BRAINI-2 Elderly Mild TBI European Study

NCT ID: NCT05425251

Last Updated: 2025-12-29

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

2297 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-03-01

Study Completion Date

2025-03-30

Brief Summary

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Mild traumatic brain injury (mTBI) is one of the most frequent emergencies in the elderly population. Despite most mTBI are managed with cranial computed tomography (CT), only 10% of CTs show lesions, determining CT overuse. The use of serum glial fibrillary acidic protein (GFAP) and Ubiquitin C-terminal Hydrolase-L1 (UCH-L1) have shown potential for ruling out the need for cranial CT. However evidence on biomarker use in mild TBI were not based on studies that included aged participants and patients with comorbidities for which biomarker levels could vary. This is why there is a need for a prospective study that assesses the predictive performance of these two biomarkers in the elderly population, both in elderly patients suffering mild TBI and in a reference population, including patients and participants with and without comorbidities.

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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BRAINI2-ELDERLY DIAGNOSTIC & PROGNOSTIC

2370 patients suffering mild Traumatic brain injury

GFAP and UCH-L1

Intervention Type DIAGNOSTIC_TEST

2x5mL blood samples will be used to determine the performance of the automated VIDAS TBI platform in assessing serum concentrations of GFAP and UCH-L1 to rule out the need for a CT-scan after mTBI.

BRAINI2-ELDERLY REFERENCE

480 non-tbi elderly reference patients

GFAP and UCH-L1

Intervention Type DIAGNOSTIC_TEST

2x5mL blood samples will be used to determine the performance of the automated VIDAS TBI 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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GFAP and UCH-L1

2x5mL blood samples will be used to determine the performance of the automated VIDAS TBI platform in assessing serum concentrations of GFAP and UCH-L1 to rule out the need for a CT-scan after mTBI.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* BRAINI2-ELDERLY DIAGNOSTIC \& PROGNOSTIC:

* Patients ≥65 years of age
* Mild TBI (GCS 13-15 on admission) with indication of brain CT scan in the 12 hours after injury ;
* Blood sample obtained ≤12 h after injury and CT scan preferably ≤6h from blood sample.
* BRAINI2-ELDERLY REFERENCE:

* Non TBI patients ≥65 years of age

Exclusion Criteria

* BRAINI2-ELDERLY DIAGNOSTIC \& PROGNOSTIC:

* Age below 65 years.
* 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 from the trauma scene or prehospital management.
* Venipuncture not feasible
* No realization of brain CT-scan
* Subject under judiciary control
* Subject in inclusion period of a drug interventional study
* BRAINI2-ELDERLY REFERENCE:

* Subject in inclusion period of another drug interventional study
* Patients harboring a brain tumor
* Patients that have had a stroke or neurosurgical operation 1 month prior to the inclusion in the study.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Technical University of Munich

OTHER

Sponsor Role collaborator

University Hospital, Grenoble

OTHER

Sponsor Role collaborator

University Hospital, Clermont-Ferrand

OTHER

Sponsor Role collaborator

Hospital Vall d'Hebron

OTHER

Sponsor Role collaborator

BioMérieux

INDUSTRY

Sponsor Role collaborator

EIT Health

OTHER

Sponsor Role collaborator

Hospital Universitario 12 de Octubre

OTHER

Sponsor Role lead

Responsible Party

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Alfonso Lagares Gómez-Abascal

Department of Neurosurgery, Head

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alfonso Lagares Gómez-Abascal, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitario 12 de Octubre

Locations

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CHU Clermont-Ferrand

Clermont-Ferrand, , France

Site Status

CHU Grenoble-Alpes

Grenoble, , France

Site Status

Hôpital Edouard HERRIOT

Lyon, , France

Site Status

Hôpital Lyon Sud HCL

Lyon, , France

Site Status

Klinikum rechts der Isar

Munich, , Germany

Site Status

Hospital Universitario 12 de Octubre

Madrid, Madrid, Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Countries

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France Germany Spain

References

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Lagares A, Payen JF, Biberthaler P, Poca MA, Mejan O, Pavlov V, Viglino D, Sapin V, Lassaletta A, de la Cruz J; Braini2_elderly_investigators Collaborative group. Study protocol for investigating the clinical performance of an automated blood test for glial fibrillary acidic protein and ubiquitin carboxy-terminal hydrolase L1 blood concentrations in elderly patients with mild traumatic BRAIN Injury and reference values (BRAINI-2 Elderly European study): a prospective multicentre observational study. BMJ Open. 2023 Jul 17;13(7):e071467. doi: 10.1136/bmjopen-2022-071467.

Reference Type DERIVED
PMID: 37460257 (View on PubMed)

Other Identifiers

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EIT-HEALTH 220325

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

HU 12Octubre

Identifier Type: -

Identifier Source: org_study_id