Efficacy of Early Continuous Infusion of HSS on the Neurological Outcome at 6 Months in TBI Patients.

NCT ID: NCT07319208

Last Updated: 2026-01-06

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

PHASE3

Total Enrollment

760 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-01

Study Completion Date

2029-02-01

Brief Summary

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The purpose of this study is to demonstrate the efficacy of early continuous intravenous infusion of hypertonic saline solution (HSS) to improve survival and independence in daily life activities (at 6 months) of patients with traumatic brain injury at high risk of intracranial hypertension.

Detailed Description

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Conditions

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TBI Traumatic Brain Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Controlled, Single insulated with blinded assessment of the primary endpoint, Prospective
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Hypertonic Saline Solution

Continuous infusion of HSS (NaCl 20%) for 48 hours (can be prolonged during the period of intracranial hypertension)

Group Type EXPERIMENTAL

Hypertonic saline solution

Intervention Type DRUG

Continuous infusion of HSS (NaCl 20%) for 48 hours (can be prolonged during the period of intracranial hypertension)

Standard

Standard of care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Hypertonic saline solution

Continuous infusion of HSS (NaCl 20%) for 48 hours (can be prolonged during the period of intracranial hypertension)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patient admitted to intensive care unit
* Traumatic brain injury with Glasgow Coma Scale ≤ 12
* Intracranial pressure (ICP) monitoring based on the attending physician's clinical judgment, in accordance with guidelines or clinical/radiological signs considered at risk of intracranial hypertension
* Inclusion during the first 12 hours after Intracranial pressure monitoring placement
* Informed and signed consent
* National health insurance

Exclusion Criteria

* Glasgow Coma Scale (score = 3) and persistent abnormal pupillaryreactivity despite urgent therapy
* Associated cervical spinal cord injury
* Imminent death and do-not-resuscitate orders
* Coma secondary to cardiac arrest
* Pregnancy (serum or urine test performed in routine care)
* Severe Cardiac insufficiency
* Severe chronic renal insufficiency
* Severe hepatic insufficiency: patient presenting with oedemato-ascitic decompensation of liver cirrhosis or patient with Child-Pugh class C cirrhosis
* High risk of follow-up difficulties after ICU discharge
* Patients under court protection
* Patient who does not speak French
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nantes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU d'Angers

Angers, , France

Site Status

CHU de Brest

Brest, , France

Site Status

CHU Caen Normandie

Caen, , France

Site Status

CHU de Clermont- Ferrand

Clermont-Ferrand, , France

Site Status

Hôpital BEAUJON APHP

Clichy, , France

Site Status

CHU Henri Mondor APHP

Créteil, , France

Site Status

CH de Annecy Genevois

Épagny, , France

Site Status

CHU de Grenoble

Grenoble, , France

Site Status

CHU de Lille

Lille, , France

Site Status

HCL

Lyon, , France

Site Status

AP-HM

Marseille, , France

Site Status

CHU de Nancy

Nancy, , France

Site Status

CHU de Nantes

Nantes, , France

Site Status

CHU de Nice

Nice, , France

Site Status

CHU Lariboisière, AP-HP

Paris, , France

Site Status

GHU Paris Cité

Paris, , France

Site Status

CHU de Poitiers

Poitiers, , France

Site Status

CHU de Rennes

Rennes, , France

Site Status

CHU de Rouen

Rouen, , France

Site Status

CHU de St- Etienne

Saint-Etienne, , France

Site Status

CHU de Strasbourg

Strasbourg, , France

Site Status

CHU de Toulouse

Toulouse, , France

Site Status

CHRU de Tours

Tours, , France

Site Status

Countries

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France

Central Contacts

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Antoine ROQUILLY

Role: CONTACT

+33 2 53 48 22 30

Astrid GARREAU

Role: CONTACT

+33 2 53 48 28 40

Facility Contacts

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Sigismond LASOCKI

Role: primary

Marwan BOURAS

Role: primary

Jean-Luc HANOUZ

Role: primary

Benjamin RIEU

Role: primary

Russel CHABANNE

Role: backup

Anais CODORNIU

Role: primary

Nicolas MONGARDON

Role: primary

Marc VINCLAIR

Role: primary

Tobbias GAUSS

Role: primary

Natalie DE SA

Role: primary

Baptiste BALANCA

Role: primary

Marc LEONE

Role: primary

Emmanuel NOVY

Role: primary

Yannick HOURMANT

Role: primary

+33240087380

Eve-Marie MAIZIERE

Role: primary

Benjamin Glenn CHOUSTERMAN

Role: primary

Aurélien MAZERAUD

Role: primary

Claire DAHYOT- FIZELIER

Role: primary

Yoann LAUNEY

Role: primary

Laurent CLOTTEAU

Role: primary

Jérôme MOREL

Role: primary

Baptiste BOUCHIER

Role: primary

Pierre GOUDY

Role: primary

Benoît COHEN

Role: primary

Other Identifiers

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2024-520205-39-00

Identifier Type: CTIS

Identifier Source: secondary_id

RC24_0543

Identifier Type: -

Identifier Source: org_study_id

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