- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05108909
Rapid Diagnosis and Prognosis Recognition of Imaging and Biomarkers in Mild to Moderate Traumatic Brain Injury
January 3, 2022 updated by: First Affiliated Hospital Xi'an Jiaotong University
The investigators will carry out multi-center and large sample research based on the Chinese population, screen the optimal diagnostic and prognosis recognition biomarkers and analyze the diagnostic critical cutoff values in patients with mild to moderate traumatic brain injury, so as to provide a substantial basis for clinical diagnosis and prognosis recognition.
Study Overview
Status
Recruiting
Intervention / Treatment
Detailed Description
Traumatic brain injury (TBI) is a complex disorder that comprises a spectrum of intracranial pathologies, many of which present diagnostic challenges.
Detection of intracranial injuries after TBI relies on head CT, which is overused and resource intensive.
Prior studies have shown the potential for blood-based brain injury biomarkers to predict the absence of intracranial injury after TBI and aid in reducing unnecessary head CT use.
Furthermore, plasma biomarker concentrations in the acute phase after TBI identified patients with a suspected TBI and normal head CT who had detectable pathology on MRI.
However, most of the current studies are based on the European and American population, and whether the research results are applicable to the Chinese population remains to be studied.
Therefore, the investigators will carry out multi-center and large sample research based on the Chinese population, screen the optimal diagnostic and prognosis recognition biomarkers and analyze the diagnostic critical cutoff values, so as to provide a substantial basis for clinical diagnosis and prognosis recognition.
Study Type
Observational
Enrollment (Anticipated)
800
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Shaanxi
-
Xi'an, Shaanxi, China, 710061
- Recruiting
- First Affiliated Hospital of Xian Jiaotong University
-
-
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
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Probability Sample
Study Population
TBI patients will be recruited from the emergency department of hospital.
Description
Inclusion Criteria:
- age 18-75 years at time of recruitment.
- Glasgow Coma Scale (GCS) score of 9-15 at the time of informed consent.
- non-penetrating TBI resulting from an external force.
- diagnosed within 1 week after onset of TBI.
- provision of informed written consent.
Exclusion Criteria:
- acute suspected stroke, neurosurgery, stroke or TIA within the last 30 days.
- neurodegenerative disease or other neurological disorder including dementia, Parkinson's disease, multiple sclerosis, seizure disorder, brain tumors.
- a history of a previous brain injury, or a history of concurrent substance or alcohol abuse;
- the manifestation of TBI caused by medications, alcohol, drugs for other injuries (such as systemic injuries, facial injuries, or intubation).
- pregnancy or breastfeeding.
- Patients with contraindications to MRI scanning (such as patients with metal implants in their bodies, cardiac pacemakers, dentures, etc.)
- participation in a clinical research study with potential to affect the results of this study
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
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
mild to moderate traumatic brain injury
patients diagnosed with mild to moderate traumatic brain injury within 1 week after onset of TBI.
|
magnetic resonance image Imaging data were collected in a strong magnetic field, and collected the serum of participants.
|
isolated orthopaedic trauma patients
Patients with isolated orthopaedic trauma were identified and enrolled using the same process as that for patients with TBI.
|
magnetic resonance image Imaging data were collected in a strong magnetic field, and collected the serum of participants.
|
healthy non-injury control
Healthy non-injured controls were recruited either via a relationship with a TRACK-TBI participant or through public advertisement within TRACK-TBI institutions, and were able to provide informed consent.
|
magnetic resonance image Imaging data were collected in a strong magnetic field, and collected the serum of participants.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The concentration of serum biomarkers.
Time Frame: baseline (early injury), post-traumatic for 3 months, 6 months, and 12 months.
|
the concentration of GFAP with pg/mL, S-100B with pg/mL,IL-6 with pg/mL, IL-8 with pg/mL, IL-10 with pg/mL, IL-1β with pg/mL, TNF-α with pg/mL, UCH-L1 with pg/mL, NSE with pg/mL, T-Tau with pg/mL, P-Tau with pg/mL, NFL with pg/mL, BDNF with pg/mL, and VEGF with pg/mL;
|
baseline (early injury), post-traumatic for 3 months, 6 months, and 12 months.
|
Score of Extended Glasgow Outcome Scale.
Time Frame: post-traumatic for 3 months
|
The functional outcome of TBI patients.
The minimum value is 1, and the maximum value is 8.
The higher scores mean a better outcome.
|
post-traumatic for 3 months
|
Score of Extended Glasgow Outcome Scale.
Time Frame: post-traumatic for 6 months
|
The functional outcome of TBI patients.
The minimum value is 1, and the maximum value is 8.
The higher scores mean a better outcome.
|
post-traumatic for 6 months
|
Score of Extended Glasgow Outcome Scale.
Time Frame: post-traumatic for 12 months
|
The functional outcome of TBI patients.
The minimum value is 1, and the maximum value is 8.
The higher scores mean a better outcome.
|
post-traumatic for 12 months
|
Number of participants with positive head CT scan
Time Frame: baseline (early injury)
|
CT-positive was defined as the presence of one or more of the following injuries: acute epidural haematoma, acute subdural haematoma, indeterminate extraaxial haemorrhage, intraventricular haemorrhage, parenchymal haematoma, petechial haemorrhagic or bland sheer injury, subarachnoid haemorrhage, brain oedema, brain herniation, non-haemorrhagic contusion, ventricular compression, ventricular trapping, cranial fractures, depressed skull fractures, facial fractures, scalp injury, or skull base fractures.
|
baseline (early injury)
|
Number of participants with MRI abnormalities
Time Frame: baseline (early injury)
|
MRI abnormalities were quantified according to common data elements standards and definitions by three board-certified neuroradiologists masked to the identity and clinical history of the patient.
MRI scans were read as positive if there was evidence of acute intracranial pathology consistent with TBI (eg, contusion, traumatic axonal injury, diffuse axonal injury).
|
baseline (early injury)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline brain structure measures at 3 months
Time Frame: baseline (early injury), post-traumatic for 3 months.
|
The changes of brain volume (mm3) are evaluated by structural MRI
|
baseline (early injury), post-traumatic for 3 months.
|
Change from baseline brain structure measures at 6 months
Time Frame: baseline (early injury), post-traumatic for 6 months.
|
The changes of brain volume (mm3) are evaluated by structural MRI
|
baseline (early injury), post-traumatic for 6 months.
|
Change from baseline brain structure measures at 12 months
Time Frame: baseline (early injury), post-traumatic for 12 months.
|
The changes of brain volume (mm3) are evaluated by structural MRI
|
baseline (early injury), post-traumatic for 12 months.
|
White matter integrity at baseline (early injury), post-traumatic for 3 months,6 months, and 12 months.
Time Frame: baseline (early injury), post-traumatic for 3 months,6 months, and 12 months.
|
The white matter integrity are characterized by fractional anisotropy (FA) which calculated by diffusion tensor imaging.
|
baseline (early injury), post-traumatic for 3 months,6 months, and 12 months.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Ming Zhang, PhD, First Affiliated Hospital of Xian Jiaotong University
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 (Actual)
September 1, 2021
Primary Completion (Anticipated)
August 31, 2025
Study Completion (Anticipated)
August 31, 2025
Study Registration Dates
First Submitted
September 24, 2021
First Submitted That Met QC Criteria
November 3, 2021
First Posted (Actual)
November 5, 2021
Study Record Updates
Last Update Posted (Actual)
January 4, 2022
Last Update Submitted That Met QC Criteria
January 3, 2022
Last Verified
October 1, 2021
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 82071993-2
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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