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Sponsors and Collaborators: |
Yamaguchi University Hospital University hospital Medical Information Network(UMIN, Japan) Japan Clinical Research Support Unit(J-CRSU) |
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Information provided by: | Yamaguchi University Hospital |
ClinicalTrials.gov Identifier: | NCT00134472 |
The purpose of this trial is to determine if mild hypothermia therapy, for severe head trauma patients, improves neurological outcome.
Condition | Intervention | Phase |
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Brain Injuries, Traumatic |
Procedure: Therapeutic mild hypothermia |
Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study |
Official Title: | Therapeutic Strategy for Severe Head Trauma Patients With Mild Hypothermia and Estimation of Medical Expenses in Japan |
Estimated Enrollment: | 300 |
Study Start Date: | December 2002 |
Estimated Study Completion Date: | September 2008 |
Mild hypothermia therapy shows protective effects for damaged brains of animals and post cardiac arrest patients. However, Clifton et al. reported that mild hypothermia has no protective effect for severe head trauma but has a risk of complications. In this study, all the participants must be treated with continuous monitoring of cardiac output and jugular venous oxygen saturation to get optimal physiological conditions. Adequate anesthesia such as neuroleptanesthesia is essential to maintain organ function and tissue microcirculation. Participants are randomly assigned to two groups of mild hypothermia (32.0 – 34.0 degree Celsius) and anti-hyperthermia (35.5 – 37.0 C). The body temperature must be kept for at least 72 hours. Hypothermia must be induced within 6 hours after traumatic brain injury. Glasgow outcome score at 6 months after injury and the total medical expenses of the two groups will be evaluated.
Ages Eligible for Study: | 15 Years to 69 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Tsuyoshi Maekawa, MD, PhD | +81-836-22-2343 | tmaekawa@yamaguchi-u.ac.jp |
Contact: Susumu Yamashita, MD | +81-836-22-2656 | sum-ygc@umin.ac.jp |
Principal Investigator: | Tsuyoshi Maekawa, MD, PhD | Yamaguchi University Hospital |
Study ID Numbers: | H14-HEART-005, H15-HEART-01, H16-HEART-01 |
Study First Received: | August 23, 2005 |
Last Updated: | October 28, 2005 |
ClinicalTrials.gov Identifier: | NCT00134472 History of Changes |
Health Authority: | Japan: Ministry of Health, Labor and Welfare |
Hypothermia, induced Traumatic Brain injuries Anesthesia Neuro-intensive care neurochemistry |
Craniocerebral Trauma Signs and Symptoms Hypothermia Wounds and Injuries Anesthetics |
Disorders of Environmental Origin Central Nervous System Diseases Trauma, Nervous System Brain Diseases Brain Injuries |
Craniocerebral Trauma Signs and Symptoms Hypothermia Nervous System Diseases Wounds and Injuries Disorders of Environmental Origin |
Central Nervous System Diseases Trauma, Nervous System Body Temperature Changes Brain Diseases Brain Injuries |