Characterization of the Sleep-Wake Cycle in Traumatic Brain Injury Patients with a Disorder of Consciousness

NCT ID: NCT06766513

Last Updated: 2025-01-09

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-01

Study Completion Date

2028-08-01

Brief Summary

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Each year in France, 160,000 peoples suffer from a mild or severe traumatic brain injury (TBI). Sleep plays a crucial role in the process of brain plasticity, which is essential for neurological and cognitive recovery. However, the sleep-wake cycle is rarely, if ever, evaluated in patients with TBI and consciousness disorders within Post-Resuscitation Rehabilitation Units (SRPR). Caregivers develop, on a daily basis, an intuitive understanding of the patient's overall condition. This expertise deserves to be validated using objective sleep assessment tools (actigraphy). If proven accurate, it could lead to the implementation of a sleep-wake cycle evaluation protocol within SRPRs.

Detailed Description

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Conditions

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Trauma, Nervous System Brain Trauma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Patients in a vegetative state

Group Type EXPERIMENTAL

Actimetry

Intervention Type OTHER

actimetry will be performed continuously during these 104 hours.

Subjective assessments

Intervention Type OTHER

The subjective assessments of the patient's awake/sleep state will be collected every 2 hours during the night and at least 3 times during the day, for a total of at least 8 assessments per 24-hour period, over a duration of 104 consecutive hours (slightly more than 4 days, starting at midnight and ending at 8 :00 AM, to cover 4 full days and 4 full nights).

questionnaire

Intervention Type OTHER

MOCA : Montreal Cognitive Assessment

questionnaire

Intervention Type OTHER

SF-36 The Short Form (36)

questionnaire

Intervention Type OTHER

CRS-R (Coma Recovery Scale-Revised)

questionnaire

Intervention Type OTHER

GOSE (Glasgow Outcome Scale-Extended)

questionnaire

Intervention Type OTHER

GCS (Glasgow Coma Scale)

Patients in a minimally conscious state

Group Type EXPERIMENTAL

Actimetry

Intervention Type OTHER

actimetry will be performed continuously during these 104 hours.

Subjective assessments

Intervention Type OTHER

The subjective assessments of the patient's awake/sleep state will be collected every 2 hours during the night and at least 3 times during the day, for a total of at least 8 assessments per 24-hour period, over a duration of 104 consecutive hours (slightly more than 4 days, starting at midnight and ending at 8 :00 AM, to cover 4 full days and 4 full nights).

questionnaire

Intervention Type OTHER

MOCA : Montreal Cognitive Assessment

questionnaire

Intervention Type OTHER

SF-36 The Short Form (36)

questionnaire

Intervention Type OTHER

CRS-R (Coma Recovery Scale-Revised)

questionnaire

Intervention Type OTHER

GOSE (Glasgow Outcome Scale-Extended)

questionnaire

Intervention Type OTHER

GCS (Glasgow Coma Scale)

Interventions

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Actimetry

actimetry will be performed continuously during these 104 hours.

Intervention Type OTHER

Subjective assessments

The subjective assessments of the patient's awake/sleep state will be collected every 2 hours during the night and at least 3 times during the day, for a total of at least 8 assessments per 24-hour period, over a duration of 104 consecutive hours (slightly more than 4 days, starting at midnight and ending at 8 :00 AM, to cover 4 full days and 4 full nights).

Intervention Type OTHER

questionnaire

MOCA : Montreal Cognitive Assessment

Intervention Type OTHER

questionnaire

SF-36 The Short Form (36)

Intervention Type OTHER

questionnaire

CRS-R (Coma Recovery Scale-Revised)

Intervention Type OTHER

questionnaire

GOSE (Glasgow Outcome Scale-Extended)

Intervention Type OTHER

questionnaire

GCS (Glasgow Coma Scale)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Admission to the Post-Resuscitation Rehabilitation Unit or the Neurological Intensive Care Unit
* Consciousness disorders: Vegetative State or Minimally Conscious State (according to the CRS-R)
* Traumatic brain injury
* Patient aged 18 years or older
* Presence of relatives able to express non-opposition to the study
* Subjects affiliated with a social security scheme (or beneficiaries)

Exclusion Criteria

* Admission for status epilepticus
* Individuals admitted to a healthcare or social care facility for purposes other than research
* Adults under legal protection measures (guardianship, conservatorship)
* Individuals not affiliated with a social security scheme or not benefiting from a similar scheme
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jacques LUAUTE, Professor

Role: PRINCIPAL_INVESTIGATOR

Hôpital Neurologique Pierre Wertheimer, Service de Service de Rééducation Post-Réanimation

Florent GOBERT, Doctor

Role: PRINCIPAL_INVESTIGATOR

Hôpital Neurologique Pierre Wertheimer, Service de Réanimation Polyvalente Neurologique

Locations

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Hôpital Neurologique Pierre Wertheimer, Service de Réanimation Polyvalente Neurologique

Bron, France, , France

Site Status

Countries

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France

Central Contacts

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Jacques LUAUTE, professor

Role: CONTACT

04.78.86.51.87 ext. 33

Anne-Laure CHARLOIS

Role: CONTACT

Facility Contacts

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Jacques LUAUTE

Role: primary

04.78.86.51.87 ext. +33

Jacques LUAUTE

Role: backup

Other Identifiers

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2024-A02567-40

Identifier Type: OTHER

Identifier Source: secondary_id

69HCL24_0936

Identifier Type: -

Identifier Source: org_study_id

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