Doxycycline in Acute Traumatic Brain Injury

NCT ID: NCT04239755

Last Updated: 2021-02-18

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

Clinical Phase

PHASE4

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-01

Study Completion Date

2020-10-30

Brief Summary

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evaluate the impact of Doxycycline on both clinical outcome and blood levels of NSE in patients with TBI.

Detailed Description

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1. Approval will be obtained from Research Ethics Committee of Faculty of Pharmacy, Damnhour University.
2. All Participants agreed to take part in this clinical research and provide informed consent. for unconscious participants, the informed consent was obtained from their legally authorized representative.
3. Patients with moderate to severe TBI will be enrolled from Tanta university hospitals.
4. Serum samples will be collected for measuring the biomarkers.
5. Our design is randomized, controlled study.
6. All enrolled patients will be divided into 2 groups, Group (1) 25 patients that receive doxycycline 100 mg twice daily, either orally or through a nasogastric tube for 5 days, and group (2) will be 25 patients will receive placebo in addition to the standard treatment.
7. All patients will be followed up during ICU period.
8. Statsicial tests appropriate to the study design will be conducted to evaluate the significance of the results.
9. Measuring outcome: the primary outcome is the change in the serum level of acute brain injury biomarkers.
10. Results, conclusions, discussion and recommendations will be given.

Conditions

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Traumatic Brain Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Doxycycline

Group (1) 25 patients that receive doxycycline 100 mg twice daily, either orally or through a nasogastric tube for 5 days.

Group Type ACTIVE_COMPARATOR

Doxycycline 100 MG Oral Tablet

Intervention Type DRUG

doxycycline 100 mg twice daily, either orally or through a nasogastric tube for 5 day

Placebo

group (2) will be 25 patients will receive placebo in addition to the standard treatment.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type OTHER

placebo in addition to the standard treatment.

Interventions

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Doxycycline 100 MG Oral Tablet

doxycycline 100 mg twice daily, either orally or through a nasogastric tube for 5 day

Intervention Type DRUG

placebo

placebo in addition to the standard treatment.

Intervention Type OTHER

Other Intervention Names

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vibramycine

Eligibility Criteria

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Inclusion Criteria

1. Hospital admission in the first 24 h of injury,
2. 18 to 90 years of age and
3. Both sexes with moderate to severe traumatic brain injury (GCS score ≤ 12).
4. Able to tolerate enteral feeding and drug administration within the first 24 hours of TBI

Exclusion Criteria

1. Hypersensitivity to tetracyclines
2. Pregnant and breast feeding women,
3. History of autoimmune disease.
4. History of receiving chronic steroid treatment and isotretinoin,
5. Pre-existing hepatic (AST, ALT greater than 3 times the upper limit of normal) or renal failure (BUN/ Creatinine 20:1; creatinine \> 2 mg/dL),
6. Known malignancies
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tanta University

OTHER

Sponsor Role collaborator

Damanhour University

OTHER

Sponsor Role lead

Responsible Party

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Rehab Werida

Clinical Pharmacy Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Noha Mansour, Lecturer

Role: PRINCIPAL_INVESTIGATOR

Mansoura University

Locations

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Tanta University Hospital

Tanta, El-Gharbia, Egypt

Site Status

Countries

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Egypt

References

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Sanchez Mejia RO, Ona VO, Li M, Friedlander RM. Minocycline reduces traumatic brain injury-mediated caspase-1 activation, tissue damage, and neurological dysfunction. Neurosurgery. 2001 Jun;48(6):1393-9; discussion 1399-401. doi: 10.1097/00006123-200106000-00051.

Reference Type RESULT
PMID: 11383749 (View on PubMed)

Janata A, Magnet IA, Schreiber KL, Wilson CD, Stezoski JP, Janesko-Feldman K, Kochanek PM, Drabek T. Minocycline fails to improve neurologic and histologic outcome after ventricular fibrillation cardiac arrest in rats. World J Crit Care Med. 2019 Nov 19;8(7):106-119. doi: 10.5492/wjccm.v8.i7.106. eCollection 2019 Nov 19.

Reference Type RESULT
PMID: 31853446 (View on PubMed)

Other Identifiers

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Doxycycline effects on TBI

Identifier Type: -

Identifier Source: org_study_id

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