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CompletedNCT03306563Updated Jun 8, 2021

Rapid Biochemical Diagnostics of Traumatic Brain Injury

An interventional study of Sample collection in Traumatic Brain Injury, Concussion, Mild and Bone Fracture, sponsored by Medicortex Finland Oy. Completed at 3 sites in Finland. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-06-08.

Sponsored by Medicortex Finland Oy · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
68
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The objective of the study is to confirm the clinical relevance of the novel biomarker for traumatic brain injury (TBI) detection. Samples of blood, urine and saliva will be collected from a) patients with suspected TBI (isolated), b) patients with orthopedic injury, and c) healthy controls. The sponsor will do biochemical investigations for the samples to evaluate the presence, level and structure of the targeted biomarker.

Read the detailed description

The study will analyze and compare the levels of certain biomolecules and cellular degradation products which are released upon a brain injury and which become detectable in the body fluids. Patients with a traumatic brain injury are supposed to express these biomarkers in their body fluids while orthopedic trauma patients and healthy controls are supposed to be undetectable with respect to these biomolecules. The study is a case-control study where the study subjects with a property (injured) are compared to subjects without the property (healthy). The brain injury patient group will consist of subjects who entered the Emergency Department of the hospital with a suspected TBI. The orthopedic patient group will consists of patients who were admitted with a bone fracture in the limbs, but without a suspected TBI. The control group will consist of healthy subjects who will be recruited to the study by the activities of the study personnel.

The entire study is split into two successive parts. In the first Part I, 18 - 24 subjects will be recruited in each group. In the second part, the number of the patients with suspected TBI will be added to up to 100 in order to receive an adequate number of samples and to gain sufficient statistical significance between the brain injury severities and in successive sampling time points.

The collected samples and relevant clinical data of each subject will be supplied to the sponsor who will perform to the samples 1) Biochemical analysis for the presence and level of the biomarker, and 2) Biomarker profiling and structure analysis by LC/MS.

02

Conditions studied

  • Traumatic Brain Injury
  • Concussion, Mild
  • Bone Fracture

Keywords

  • TBI
  • Mild traumatic brain injury
  • Concussion
  • Diagnostics
  • Rapid test
  • Traumatic Brain Injury
  • mTBI
03

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Signed written informed consent form (Finnish or Swedish)
  • Age 18 - 75 years (Male or Female)
  • For patients with a suspected TBI: Presenting to the ED within 4 hours after the injury, and no orthopedic trauma (fractures of long bones) present.
  • For patients with a suspected TBI: Deemed to have a computed tomography (CT) scan as a part of their intended medical diagnosis and treatment.
  • For patients with orthopedic injuries: Presentation with a bone fracture, but without any suspicion of any TBI.

Exclusion criteria

Exclusion Criteria:

  • Unknown time of trauma (uncertainty more than 1 hour).
  • More than 4 hours from the injury.
  • Known or suspected pre-existing neurological condition that can cause the observed symptoms
  • For women of child-bearing age: known to be or suspected to be pregnant.
  • History of seizures within the last three months.
  • History of infection with HIV or hepatitis B, or diagnosed to be positive in the concomitant screening.
  • Patients where the presence of TBI cannot be assessed reliably because of alcohol or drugs, especially current use of anti-psychotic or anxiolytic medication.
  • History of stroke within three months.
  • The subject has a chronic neurodegenerative, metabolic (e.g. diabetes), or an autoimmune disease.
04

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
68 participants (actual)

Study arms

  • Experimental
    Patients with suspected TBI

    The group will consist of patients who have arrived in the hospital with head injury and suspected isolated TBI. Sample collection (up to five times) and assessment of neurological status.

    Diagnostic Test: Sample collection

  • Active comparator
    Orthopedic patients

    The group will consist of patients with orthopedic injury, but without a head injury and suspected TBI. Sample collection (once).

    Diagnostic Test: Sample collection

  • Sham comparator
    Controls

    The group will consist of healthy controls who do not have a recent trauma history. Sample collection (once).

    Diagnostic Test: Sample collection

Interventions

  • Diagnostic testSample collection

    Samples of blood, urine and saliva will be collected at up to five successive time points.

05

What researchers measure

Primary outcomes

  1. Biomarker level

    Analytical measurement of the biomarker level. (biodegradation glycans detected by HPLC-MS).

    Time frame: One year (1 year)

06

Study locations

3 sites
  • Satakunta Central Hospital
    Pori, 28500, Finland
  • Turku University Hospital (Tyks)
    Turku, Finland
  • Vaasa Central Hospital
    Vaasa, 65130, Finland
07

References and documents

Individual participant data

Plan to share: No — Data will not be shared with other researchers.

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03306563
Lead sponsor
Medicortex Finland Oy
Responsible party
Sponsor
First posted
Oct 11, 2017
Start date
Dec 28, 2017
Primary completion
Jan 23, 2019
Completion
Jun 7, 2021
Last update
Jun 8, 2021

Study contacts

Mårten Kvist, MD/PhD
study director · Medicortex Finland Oy

Oversight

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

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