CClinicalTrials.gg
Enrolling by invitationNCT05786729AER-TBI1Updated Mar 28, 2023

Aerobic Exercise After Traumatic Brain Injury

A Phase 1/2 interventional study of Aerobic Exercise (AER) and Rehabilitation in Traumatic Brain Injury, sponsored by Centre for Neuro Skills. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-03-28.

Sponsored by Centre for Neuro Skills · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
190
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The purpose of this study is to examine the effects of individualized aerobic exercise regimen on recovery after traumatic brain injury (TBI).Investigators will determine if exercise facilitates recovery by facilitating neuroplasticity and decreasing neuroinflammation.

Read the detailed description

Exercise-based therapies can promote recovery of function and are easily implemented in the clinical rehabilitation setting. This study will determine if exercise facilitates recovery by improving markers of neuroplasticity and decreasing neuroinflammatory responses. The investigators will also determine if variations in genes involved in neuroplasticity, and inflammation influence the responsiveness to exercise and rehabilitation. Recovery will be determined by assessing cognitive function, life quality and balance.

02

Conditions studied

03

In context

Brain Injuries

2,113 studies on the registry are indexed under Brain Injuries; 385 are open to participants now.

This study's planned enrollment of 190 is above the median of 48 across 1,331 interventional studies indexed under Brain Injuries.

Browse Brain Injuries studies →

Lead sponsor

Centre for Neuro Skills is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • All participants will provide informed consent and have to comply with the procedures of the study.
  • Age will range from 18 to 60 years.
  • Except for the non-injured control group, subjects will be required to have experienced TBI.
  • All participants should be fluent in English or Spanish.
  • All participants should have the ability to comply with the research protocol.
  • Capable of exercising in aerobic exercise equipment (with or without trunk support).
  • Able to walk independently with or without a device

Exclusion criteria

Exclusion Criteria:

  • Current diagnosis of degenerative neurological disease.
  • A history of cerebral vascular accidents.
  • A history of major psychosis as defined by DSM-IV.
  • Subjects receiving physical therapy in a location that is not CNS.
  • Pregnancy.
  • A history of previous TBI requiring hospitalization.
  • Inability to cooperate
  • Orthopedic impairment that compromises exercise performance
  • Any cardiovascular or respiratory condition that jeopardizes patient health during exercise.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
190 participants (estimated)

Study arms

  • Experimental
    Intervention Aerobic Exercise (AER)

    Consented participants will be randomly assigned to aerobic exercise regimen (AER) + Standard Rehabilitation(R+AER) or Standard Rehabilitation only (R) group. In order to determine the necessary time window for AER exercise treatment, TBI subjects will partake in supervised AER sessions for a period of 12 weeks. After a baseline evaluations follow-ups will take place at take place at weeks 4, 8 and 12. Thus each participants will be evaluated 4 times.

    Other: Aerobic Exercise (AER)

  • Active comparator
    Rehabilitation (R)

    Participants with traumatic brain injury that are enrolled in a comprehensive rehabilitation program. These participants will receive standard rehabilitation. Given that the duration of the rehabilitative program is variable the duration of participation will be no less than 4 weeks and will not exceed 12 weeks. Activity levels will be monitored.

    Other: Rehabilitation

  • No intervention
    Control (C)

    Healthy volunteers' responsiveness to exercise will be compared to TBI responsiveness.

Interventions

  • OtherAerobic Exercise (AER)

    Aerobic exercise will be performed by utilizing aerobic exercise equipment 3 times per week.

  • OtherRehabilitation

    Rehabilitative program is focused on completion of activities of daily living, initiation, appropriate behavior and community integration for five days per week at the Centre for Neuro Skills.

06

What researchers measure

Primary outcomes

  1. Aerobic Exercise Induced Changes in Cardio Pulmonary Exercise (CPET) at baseline

    CPET will allow us to determine oxygen consumption (VO2). Results will be reported as change in VO2 levels.

    Time frame: Baseline

  2. Aerobic Exercise Induced Changes in Cardio Pulmonary Exercise (CPET) at Week 4

    CPET will allow us to determine oxygen consumption (VO2). Results will be reported as change in VO2 levels.

    Time frame: Week 4

  3. Aerobic Exercise Induced Changes in Cardio Pulmonary Exercise (CPET) at Week 8

    CPET will allow us to determine oxygen consumption (VO2). Results will be reported as change in VO2 levels.

    Time frame: Week 8

  4. Aerobic Exercise Induced Changes in Cardio Pulmonary (CPET) at Week 12

    CPET will allow us to determine oxygen consumption (VO2). Results will be reported as change in VO2 levels.

    Time frame: Week 12

Secondary outcomes

  1. Aerobic Exercise Induced Changes in Cognitive Function at baseline

    Attention, processing speed, reaction times, memory and nonverbal reasoning are evaluated by CNS Vital Signs. All scores are aggregated to one reported value (Neurocognitive Index). Scoring is by a computer based auto-scored multivariate scoring system developed by the manufacturers.

    Time frame: Baseline

  2. Aerobic Exercise Induced Changes in Cognitive Function at Week 4

    Attention, processing speed, reaction times, memory and nonverbal reasoning are evaluated by CNS Vital Signs. All scores are aggregated to one reported value (Neurocognitive Index). Scoring is by a computer based auto-scored multivariate scoring system developed by the manufacturers.

    Time frame: Week 4

  3. Aerobic Exercise Induced Changes in Cognitive Function at Week 8

    Attention, processing speed, reaction times, memory and nonverbal reasoning are evaluated by CNS Vital Signs. All scores are aggregated to one reported value (Neurocognitive Index). Scoring is by a computer based auto-scored multivariate scoring system developed by the manufacturers.

    Time frame: Week 8

  4. Aerobic Exercise Induced Changes in Cognitive Function at Week 12

    Attention, processing speed, reaction times, memory and nonverbal reasoning are evaluated by CNS Vital Signs. All scores are aggregated to one reported value (Neurocognitive Index). Scoring is by a computer based auto-scored multivariate scoring system developed by the manufacturers.

    Time frame: Week 12

  5. Verbal Memory Assessed by the California Verbal Learning Test (CVLT II) at baseline

    The California Verbal Learning Test (CVLT II) is a verbal memory cognitive assessment. It assesses repetition learning, serial position effects, semantic organization, intrusions, and proactive interference. CVLT II scores have a mean of 0 and a SD of 1. The range of scores is +5 to -5 reported in increments of .5.

    Time frame: Baseline

  6. Verbal Memory Assessed by the California Verbal Learning Test (CVLT II) at Week 4

    The California Verbal Learning Test (CVLT II) is a verbal memory cognitive assessment. It assesses repetition learning, serial position effects, semantic organization, intrusions, and proactive interference. CVLT II scores have a mean of 0 and a SD of 1. The range of scores is +5 to -5 reported in increments of .5.

    Time frame: Week 4

  7. Verbal Memory Assessed by the California Verbal Learning Test (CVLT II) at Week 8

    The California Verbal Learning Test (CVLT II) is a verbal memory cognitive assessment. It assesses repetition learning, serial position effects, semantic organization, intrusions, and proactive interference. CVLT II scores have a mean of 0 and a SD of 1. The range of scores is +5 to -5 reported in increments of .5.

    Time frame: Week 8

  8. Verbal Memory Assessed by the California Verbal Learning Test (CVLT II) at Week 12

    The California Verbal Learning Test (CVLT II) is a verbal memory cognitive assessment. It assesses repetition learning, serial position effects, semantic organization, intrusions, and proactive interference. CVLT II scores have a mean of 0 and a SD of 1. The range of scores is +5 to -5 reported in increments of .5.

    Time frame: Week 12

  9. Quality of Life Measured by the NeuroQOL at baseline

    The NeuroQOL assesses quality of life in the domains of Physical Domain, Mental Domain, Cognitive Domain, and Social Domain. Items are scored on a 5-point scale that uses different language depending on assessment. The questions range from least (1) to most (5) based on frequency of behavior, amount of difficulty, or degree of agreement. T-score are used, mean of 50 and SD of 10

    Time frame: Baseline

  10. Quality of Life Measured by the NeuroQOL at Week 4

    The NeuroQOL assesses quality of life in the domains of Physical Domain, Mental Domain, Cognitive Domain, and Social Domain. Items are scored on a 5-point scale that uses different language depending on assessment. The questions range from least (1) to most (5) based on frequency of behavior, amount of difficulty, or degree of agreement. T-score are used, mean of 50 and SD of 10

    Time frame: Week 4

  11. Quality of Life Measured by the NeuroQOL at Week 8

    The NeuroQOL assesses quality of life in the domains of Physical Domain, Mental Domain, Cognitive Domain, and Social Domain. Items are scored on a 5-point scale that uses different language depending on assessment. The questions range from least (1) to most (5) based on frequency of behavior, amount of difficulty, or degree of agreement. T-score are used, mean of 50 and SD of 10

    Time frame: Week 8

  12. Quality of Life Measured by the NeuroQOL at Week 12

    The NeuroQOL assesses quality of life in the domains of Physical Domain, Mental Domain, Cognitive Domain, and Social Domain. Items are scored on a 5-point scale that uses different language depending on assessment. The questions range from least (1) to most (5) based on frequency of behavior, amount of difficulty, or degree of agreement. T-score are used, mean of 50 and SD of 10

    Time frame: Week 12

  13. Depression measured by the Beck Depression Inventory-II at baseline

    The Beck Depression Inventory- II (BDI-II) assesses depressive symptom severity. The BDI-II is comprised of 21 individual items reflecting specific cognitive, affective, and physical symptoms of depression. Each item includes four statements that vary in the description of symptom of severity. Scores range from 0 to 3, with a score of "3" indicating a severe symptoms and a score of "0" indicating an absence of concern with that particular aspect of depressive symptomology. The total score is the sum of all endorsed statements. The maximum total score is 63. The BDI-II Manual designates the following raw score classifications depression severity: ≤13 = minimal; 14-19 = mild; 20-28 = moderate; ≥ 29 = severe.

    Time frame: Baseline

  14. Depression measured by the Beck Depression Inventory-II at Week 4

    The Beck Depression Inventory- II (BDI-II) assesses depressive symptom severity. The BDI-II is comprised of 21 individual items reflecting specific cognitive, affective, and physical symptoms of depression. Each item includes four statements that vary in the description of symptom of severity. Scores range from 0 to 3, with a score of "3" indicating a severe symptoms and a score of "0" indicating an absence of concern with that particular aspect of depressive symptomology. The total score is the sum of all endorsed statements. The maximum total score is 63. The BDI-II Manual designates the following raw score classifications depression severity: ≤13 = minimal; 14-19 = mild; 20-28 = moderate; ≥ 29 = severe.

    Time frame: Week 4

  15. Depression measured by the Beck Depression Inventory-II at Week 8

    The Beck Depression Inventory- II (BDI-II) assesses depressive symptom severity. The BDI-II is comprised of 21 individual items reflecting specific cognitive, affective, and physical symptoms of depression. Each item includes four statements that vary in the description of symptom of severity. Scores range from 0 to 3, with a score of "3" indicating a severe symptoms and a score of "0" indicating an absence of concern with that particular aspect of depressive symptomology. The total score is the sum of all endorsed statements. The maximum total score is 63. The BDI-II Manual designates the following raw score classifications depression severity: ≤13 = minimal; 14-19 = mild; 20-28 = moderate; ≥ 29 = severe.

    Time frame: Week 8

  16. Depression measured by the Beck Depression Inventory-II at Week 12

    The Beck Depression Inventory- II (BDI-II) assesses depressive symptom severity. The BDI-II is comprised of 21 individual items reflecting specific cognitive, affective, and physical symptoms of depression. Each item includes four statements that vary in the description of symptom of severity. Scores range from 0 to 3, with a score of "3" indicating a severe symptoms and a score of "0" indicating an absence of concern with that particular aspect of depressive symptomology. The total score is the sum of all endorsed statements. The maximum total score is 63. The BDI-II Manual designates the following raw score classifications depression severity: ≤13 = minimal; 14-19 = mild; 20-28 = moderate; ≥ 29 = severe.

    Time frame: Week 12

  17. Visual Search/ Processing Speed measured by Trail Making Test (TMT) at baseline

    The Trail Making Test (TMT) provides information on visual search, scanning, speed of processing, mental flexibility, and executive functions. The TMT consists of two parts. TMT-A requires an individual to draw lines sequentially connecting 25 encircled numbers distributed on a sheet of paper. Task requirements are similar for TMT-B except the person must alternate between numbers and letters (e.g., 1, A, 2, B, 3, C, etc.). The score on each part represents the amount of time required to complete the task.

    Time frame: Baseline

  18. Visual Search/ Processing Speed measured by Trail Making Test (TMT) at Week 4

    The Trail Making Test (TMT) provides information on visual search, scanning, speed of processing, mental flexibility, and executive functions. The TMT consists of two parts. TMT-A requires an individual to draw lines sequentially connecting 25 encircled numbers distributed on a sheet of paper. Task requirements are similar for TMT-B except the person must alternate between numbers and letters (e.g., 1, A, 2, B, 3, C, etc.). The score on each part represents the amount of time required to complete the task.

    Time frame: Week 4

  19. Visual Search/ Processing Speed measured by Trail Making Test (TMT) at Week 8

    The Trail Making Test (TMT) provides information on visual search, scanning, speed of processing, mental flexibility, and executive functions. The TMT consists of two parts. TMT-A requires an individual to draw lines sequentially connecting 25 encircled numbers distributed on a sheet of paper. Task requirements are similar for TMT-B except the person must alternate between numbers and letters (e.g., 1, A, 2, B, 3, C, etc.). The score on each part represents the amount of time required to complete the task.

    Time frame: Week 8

  20. Visual Search/ Processing Speed measured by Trail Making Test (TMT) at Week 12

    The Trail Making Test (TMT) provides information on visual search, scanning, speed of processing, mental flexibility, and executive functions. The TMT consists of two parts. TMT-A requires an individual to draw lines sequentially connecting 25 encircled numbers distributed on a sheet of paper. Task requirements are similar for TMT-B except the person must alternate between numbers and letters (e.g., 1, A, 2, B, 3, C, etc.). The score on each part represents the amount of time required to complete the task.

    Time frame: Week 12

  21. Sleepiness will be measured by the Epworth Sleepiness Scale at baseline

    The Epworth Sleepiness Scale is used to measure a patient's sleepiness. The test is a list of eight situations in which the patient rates their tendency to become sleepy on a scale of 0, no chance of dozing, to 3, high chance of dozing. Total score is based on a scale of 0 to 24. The scale estimates whether you are experiencing excessive sleepiness.

    Time frame: Baseline

  22. Sleepiness will be measured by the Epworth Sleepiness Scale at Week 4

    The Epworth Sleepiness Scale is used to measure a patient's sleepiness. The test is a list of eight situations in which the patient rates their tendency to become sleepy on a scale of 0, no chance of dozing, to 3, high chance of dozing. Total score is based on a scale of 0 to 24. The scale estimates whether you are experiencing excessive sleepiness.

    Time frame: Week 4

  23. Sleepiness will be measured by the Epworth Sleepiness Scale at Week 8

    The Epworth Sleepiness Scale is used to measure a patient's sleepiness. The test is a list of eight situations in which the patient rates their tendency to become sleepy on a scale of 0, no chance of dozing, to 3, high chance of dozing. Total score is based on a scale of 0 to 24. The scale estimates whether you are experiencing excessive sleepiness.

    Time frame: Week 8

  24. Sleepiness will be measured by the Epworth Sleepiness Scale at Week 12

    The Epworth Sleepiness Scale is used to measure a patient's sleepiness. The test is a list of eight situations in which the patient rates their tendency to become sleepy on a scale of 0, no chance of dozing, to 3, high chance of dozing. Total score is based on a scale of 0 to 24. The scale estimates whether you are experiencing excessive sleepiness.

    Time frame: Week 12

  25. Vestibular function will be measured by the Berg Balance Test at baseline

    The Berg Balance Scale is used to determine vestibular function through a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function.

    Time frame: Baseline

  26. Vestibular function will be measured by the Berg Balance Test at Week 4

    The Berg Balance Scale is used to determine vestibular function through a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function.

    Time frame: Week 4

  27. Vestibular function will be measured by the Berg Balance Test at Week 8

    The Berg Balance Scale is used to determine vestibular function through a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function.

    Time frame: Week 8

  28. Vestibular function will be measured by the Berg Balance Test at Week 12

    The Berg Balance Scale is used to determine vestibular function through a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function.

    Time frame: Week 12

  29. Aerobic capacity and endurance will be measured with the 6 Minute Walk Test at baseline

    The 6 Minute Walk Test (6MWT) is a exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity. The goal is for the individual to walk as far as possible in six minutes. The individual is allowed to self-pace and rest as needed as they traverse back and forth along a marked walkway. A lower score (reflecting less distance covered in 6 minutes) indicates worse function. An increase in the distance walked indicates improvement in basic mobility.

    Time frame: Baseline

  30. Aerobic capacity and endurance will be measured with the 6 Minute Walk Test at Week 4

    The 6 Minute Walk Test (6MWT) is a exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity. The goal is for the individual to walk as far as possible in six minutes. The individual is allowed to self-pace and rest as needed as they traverse back and forth along a marked walkway. A lower score (reflecting less distance covered in 6 minutes) indicates worse function. An increase in the distance walked indicates improvement in basic mobility.

    Time frame: Week 4

  31. Aerobic capacity and endurance will be measured with the 6 Minute Walk Test at Week 8

    The 6 Minute Walk Test (6MWT) is a exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity. The goal is for the individual to walk as far as possible in six minutes. The individual is allowed to self-pace and rest as needed as they traverse back and forth along a marked walkway. A lower score (reflecting less distance covered in 6 minutes) indicates worse function. An increase in the distance walked indicates improvement in basic mobility.

    Time frame: Week 8

  32. Aerobic capacity and endurance will be measured with the 6 Minute Walk Test at Week 12

    The 6 Minute Walk Test (6MWT) is a exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity. The goal is for the individual to walk as far as possible in six minutes. The individual is allowed to self-pace and rest as needed as they traverse back and forth along a marked walkway. A lower score (reflecting less distance covered in 6 minutes) indicates worse function. An increase in the distance walked indicates improvement in basic mobility.

    Time frame: Week 12

  33. Evaluation of Inflammatory Biomarkers at Baseline

    Biomarkers IL10, IL12, IL-1β, IL-4 , IL-5, IL-6, IL-7, IL-8, TNFα, will be measured in blood serum before and after a 30 minute aerobic activity. Results will be reported as change in levels.

    Time frame: Baseline

  34. Evaluation of Inflammatory Biomarkers at Week 4

    Biomarkers IL10, IL12, IL-1β, IL-4 , IL-5, IL-6, IL-7, IL-8, TNFα, will be measured in blood serum before and after a 30 minute aerobic activity. Results will be reported as change in levels.

    Time frame: Week 4

  35. Evaluation of Inflammatory Biomarkers at Week 8

    Biomarkers IL10, IL12, IL-1β, IL-4 , IL-5, IL-6, IL-7, IL-8, TNFα, will be measured in blood serum before and after a 30 minute aerobic activity. Results will be reported as change in levels.

    Time frame: Week 8

  36. Evaluation of Inflammatory Biomarkers at Week 12

    Biomarkers IL10, IL12, IL-1β, IL-4 , IL-5, IL-6, IL-7, IL-8, TNFα, will be measured in blood serum before and after a 30 minute aerobic activity. Results will be reported as change in levels.

    Time frame: Week 12

  37. Evaluation of Neuroplasticity, Stress Biomarkers at Baseline

    Biomarkers BDNF, GH, ACTH, Cortisol, Melatonin, VEGF will be measured in blood serum before and after a 30 minute aerobic activity. Results will be reported as change in levels.

    Time frame: Baseline

  38. Evaluation of Neuroplasticity, Stress Biomarkers at Week 4

    Biomarkers BDNF, GH, ACTH, Cortisol, Melatonin, VEGF will be measured in blood serum before and after a 30 minute aerobic activity. Results will be reported as change in levels.

    Time frame: Week 4

  39. Evaluation of Neuroplasticity, Stress Biomarkers at Week 8

    Biomarkers BDNF, GH, ACTH, Cortisol, Melatonin, VEGF will be measured in blood serum before and after a 30 minute aerobic activity. Results will be reported as change in levels.

    Time frame: Week 8

  40. Evaluation of Neuroplasticity, Stress Biomarkers at Week 12

    Biomarkers BDNF, GH, ACTH, Cortisol, Melatonin, VEGF will be measured in blood serum before and after a 30 minute aerobic activity. Results will be reported as change in levels.

    Time frame: Week 12

  41. Evaluation of Neurodegeneration Biomarkers at Baseline

    Biomarkers sCAM1, vCAM-1, sFAS will be measured in blood serum before and after a 30 minute aerobic activity. Results will be reported as change in levels.

    Time frame: Baseline

  42. Evaluation of Neurodegeneration Biomarkers at Week 4

    Biomarkers sCAM1, vCAM-1, sFAS will be measured in blood serum before and after a 30 minute aerobic activity. Results will be reported as change in levels.

    Time frame: Week 4

  43. Evaluation of Neurodegeneration Biomarkers at Week 8

    Biomarkers sCAM1, vCAM-1, sFAS will be measured in blood serum before and after a 30 minute aerobic activity. Results will be reported as change in levels.

    Time frame: Week 8

  44. Evaluation of Neurodegeneration Biomarkers at Week 12

    Biomarkers sCAM1, vCAM-1, sFAS will be measured in blood serum before and after a 30 minute aerobic activity. Results will be reported as change in levels.

    Time frame: Week 12

  45. BDNF / Val66Met at baseline

    Evaluation of genetic material BDNF / Val66Met will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Baseline

  46. BDNF / Val66Met at Week 4

    Evaluation of genetic material BDNF / Val66Met will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 4

  47. BDNF / Val66Met at Week 8

    Evaluation of genetic material BDNF / Val66Met will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 8

  48. BDNF / Val66Met at Week 12

    Evaluation of genetic material BDNF / Val66Met will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 12

  49. IL-1β / rs16944 at baseline

    Evaluation of genetic material IL-1β / rs16944 will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Baseline

  50. IL-1β / rs16944 at Week 4

    Evaluation of genetic material IL-1β / rs16944 will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 4

  51. IL-1β / rs16944 at Week 8

    Evaluation of genetic material IL-1β / rs16944 will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 8

  52. IL-1β / rs16944 at Week 12

    Evaluation of genetic material IL-1β / rs16944 will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 12

  53. TrkB at baseline

    Evaluation of genetic material TrkB will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Baseline

  54. TrkB at Week 4

    Evaluation of genetic material TrkB will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 4

  55. TrkB at Week 8

    Evaluation of genetic material TrkB will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 8

  56. TrkB at Week 12

    Evaluation of genetic material TrkB will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 12

  57. COMT / VAll58Met at baseline

    Evaluation of genetic material COMT / VAll58Met will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Baseline

  58. COMT / VAll58Met at Week 4

    Evaluation of genetic material COMT / VAll58Met will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 4

  59. COMT / VAll58Met at Week 8

    Evaluation of genetic material COMT / VAll58Met will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 8

  60. COMT / VAll58Met at Week 12

    Evaluation of genetic material COMT / VAll58Met ewill be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 12

  61. DRD2 / A to T & A to G at baseline

    Evaluation of genetic material DRD2 / A to T \& A to G will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Baseline

  62. DRD2 / A to T & A to G at Week 4

    Evaluation of genetic material DRD2 / A to T \& A to G will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 4

  63. DRD2 / A to T & A to G at Week 8

    Evaluation of genetic material DRD2 / A to T \& A to G will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 8

  64. DRD2 / A to T & A to G at Week 12

    Evaluation of genetic material DRD2 / A to T \& A to G will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 12

  65. ANKKI / TAQIA at baseline

    Evaluation of genetic material ANKKI / TAQIA will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Baseline

  66. ANKKI / TAQIA at Week 4

    Evaluation of genetic material ANKKI / TAQIA will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 4

  67. ANKKI / TAQIA at Week 8

    Evaluation of genetic material ANKKI / TAQIA will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 8

  68. ANKKI / TAQIA at Week 12

    Evaluation of genetic material ANKKI / TAQIA will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 12

  69. PPPIRIB / C to T at baseline

    Evaluation of genetic material PPPIRIB / C to T will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Baseline

  70. PPPIRIB / C to T at Week 4

    Evaluation of genetic material PPPIRIB / C to T will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: week 4

  71. PPPIRIB / C to T at Week 8

    Evaluation of genetic material PPPIRIB / C to T will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: week 8

  72. PPPIRIB / C to T at Week 12

    Evaluation of genetic material PPPIRIB / C to T will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: week 12

  73. MAO-A /MAOA-H & MAOA-L at baseline

    Evaluation of genetic material MAO-A /MAOA-H \& MAOA-L will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Baseline

  74. MAO-A /MAOA-H & MAOA-L at Week 4

    Evaluation of genetic material MAO-A /MAOA-H \& MAOA-L will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 4

  75. MAO-A /MAOA-H & MAOA-L at Week 8

    Evaluation of genetic material MAO-A /MAOA-H \& MAOA-Lwill be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 8

  76. MAO-A /MAOA-H & MAOA-L at Week 12

    Evaluation of genetic material MAO-A /MAOA-H \& MAOA-L will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 12

  77. 5-HTR2A / AI438G at baseline

    Evaluation of genetic material 5-HTR2A / AI438G will be measured in a saliva sample. Results will be reported as % difference from the general population.

    Time frame: Baseline

  78. 5-HTR2A / AI438G at Week 4

    Evaluation of genetic material 5-HTR2A / AI438G will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 4

  79. 5-HTR2A / AI438G at Week 8

    Evaluation of genetic material 5-HTR2A / AI438G will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 8

  80. 5-HTR2A / AI438G at Week 12

    Evaluation of genetic material 5-HTR2A / AI438G will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 12

  81. 5-HT1A / C1019G at baseline

    Evaluation of genetic material 5-HT1A / C1019G will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Baseline

  82. 5-HT1A / C1019G at Week 4

    Evaluation of genetic material 5-HT1A / C1019G will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 4

  83. 5-HT1A / C1019G at Week 8

    Evaluation of genetic material 5-HT1A / C1019G will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 8

  84. 5-HT1A / C1019G at Week 12

    Evaluation of genetic material 5-HT1A / C1019G will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 12

  85. 5-HTR2B / HTR2B Q20 at baseline

    Evaluation of genetic material 5-HTR2B / HTR2B Q20 will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Baseline

  86. 5-HTR2B / HTR2B Q20 at Week 4

    Evaluation of genetic material 5-HTR2B / HTR2B Q20 will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 4

  87. 5-HTR2B / HTR2B Q20 at Week 8

    Evaluation of genetic material 5-HTR2B / HTR2B Q20 will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 8

  88. 5-HTR2B / HTR2B Q20 at Week 12

    Evaluation of genetic material 5-HTR2B / HTR2B Q20 will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 12

  89. TPH / A218C & A779C at baseline

    Evaluation of genetic material TPH / A218C \& A779C will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Baseline

  90. TPH / A218C & A779C at Week 4

    Evaluation of genetic material TPH / A218C \& A779C will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 4

  91. TPH / A218C & A779C at Week 8

    Evaluation of genetic material TPH / A218C \& A779C will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 8

  92. TPH / A218C & A779C at Week 12

    Evaluation of genetic material TPH / A218C \& A779C will be measured in a saliva sample. Results will be reported as% difference from the general population.

    Time frame: Week 12

07

Study locations

1 site
  • Centre for Neuro Skills
    Bakersfield, California 93313, United States
08

References and documents

Publications

  • Ashman TA, Gordon WA, Cantor JB, Hibbard MR. Neurobehavioral consequences of traumatic brain injury. Mt Sinai J Med. 2006 Nov;73(7):999-1005. PubMed 17195886 ↗
  • Kleim JA, Jones TA, Schallert T. Motor enrichment and the induction of plasticity before or after brain injury. Neurochem Res. 2003 Nov;28(11):1757-69. doi: 10.1023/a:1026025408742. PubMed 14584829 ↗
  • Griesbach GS, Hovda DA, Molteni R, Wu A, Gomez-Pinilla F. Voluntary exercise following traumatic brain injury: brain-derived neurotrophic factor upregulation and recovery of function. Neuroscience. 2004;125(1):129-39. doi: 10.1016/j.neuroscience.2004.01.030. PubMed 15051152 ↗
  • Griesbach GS, Hovda DA, Gomez-Pinilla F. Exercise-induced improvement in cognitive performance after traumatic brain injury in rats is dependent on BDNF activation. Brain Res. 2009 Sep 8;1288:105-15. doi: 10.1016/j.brainres.2009.06.045. Epub 2009 Jun 23. PubMed 19555673 ↗
  • Seifert T, Brassard P, Wissenberg M, Rasmussen P, Nordby P, Stallknecht B, Adser H, Jakobsen AH, Pilegaard H, Nielsen HB, Secher NH. Endurance training enhances BDNF release from the human brain. Am J Physiol Regul Integr Comp Physiol. 2010 Feb;298(2):R372-7. doi: 10.1152/ajpregu.00525.2009. Epub 2009 Nov 18. PubMed 19923361 ↗
  • Johnson VE, Stewart W, Smith DH. Axonal pathology in traumatic brain injury. Exp Neurol. 2013 Aug;246:35-43. doi: 10.1016/j.expneurol.2012.01.013. Epub 2012 Jan 20. PubMed 22285252 ↗
  • Povlishock JT, Pettus EH. Traumatically induced axonal damage: evidence for enduring changes in axolemmal permeability with associated cytoskeletal change. Acta Neurochir Suppl. 1996;66:81-6. doi: 10.1007/978-3-7091-9465-2_15. PubMed 8780803 ↗
  • Schuit AJ, Feskens EJ, Launer LJ, Kromhout D. Physical activity and cognitive decline, the role of the apolipoprotein e4 allele. Med Sci Sports Exerc. 2001 May;33(5):772-7. doi: 10.1097/00005768-200105000-00015. PubMed 11323547 ↗
  • Adlard PA, Perreau VM, Pop V, Cotman CW. Voluntary exercise decreases amyloid load in a transgenic model of Alzheimer's disease. J Neurosci. 2005 Apr 27;25(17):4217-21. doi: 10.1523/JNEUROSCI.0496-05.2005. PubMed 15858047 ↗
  • Piao CS, Stoica BA, Wu J, Sabirzhanov B, Zhao Z, Cabatbat R, Loane DJ, Faden AI. Late exercise reduces neuroinflammation and cognitive dysfunction after traumatic brain injury. Neurobiol Dis. 2013 Jun;54:252-63. doi: 10.1016/j.nbd.2012.12.017. Epub 2013 Jan 8. PubMed 23313314 ↗
  • Norden DM, Muccigrosso MM, Godbout JP. Microglial priming and enhanced reactivity to secondary insult in aging, and traumatic CNS injury, and neurodegenerative disease. Neuropharmacology. 2015 Sep;96(Pt A):29-41. doi: 10.1016/j.neuropharm.2014.10.028. Epub 2014 Nov 13. PubMed 25445485 ↗
  • Gurley JM, Hujsak BD, Kelly JL. Vestibular rehabilitation following mild traumatic brain injury. NeuroRehabilitation. 2013;32(3):519-28. doi: 10.3233/NRE-130874. PubMed 23648606 ↗
  • Rinne MB, Pasanen ME, Vartiainen MV, Lehto TM, Sarajuuri JM, Alaranta HT. Motor performance in physically well-recovered men with traumatic brain injury. J Rehabil Med. 2006 Jul;38(4):224-9. doi: 10.1080/16501970600582989. PubMed 16801204 ↗
  • Bland DC, Zampieri C, Damiano DL. Effectiveness of physical therapy for improving gait and balance in individuals with traumatic brain injury: a systematic review. Brain Inj. 2011;25(7-8):664-79. doi: 10.3109/02699052.2011.576306. Epub 2011 May 11. PubMed 21561297 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 28, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05786729
Lead sponsor
Centre for Neuro Skills
Collaborators
University of Pittsburgh
Responsible party
Grace S. Griesbach (National Director of Clinical Research, Centre for Neuro Skills) — Principal investigator
First posted
Mar 28, 2023
Start date
Jan 18, 2022
Primary completion
Jan 18, 2027 (estimated)
Completion
Jan 18, 2028 (estimated)
Last update
Mar 28, 2023

Study contacts

Grace S Griesbach, PhD
principal investigator · Centre for Neuro Skills

Oversight

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

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