HEAD Injury Serum Markers and Multi-modalities for Assessing Response to Trauma

NCT ID: NCT04423198

Last Updated: 2021-08-04

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

2000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-12-31

Study Completion Date

2021-12-31

Brief Summary

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The goal of HeadSMART II (HEAD injury Serum markers and Multi-modalities for Assessing Response to Trauma II) is to develop an In-Vitro Diagnostic, the BRAINBox TBI test, to aid in the diagnosis and prognosis of patients with mild traumatic brain injury, by incorporating blood biomarkers, clinical assessments, and tools to measure associated neurocognitive impairments.

Detailed Description

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This study proposes to collect data using a multi-modality approach including blood biomarkers, clinical assessments, neurocognitive performance, and neuropsychological characteristics, to identify subjects with a mild Traumatic Brain Injury (TBI) and their likelihood of chronic symptoms.

This is an observational study with an expectation of enrolling up to 2000 subjects. These subjects will include the intended use population, subjects presenting to the Emergency Department or Urgent Care with a blunt head trauma. Data will be collected across four time points, T=0, 14 days, 30 days and 90 days, to allow for building and validating the algorithms for both diagnosis and prognosis claims.

Control populations, healthy and trauma only (no head trauma) will be included for assay development. Data will be collected for these groups at T=0 and 14 days (trauma control only).

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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Target Condition

Subjects presenting to the Emergency Department (ED) or Urgent Care (UC) with a blunt head trauma

Cognitive Assessment

Intervention Type BEHAVIORAL

Self administered cognitive battery

Patient Reported Neurological Outcome Assessments

Intervention Type BEHAVIORAL

Standard neurocognitive and neuropsychological tests

Blood Draw

Intervention Type PROCEDURE

Specimen collection of whole blood, serum, RNA

Trauma Control

Subjects presenting to the ED or UC requiring an Xray but do not have a head trauma

Cognitive Assessment

Intervention Type BEHAVIORAL

Self administered cognitive battery

Patient Reported Neurological Outcome Assessments

Intervention Type BEHAVIORAL

Standard neurocognitive and neuropsychological tests

Blood Draw

Intervention Type PROCEDURE

Specimen collection of whole blood, serum, RNA

Healthy Control

Subjects that are healthy and not taking any prescription medications

Cognitive Assessment

Intervention Type BEHAVIORAL

Self administered cognitive battery

Blood Draw

Intervention Type PROCEDURE

Specimen collection of whole blood, serum, RNA

Interventions

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Cognitive Assessment

Self administered cognitive battery

Intervention Type BEHAVIORAL

Patient Reported Neurological Outcome Assessments

Standard neurocognitive and neuropsychological tests

Intervention Type BEHAVIORAL

Blood Draw

Specimen collection of whole blood, serum, RNA

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Age \>=18 years
2. Ability to provide a blood sample; within 96 hours of injury
3. Ability to provide informed consent. Consent may be obtained with assistance of a legally authorized representative (LAR)
4. Must present to the Emergency Department (ED) or Urgent Care (UC) with a blunt head trauma

Exclusion Criteria

1. Glasgow Coma Scale (GCS) score \< 13, as presented in ED at time of screening
2. Need for general anesthesia at the time of presentation in the ED
3. Diagnosed dementia requiring assistance for daily living
4. Any head trauma requiring medical attention from a physician within the last 6 months
5. Received chemotherapy or radiation within the last year
6. History of stroke with disabling outcomes, brain tumor, epilepsy or intracranial surgery/hemorrhage
7. Psychiatric hospitalization in the last 90 days
8. Blood transfusion within the prior 4 weeks
9. Non-working telephone number
10. Current participant in an interventional clinical trial
11. Cannot perform study tasks on an iPad (e.g. not wearing corrective lenses necessary to read, inability to use both hands)
12. Subject considered unsuitable for participation in this clinical trial by PI, treating clinician or research study staff

Control Subjects

Inclusion:

1. Age \>=18 years
2. Ability to provide a blood sample; (For Trauma Controls (TC's) within 96 hours of injury)
3. Ability to provide informed consent. (For TC's consent may be obtained with assistance of a legally authorized representative (LAR)
4. Presents to the Emergency Department or Urgent Care with at least one injury requiring an X-Ray (TC's only)
5. Healthy and not taking prescription medications (Healthy Controls (HC's) only)

Exclusion:

1. Head trauma or symptoms with head trauma at presentation
2. Head trauma requiring medical attention from a physician within the last 6 months
3. Internal organ injury (e.g. liver laceration, pulmonary contusion, spinal cord injury) that requires inpatient hospitalization
4. Need for general anesthesia at the time of presentation in the ED
5. Diagnosed dementia requiring assistance for daily living
6. Received chemotherapy or radiation within the last year
7. History of stroke with disabling outcomes, brain tumor, epilepsy or intracranial surgery/hemorrhage
8. Psychiatric hospitalization in the last 90 days
9. Blood transfusion within the prior 4 weeks
10. Non-working telephone number
11. Current participant in an interventional clinical trial
12. Cannot perform study tasks on an iPad (e.g. not wearing corrective lenses necessary to read, inability to use both hands)
13. Subject considered unsuitable for participation in this clinical trial by PI, treating clinician or research study staff
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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BRAINBox Solutions Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Frank Peacock, MD

Role: PRINCIPAL_INVESTIGATOR

Baylor College of Medicine

Locations

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University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status RECRUITING

Detroit Receiving

Detroit, Michigan, United States

Site Status RECRUITING

Harper University Hospital

Detroit, Michigan, United States

Site Status RECRUITING

Sinai Grace Hospital

Detroit, Michigan, United States

Site Status RECRUITING

University of Rochester Medical Center

Rochester, New York, United States

Site Status RECRUITING

Stony Brook Medicine

Stony Brook, New York, United States

Site Status RECRUITING

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

John Peter Smith (JPS) Health Network

Fort Worth, Texas, United States

Site Status RECRUITING

Baylor College of Medicine/Ben Taub

Houston, Texas, United States

Site Status RECRUITING

Baylor College of Medicine/St. Luke's Medical Center

Houston, Texas, United States

Site Status RECRUITING

Carilion Clinic

Roanoke, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Donna Edmonds

Role: CONTACT

804-212-2975

Andrea Brown, MS

Role: CONTACT

408-881-2611

Facility Contacts

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Lucas Lemar

Role: primary

913-588-3580

Justin Sabol

Role: primary

Justin Sabol

Role: primary

Justin Sabol

Role: primary

Kian Merchant-Borna, MPH, MBA

Role: primary

Maria Taylor

Role: primary

Hannah Zamore

Role: primary

Maximillian Masuda

Role: primary

Kelly Keene

Role: primary

713-873-9818

Kelly Keene

Role: primary

Daniella Rodriguez

Role: primary

540-588-3183

Other Identifiers

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CLIN01001

Identifier Type: -

Identifier Source: org_study_id

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