2012 Dec;8(12):700-10. doi: 10.1038/nrneurol.2012.223. Epub 2012 Nov 20.

Reference Type BACKGROUND
PMID: 23165338 (View on PubMed)

Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013 Jul;33(9):629-808. doi: 10.1177/0333102413485658. No abstract available.

Reference Type BACKGROUND
PMID: 23771276 (View on PubMed)

Nielsen HH, Beck HC, Kristensen LP, Burton M, Csepany T, Simo M, Dioszeghy P, Sejbaek T, Grebing M, Heegaard NH, Illes Z. The Urine Proteome Profile Is Different in Neuromyelitis Optica Compared to Multiple Sclerosis: A Clinical Proteome Study. PLoS One. 2015 Oct 13;10(10):e0139659. doi: 10.1371/journal.pone.0139659. eCollection 2015.

Reference Type BACKGROUND
PMID: 26460890 (View on PubMed)

Hansen NS, Korsbaek JJ, Yri HM, Jensen RH, Beier D. Are the ICHD-3 criteria for headache attributed to idiopathic intracranial hypertension valid? Headache phenotyping and field-testing in newly diagnosed idiopathic intracranial hypertension. Cephalalgia. 2024 Apr;44(4):3331024241248210. doi: 10.1177/03331024241248210.

Reference Type DERIVED
PMID: 38663903 (View on PubMed)

Other Identifiers

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S-20170058

Identifier Type: -

Identifier Source: org_study_id

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