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Longitudinal Investigation of Brain Blood Flow Changes in Neurosurgical Patients

28. december 2020 opdateret af: University of Zurich

Primary study objective:

• Longitudinal observation of brain blood flow changes in neurosurgical patients with or without a neurosurgical intervention as compared to a healthy cohort.

Secondary study objectives:

  • Longitudinal observation of hemodynamic patterns versus structural brain tissue changes in neurosurgical patients.
  • Changes in blood flow patterns and structural brain tissue after neurosurgical interventions as compared to a healthy cohort.
  • Determining hemodynamic imaging patterns that can be tested as novel imaging markers.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Primary study objective:

• to study the longitudinal observation of brain blood flow changes in neurosurgical patients to evaluate the effect of surgical or conservative treatment on the brain structural and hemodynamic integrity.

Secondary study objectives:

  • To observe the relationship between longitudinal changes in hemodynamic patterns and structural brain tissue changes in neurosurgical patients.
  • To determine different hemodynamic patterns that may be used as novel imaging biomarkers in future studies.

4.2 Outcomes

Outcomes of the project:

Primary endpoint:

To find correlation between course of disease, neurosurgical intervention and changes in brain blood flow and brain structure.

Secondary endpoints:

  • Correlation between progression of disease and hemodynamic patterns over time (ie. novel imaging markers)
  • Correlation of clinical management (neurosurgical treatment vs. best medical care) and changes in brain blood flow.

Undersøgelsestype

Observationel

Tilmelding (Forventet)

400

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Schweiz
      • Zurich, Schweiz, 8032
        • Rekruttering
        • University Hospital Zurich

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Neurosurgical patients with the potential to have altered blood flow to the brain

Beskrivelse

Inclusion criteria

Patients:

  • Male and Female subjects >18 years of age
  • Written informed consent after participants' information. Foreign speaking patients should be accompanied by a person with sufficient German language proficiency to act as a translator

  • Neurosurgical diseases with the potential to alter blood flow to the brain:

    • Cerebrovascular disease
    • Brain tumors
    • Normal Pressure Hydrocephalus

Healthy subjects:

  • Male and Female subjects >18 years of age
  • Written Informed Consent by the participant after information about the project. Foreign speaking healthy subjects should be accompanied by a person with sufficient German language proficiency to act as a translator

Exclusion criteria:

Patients:

  • Unwilling or unable to co-operate with breathing maneuvers
  • Respiratory or cardiac limitations to breathing through a mask
  • Medical contra-indications to limited hypercapnia (high CO2 - 50 mmHg) or hypocapnia (low CO2 - 30 mmHg) (i.e., known increased intracerebral pressure, metabolic acidosis or alkalosis)
  • Standard contraindications for MRI scanning
  • Verbal confirmed pregnancy
  • Known multiple intracranial diseases
  • Presence of intracranial hemorrhage within the last 3 months
  • Symptomatic increased intracranial pressure

Healthy subjects:

  • Unwilling or unable to co-operate with breathing maneuvers
  • Respiratory or cardiac limitations to breathing through a mask
  • Medical contra-indications to limited hypercapnia (high CO2 - 50 mmHg) or hypocapnia (low CO2 - 30 mmHg) (i.e., known increased intracerebral pressure, metabolic acidosis or alkalosis)
  • Standard contraindications for MRI scanning
  • Verbal confirmed pregnancy
  • Anamnesticly a history of neurological disease or current neurological deficits.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Neurosurgical patients

• Neurosurgical diseases with the potential to alter blood flow to the brain:

  • Cerebrovascular disease
  • Brain tumors
  • Normal Pressure Hydrocephalus
Andet: Advanced imaging investigation
MRI imaging
Healthy subjects
  • Male and Female subjects >18 years of age
  • Written Informed Consent by the participant after information about the project. Foreign speaking healthy subjects should be accompanied by a person with sufficient German language proficiency to act as a translator
Andet: Advanced imaging investigation
MRI imaging

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
• Longitudinal observation of brain blood flow changes in neurosurgical patients with or without a neurosurgical intervention as compared to a healthy cohort.
Tidsramme: 5 years
blood flow changes will be assessed with quantitative blood oxygenation-level dependent cerebrovascular reactivity measurements
5 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University of Zurich

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Forventet)

1. januar 2021

Primær færdiggørelse (Forventet)

1. november 2025

Studieafslutning (Forventet)

1. november 2027

Datoer for studieregistrering

Først indsendt

8. december 2020

Først indsendt, der opfyldte QC-kriterier

8. december 2020

Først opslået (Faktiske)

16. december 2020

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

29. december 2020

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

28. december 2020

Sidst verificeret

1. december 2020

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 2020-02314

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

UBESLUTET

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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Kosttilskud

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Placeringer

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