A Study of Biomarkers of Mild Traumatic BRAIN Injury

NCT ID: NCT04032509

Last Updated: 2022-03-02

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

Total Enrollment

1501 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-08-10

Study Completion Date

2021-09-28

Brief Summary

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Patients with mild traumatic brain injury (mTBI) represent a burden of patients admitted to the emergency department. According to the guidelines, a cerebral CT scan is indicated after mTBI according to the specific conditions. However, variability exists regarding the respect of these CT scan indications, and less than 10% of patients will have visible brain lesions on CT scan. Recently, serum Glial Fibrillary Acidic Protein (GFAP) and Ubiquitin C-terminal Hydrolase-L1 (UCH-L1) biomarkers have shown ability to differentiate normal and abnormal CT scan findings after mTBI. These encouraging results prompted us to launch a prospective study using automated and quick measurements of GFAP and UCH-L1 biomarkers to validate these findings.

Detailed Description

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Conditions

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Mild Traumatic Brain Injury

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Mild TBI

Mild TBI (GCS 13-15 on admission) within 12 hours after injury

2 x 5 mL blood sample

Intervention Type OTHER

2 x 5 mL blood sample to determine the performance of the automated VIDAS BTI platform in assessing serum concentrations of GFAP and UCH-L1 to rule out the need for a CT-scan after mTBI.

Interventions

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2 x 5 mL blood sample

2 x 5 mL blood sample to determine the performance of the automated VIDAS BTI platform in assessing serum concentrations of GFAP and UCH-L1 to rule out the need for a CT-scan after mTBI.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients \>18 years old (France)
* Mild TBI (GCS 13-15 on admission) within 12 hours after injury
* Indication of brain CT scan:

* neurological focal deficit
* anterograde amnesia
* Glasgow coma scale score \<15 after 2 hours post-TBI
* suspicion of vault depression fracture
* fracture of the basal skull
* persisting nausea, vomiting or headache
* post-TBI seizures
* Pre-injury treatment with antithrombotic drugs
* Loss of consciousness or amnesia with age \>65 years, fall \>1m or hit pedestrian
* Other condition requiring CT scan according to the in-charge physician.

Exclusion Criteria

* GCS 3-12 on admission
* Time of injury unknown
* Time to injury exceeding 12 hours
* Primary admission for non-traumatic neurological disorder (e.g., stroke, spontaneous intracranial hematoma)
* Penetrating head trauma
* Patient with mechanical ventilation
* Pre-injury neurological disorder affecting the assessment of neurological outcome: dementia, Parkinson's disease, multiple sclerosis, seizure disorder, brain tumor, and history of neurosurgery, stroke or transient ischemic attack (TIA) within the last 30 days
* Venipuncture not feasible
* No realization of brain CT-scan
* Subject under judiciary control
* Pregnant or breastfeeding woman
* Subject in exclusion period of another study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Grenoble

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Centre Hospitalier Annecy Genevois

Annecy, , France

Site Status

CHU Bordeaux

Bordeaux, , France

Site Status

CHU Dijon

Dijon, , France

Site Status

CHU Grenoble Alpes

Grenoble, , France

Site Status

Hopital Edouard HERRIOT - HCL

Lyon, , France

Site Status

Hopital Lyon Sud HCL

Lyon, , France

Site Status

CHU Montpellier

Montpellier, , France

Site Status

CHU Nantes

Nantes, , France

Site Status

CHU Poitiers

Poitiers, , France

Site Status

CHU Toulouse

Toulouse, , France

Site Status

CHU Tours

Tours, , France

Site Status

Hôpital Nord Ouest de Villefranche sur Saône

Villefranche-sur-Saône, , France

Site Status

Hospital de La Princesa

Madrid, , Spain

Site Status

Hospital del Tajo

Madrid, , Spain

Site Status

Hospital Gregorio Maranon

Madrid, , Spain

Site Status

Hospital Universitario de 12 Octubre

Madrid, , Spain

Site Status

Countries

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France Spain

References

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Lagares A, de la Cruz J, Terrisse H, Mejan O, Pavlov V, Vermorel C, Payen JF; of the BRAINI participants and investigators. An automated blood test for glial fibrillary acidic protein (GFAP) and ubiquitin carboxy-terminal hydrolase L1 (UCH-L1) to predict the absence of intracranial lesions on head CT in adult patients with mild traumatic brain injury: BRAINI, a multicentre observational study in Europe. EBioMedicine. 2024 Dec;110:105477. doi: 10.1016/j.ebiom.2024.105477. Epub 2024 Nov 29.

Reference Type DERIVED
PMID: 39612652 (View on PubMed)

Richard M, Lagares A, Bondanese V, de la Cruz J, Mejan O, Pavlov V, Payen JF; BRAINI investigators. Study protocol for investigating the performance of an automated blood test measuring GFAP and UCH-L1 in a prospective observational cohort of patients with mild traumatic brain injury: European BRAINI study. BMJ Open. 2021 Feb 25;11(2):e043635. doi: 10.1136/bmjopen-2020-043635.

Reference Type DERIVED
PMID: 33632753 (View on PubMed)

Other Identifiers

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2019-A01525-52

Identifier Type: OTHER

Identifier Source: secondary_id

38RC19.176

Identifier Type: -

Identifier Source: org_study_id

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