- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04811235
Optical Monitoring With Near-Infrared Spectroscopy for Spinal Cord Injury Trial
"OMNI-SCI" Trial - "Optical Monitoring With Near-Infrared Spectroscopy for Spinal Cord Injury" Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This single-center, prospective observational study will enroll 10 patients admitted to Vancouver General Hospital (VGH) for treatment of an acute traumatic spine injury.
Promising preclinical data demonstrates that the oxygenation and hemodynamic measures of our Near Infra-Red Spectroscopy (NIRS) system closely match the invasive intraparenchymal measures obtained within the injured spinal cord. Further, the NIRS sensor is responsive and reflective of systemic hemodynamic changes. This clinical protocol represents the first application of this novel NIRS sensor in human SCI. Following operative decompression of the spinal cord via a posterior approach, the NIRS sensor will be placed over the dura for 7 days to monitor spinal cord oxygenation and tissue hemodynamics. Patients will be followed for 6 months and data collection for safety, feasibly and efficacy of the NIRS System.
The specific aims of this project are to:
- Establish the safety, feasibility, and efficacy of our NIRS system in monitoring tissue oxygenation and hemodynamics of the injured spinal cord in human participants.
- Complete the technical refinement of the NIRS system utilizing an iterative process guided by participant recruitment and data accrual during the trial.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Allan Aludino
- Phone Number: 604-875-4111 ext 61689
- Email: allan.aludino@vch.ca
Study Locations
-
-
British Columbia
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Vancouver, British Columbia, Canada, V5Z1M9
- Recruiting
- Vancouver General Hospital
-
Contact:
- Allan Aludino
- Phone Number: 61689 604-875-4111
- Email: allan.aludino@vch.ca
-
Principal Investigator:
- Brian Kwon, MD, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female aged 17 years or older
- Spinal injury between bony levels C3 and L1 inclusive
- Motor complete acute traumatic SCI (AIS A or B) or motor incomplete SCI (AIS C) with a total lower extremity motor score of less than 5
- Blunt (non-penetrating) SCI requiring posterior laminectomy with stabilization/fusion surgery within 72 hours of injury
- Able to communicate in English and provide informed consent
Exclusion Criteria:
- Isolated radiculopathy or cauda equina injury
- Spinal cord impairment secondary to tumour, infection, epidural bleeding, or ischemia (in
- Any condition or injury (e.g. Morel-Lavellee lesion) that would interfere with the application or readings of the NIRS sensor
- Associated traumatic condition that would interfere with the informed consent process or outcome assessments (e.g. traumatic brain injury, pelvic, abdominal, or thoracic injuries)
- Any other medical condition that, in the investigator's opinion, would render the protocol procedures dangerous
- Female patients who are pregnant
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)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Arm 1
NIRS monitoring of spinal cord oxygenation and hemodynamics
|
The NIRS sensor is laid on top of the dura, at the site of the SCI, and emits near-infrared light signals into the cord to measure tissue oxygenation and tissue hemodynamics in real-time.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Feasibility Assessment - Overall
Time Frame: Day 7
|
Study specific questionnaire will collected data on the the ease of sensor application, NIRS monitoring and sensor removal is recorded with this form.
Series of questions requiring the assessment of the NIRS system using yes/no and 10-point scoring scale
|
Day 7
|
Feasibility Assessment: Sensor Application
Time Frame: Day 1
|
Study specific form will be used record data associated with application of the NIRS sensor, such as the laminectomy and instrumentation data, location of the sensor and ease of application (score out of 10).
|
Day 1
|
Feasibility Assessment: Sensor Removal
Time Frame: Day 7
|
Study specific form will be used to record the condition of the sensor and participants' experience (score out of 10) at the time of sensor removal
|
Day 7
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety Assessment - Neurologic Function
Time Frame: 6 Month
|
Neurologic function will be assessed using the International Standards for Neurologic Classification of Spinal Cord Injury (ISNCSCI) to determine if the application, 7-day placement, or removal of the NIRS sensor is associated with any deterioration in spinal cord function.
|
6 Month
|
Safety Assessment - Wound Assessment
Time Frame: Day 7
|
The externalization of a foreign body may lead to an increased risk of surgical site infection.
Any incidence of wound infection will be monitored and document on a wound assessment form.
|
Day 7
|
Safety Assessment - Adverse Events
Time Frame: 6 Months
|
The incidence of AEs in the acute SCI patient population is significant.
For the purposes of this study, and in keeping with standard of care on the Acute Spine Unit at study site, all AEs will be recorded utilizing the Spine Adverse Event (SAVES) form, a well-established system for prospectively documenting AEs in spine patients
|
6 Months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Brian Kwon, MD, University of British Columbia
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- H20-01259.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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