Clinical Pilot Study to Evaluate a New Multi-parameter Neuromonitoring Device in Brain-injured Patients (CBMS FIH)
Clinical Pilot Study to Evaluate a New Multi-parameter Neuromonitoring Device That Allows the Measurement of Regional Cerebral Blood Flow (rCBF), Intracranial Pressure (ICP), Brain Temperature Monitoring and Ventricular Cerebrospinal Fluid (CSF) Drainage in Brain-injured Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Canton of Bern
-
Bern, Canton of Bern, Switzerland, 3010
- Inselspital Bern
-
-
Canton of Vaud
-
Lausanne, Canton of Vaud, Switzerland, 1011
- Centre Hospitalier Universitaire Vaudois CHUV
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adult male or female patient, aged 18 - 75 years
- Brain injured patients with acute intracranial hemorrhage (including aneurysmal subarachnoid hemorrhage (SAH) and spontaneous intracerebral hemorrhage (ICH)) who are admitted to the ICU and have an indication for ICP monitoring and CSF drainage, as per standard patient care
- Informed consent obtained for research in emergency situations according to HRA art. 30 & 31 at time of inclusion
Exclusion Criteria:
- Known kidney disease, defined as plasma creatinine > 120 μmol/l
- Known liver disease, defined as AST > 200 IU/L
- Over-active thyroid or benign tumors of the thyroid
- History of allergic disorders, including allergic reactions, against contrast agents containing iodine, or against ICG
- Patients which have received one of the following medications before being admitted to ICU: Haloperidol, Meperidine, Methadone, Morphine, Phenobarbital and Rifamycin.
- Patients with wounds or scars including the front orbital region.
- Cerebrospinal fluid infection or signs of meningo-encephalitis
- Anemia (hemoglobin < 10 g/dl) or Thalassemia
- Carbon monoxide poisoning
- Acquired pathological or congenital disorders of the cerebral system, being clinically significant, respectively interfering in the investigator's opinion with the conduct of study
- Documented history of bleeding, clotting or coagulation disorders
- Patients who are not suitable for a CT perfusion
- Subjects who, in the opinion of the investigator, will be inappropriate for inclusion into this clinical investigation or will not comply with requirements of the study
- Any disorder in the investigator's opinion that could interfere with compliance of safety evaluation
- Pre-existing disability and/or legal representative
- Patients who are kept lawfully in an institution
- Participation in another interventional clinical investigation within the last 30 days before start of treatment
- History of, respectively diagnosis of pregnancy, or breastfeeding patients
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Device Feasibility
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: CBMS
|
Patients will be treated according to standard care in place at the investigation site, when intra-ventricular drainage is needed.
Patients will receive the new multifunctional device (CBMS Probe) instead of the single function device generally used.
Drainage will be performed by routine standards.
Temperature, intracranial pressure and cerebral blood flow will be recorded.
Treatment decision will be made by the neurointensive care specialist based on standard care.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Feasibility: Comparability of regional CBF values and values obtained with CT perfusion and TCD
Time Frame: Up to 28 days until probe removal
|
Regional CBF values calculated with the investigational devices (CBMS) are within ranges described in literature, and dynamic changes of regional CBF are consistent to those values obtained with established methods CT perfusion and TCD.
|
Up to 28 days until probe removal
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety related to catheter insertion and monitoring
Time Frame: Until 7 days after probe removal
|
Safety related to catheter insertion and monitoring: local hematomas, infections, CSF drainage dysfunction in comparison with other standard intra-ventricular devices.
|
Until 7 days after probe removal
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Werner Z'Graggen, Insel Gruppe AG, University Hospital Bern
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2015.5703
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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