- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01860404
BCAA's in Concussion (HIT HEADS)
March 22, 2022 updated by: Sage R Myers, Children's Hospital of Philadelphia
Head Injury Treatment With Healthy and Advanced Dietary Supplements (HIT HEADS): A Randomized, Placebo-controlled, Double-blinded, Therapeutic Exploratory Clinical Trial of Branched Chain Amino Acids (BCAA's) in the Treatment of Concussion
This study is a randomized, placebo-controlled, double-blinded, therapeutic exploratory clinical trial of branched chain amino acids (BCAA's) in the treatment of concussion.
The aim of the study is to determine whether, compared to placebo treatment, administration of BCAA's, at one or more doses, after a concussion improves neurocognitive recovery at one or more time-periods post concussion.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Annually, between 100,000 to 140,000 children present to the emergency department for concussion in the United States.1 The Centers for Disease Control now estimates that 1.6 - 3.8 million sports related concussions occur each year in the United States.
A large proportion of these patients have enduring cognitive and neurobehavioral problems.
Concussion is a heterogeneous insult to the brain that precipitates a complex pathophysiological process that can result in a cascade of deleterious side effects.
At present, there are no proven therapies to mitigate or prevent the neurocognitive and neurobehavioral consequences of concussions.
The limbic hippocampus, a brain structure crucial for learning and memory, is often damaged in concussion.
In preclinical studies in our laboratory, analysis of ipsilateral hippocampi isolated from mice after traumatic brain injury (TBI) demonstrated that only the concentrations of the three BCAA's (valine, isoleucine, and leucine) were significantly altered (reduced) after injury.
When these brain-injured animals received dietary supplementation with BCAA's, the concentrations of these amino acids were restored in the injured hippocampus and the injured animals demonstrated significant cognitive improvement to levels comparable to those obtained in non-injured control animals.
In light of these results and the increasing awareness and morbidity associated with concussion, we are proposing a pilot therapeutic exploratory clinical trial to determine the effects of BCAA's in reducing the neurocognitive side effects of concussion injury.
Study Type
Interventional
Enrollment (Anticipated)
50
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Casy Swann
- Phone Number: 267-432-2862
- Email: swannc@chop.edu
Study Contact Backup
- Name: Sage Myers, MD
- Phone Number: 267-426-7939
- Email: myerss@chop.edu
Study Locations
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19104
- Recruiting
- The Children's Hospital of Philadelphia
-
Contact:
- Sage Myers, MD
- Phone Number: 267-426-7939
- Email: myerss@chop.edu
-
Contact:
- Casey Swann
- Phone Number: 267-432-2862
- Email: swannc@chop.edu
-
Principal Investigator:
- Sage Myers, MD
-
Sub-Investigator:
- Akiva Cohen, PhD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
11 years to 34 years (Child, Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria
- Males and females, ages 11 - 34 years, of any race.
- Subjects who had a concussion, as diagnosed by a qualified physician, within 72 hours prior to enrollment.
- Ability to have daily email and internet access.
- Females must have a negative urine pregnancy test and must use an acceptable method of contraception.
- Subjects must, in the opinion of the referring physician, have the capacity to provide informed consent.
- Informed consent by the subject, or for subjects <18 years old both informed consent by a parent/guardian and child assent.
Exclusion Criteria
- Witnessed seizure at the time of injury or penetrating head injury.
- Prior concussion or TBI within 90 days.
- Concussion or TBI severe enough to require admission to an intensive care unit for observation or intervention.
- Previous history of TBI or concussion requiring admission to the hospital, disabling stroke, epilepsy, brain tumor, neurodegenerative condition, or psychiatric disease.
- Subjects taking neurological or psychoactive medications as a regular daily prescription medication.
- Known history of maple syrup urine disease or known family history of maple syrup urine disease.
- Any investigational drug use within 30 days prior to enrollment.
- Allergy to Food, Drug, and Cosmetic (FD&C) Red #40 (red dye 40) or Sucralose.
- Lactating females.
- Parents/guardians or subjects who, in the opinion of the investigators, may be non-compliant with study schedules or procedures.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Placebo
Placebo will be administered orally twice daily for 21 days
|
The placebo solution will have similar taste, texture, consistency and appearance as the BCAA solution.
|
Experimental: Branched Chain Amino Acids (27g BID)
27 grams of BCAA's will be administered twice-daily for 21 days
|
The three BCAA's will be combined together and dissolved in a flavored solution.
|
Experimental: Branched Chain Amino Acids (22.5g BID)
22.5 grams of BCAA's will be administered twice-daily for 21 days
|
The three BCAA's will be combined together and dissolved in a flavored solution.
|
Experimental: Branched Chain Amino Acids (15g BID)
15 grams of BCAA's will be administered twice-daily for 21 days
|
The three BCAA's will be combined together and dissolved in a flavored solution.
|
Experimental: Branched Chain Amino Acids (7.5g BID)
7.5 grams of BCAA's will be administered twice-daily for 21 days
|
The three BCAA's will be combined together and dissolved in a flavored solution.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Reaction time difference between drug and placebo groups
Time Frame: Days 3-6, 7-10, 11-14
|
Processing speed subtest of the Axon Sports Computerized Cognitive Assessment Tool
|
Days 3-6, 7-10, 11-14
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Clinical symptoms
Time Frame: Days 3-6, 7-10, 11-14
|
Evaluate whether BCAA supplementation reduces the time to clinical symptom resolution.
|
Days 3-6, 7-10, 11-14
|
Return to school and sports
Time Frame: Days 3-6, 7-10, 11-14
|
Determine whether BCAA supplementation reduces the time to return to school or work, and participation in sports.
|
Days 3-6, 7-10, 11-14
|
Neurocognitive recovery
Time Frame: Days 3-6, 7-10, 11-14
|
Determine whether administration of BCAA's reduces the time for neurocognitive recovery for the cognitive domains of attention, learning, and working memory, which are the additional subcomponents of the Axon Sports Computerized Cognitive Assessment Tool.
|
Days 3-6, 7-10, 11-14
|
Compliance and Adherence to Treatment
Time Frame: Day 21
|
Adherence to treatment among dosage groups versus placebo and as a function of time.
|
Day 21
|
Tolerability of BCAA's Based on Adverse Events
Time Frame: Day 21
|
Assess the tolerability of BCAA doses based on subject reported adverse events.
|
Day 21
|
Safety and BCAA Supplementation
Time Frame: Day 21
|
Asses the safety of BCAA doses in concussed athletes through subject reported adverse events (AEs)and serious adverse events (SAEs).
|
Day 21
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Sage Myers, MD, Children's Hospital of Philadelphia
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
January 1, 2014
Primary Completion (Anticipated)
January 1, 2023
Study Completion (Anticipated)
January 1, 2023
Study Registration Dates
First Submitted
May 20, 2013
First Submitted That Met QC Criteria
May 20, 2013
First Posted (Estimate)
May 22, 2013
Study Record Updates
Last Update Posted (Actual)
March 24, 2022
Last Update Submitted That Met QC Criteria
March 22, 2022
Last Verified
March 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 13-010227
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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