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CompletedNCT00178659ProteomicsUpdated Jun 16, 2026

Proteomics of Brain Trauma-associated Elevated Intracranial Pressure (ICP)

An observational study in Brain Injuries, Traumatic and Traumatic Brain Injury, sponsored by The University of Texas Health Science Center, Houston. Completed at 1 site in United States. Open to participants aged 14 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-16.

Sponsored by The University of Texas Health Science Center, Houston · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
260
Ages
14 Years to 65 Years
Sex
All
01

Study summary

The specific aim of this research is to determine if the blood from brain-injured patients contains reproducible protein markers that appear prior to elevations in intracranial pressure (ICP).

Read the detailed description

One of the major causes of death following brain trauma is increased intracranial pressure (ICP). Currently, there are no effective ways to predict if the ICP of a patient will reach uncontrollable levels. Various cytokines (balance between pro-and anti-inflammatory) and other factors are thought to underlie increases in ICP. The specific aim of this research is to determine if the blood from brain-injured patients contains reproducible protein markers that appear prior to elevations in ICP. We propose to employ mass spectrometry, antibody array and ELISA to profile proteins in the serum of patients suffering from traumatic brain injury. These protein profiles will be compiled by a pattern recognition program that has the capacity to learn and make predictions based on the spectra and associated patient information. Each time a sample is analyzed, it is added to the database allowing the program to make increasingly accurate predictions. Protein profiles of patients with known ICP values will be analyzed. Our hypothesis is that alterations in serum protein composition will precede changes in intracranial pressure giving rise to predictable patterns that can be detected using large-scale proteomic analysis. After approximately 90 non-brain trauma and 90 brain-trauma patients are analyzed, if markers are found, the predictability of elevated ICP will be tested. If successful, this may aid the neurosurgeon in determining future courses of treatment.

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Conditions studied

  • Brain Injuries, Traumatic
  • Traumatic Brain Injury

Keywords

  • Traumatic Brain Injury
  • TBI (Traumatic Brain Injury)
  • Proteomics
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In context

Brain Injuries, Traumatic

1,775 studies on the registry are indexed under Brain Injuries, Traumatic; 448 are open to participants now.

This study's enrollment of 260 is above the median of 118 across 562 observational studies indexed under Brain Injuries, Traumatic.

Browse Brain Injuries, Traumatic studies →

Lead sponsor

The University of Texas Health Science Center, Houston is the lead sponsor of 880 studies on the registry; 209 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 140 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
14 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Consenting healthy volunteers, head trauma, mild head trauma or acute orthopedic injury patients meeting enrollment criteria listed below.

Inclusion criteria

  • 14-65 years old
  • Non-penetrating brain injury
  • ICP monitor or
  • Healthy volunteer or

The orthopedic injury cohort will include patients admitted to the ED able to provide informed consent with the following:

  1. Fracture confirmed radiographically
  2. No head trauma
  3. No other known inflammatory process or infection
  4. No history of neurological or psychiatric disorders or alcohol or drug dependency.

or The mild TBI patients will be defined as those experiencing,

  1. Non-penetrating head trauma manifesting one or more of the following:

    • Loss of consciousness
    • Post-traumatic amnesia
    • Altered mental status
    • Focal neurologic deficits, seizure
  2. GCS> 12
  3. No abnormalities on CT other than contusion
  4. No operative Lesions
  5. Length of hospital stay \< 48 hrs
  6. No other known inflammatory process or infection
  7. No history of neurological or psychiatric disorders or alcohol or drug dependency

Exclusion criteria

Exclusion Criteria:

  • Inability to obtain informed consent
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
260 participants (actual)
Biospecimen retention
Samples without dna

Groups and cohorts

  • 1 healthy volunteers

    Healthy volunteers to act as controls - Recruitment is complete for this cohort

    Other: Blood/saliva samples for protein/molecular analysis

  • 2 head trauma

    Head trauma patients meeting enrollment criteria - Recruitment is complete for this cohort

    Other: Blood/saliva samples for protein/molecular analysis

  • 3 orthopedic injury

    The orthopedic injury cohort will include patients admitted to the ED able to provide informed consent with the following: 1. Fracture confirmed radiographically 2. No head trauma 3. No other known inflammatory process or infection 4. No history of neurological or psychiatric disorders or alcohol or drug dependency Recruitment is complete.

    Other: Blood/saliva samples for protein/molecular analysis

  • 4 Mild TBI

    The mild TBI patients will be defined as those admitted to the ED experiencing, - Recruitment is complete for this cohort 1. Non-penetrating head trauma manifesting one or more of the following: * Loss of consciousness * Post-traumatic amnesia * Altered mental status * Focal neurologic deficits, seizure 2. GCS\> 12 3. No abnormalities on CT other than contusion 4. No operative Lesions 5. Length of hospital stay \< 48 hrs 6. No other known inflammatory process or infection 7. No history of neurological or psychiatric disorders or alcohol or drug dependency Recruitment is complete.

    Other: Blood/saliva samples for protein/molecular analysis

Interventions

  • OtherBlood/saliva samples for protein/molecular analysis

    Bloods samples - healthy volunteers(1 time) head injury subjects (5 times). Blood and/or saliva samples mild TBI patients (2 times) and healthy volunteers (2 times)

    Also known as: blood samples, saliva samples

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What researchers measure

Primary outcomes

  1. Elevated intracranial pressure

    Intracranial pressure \>20mmHg

    Time frame: within the first 10 days post injury

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Study locations

1 site
  • The University of Texas, Houston
    Houston, Texas 77030, United States
08

References and documents

Publications

  • Redell JB, Moore AN, Ward NH 3rd, Hergenroeder GW, Dash PK. Human traumatic brain injury alters plasma microRNA levels. J Neurotrauma. 2010 Dec;27(12):2147-56. doi: 10.1089/neu.2010.1481. Epub 2010 Nov 23. PubMed 20883153 ↗
  • Hergenroeder GW, Moore AN, McCoy JP Jr, Samsel L, Ward NH 3rd, Clifton GL, Dash PK. Serum IL-6: a candidate biomarker for intracranial pressure elevation following isolated traumatic brain injury. J Neuroinflammation. 2010 Mar 11;7:19. doi: 10.1186/1742-2094-7-19. PubMed 20222971 ↗
  • Hergenroeder G, Redell JB, Moore AN, Dubinsky WP, Funk RT, Crommett J, Clifton GL, Levine R, Valadka A, Dash PK. Identification of serum biomarkers in brain-injured adults: potential for predicting elevated intracranial pressure. J Neurotrauma. 2008 Feb;25(2):79-93. doi: 10.1089/neu.2007.0386. PubMed 18260791 ↗

Individual participant data

Plan to share: No — There is no plan to make individual participant data available

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00178659
Lead sponsor
The University of Texas Health Science Center, Houston
Collaborators
TIRR/Mission Connect, The Center for Clinical and Translational Sciences (CCTS) Clinical Research Unit at The University of Texas Health Science Center at Houston
Responsible party
Georgene Hergenroeder (Associate Professor, Neurosurgery, The University of Texas Health Science Center, Houston) — Principal investigator
First posted
Sep 15, 2005
Start date
Aug 25, 2004
Primary completion
Oct 30, 2015
Completion
Jun 8, 2026
Last update
Jun 16, 2026

Study contacts

Pramod Dash, PhD
principal investigator · The University of Texas, Houston

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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