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RecruitingNCT07153627Updated Sep 4, 2025

Rectal Ozone as Neuroprotector Post CNS Insult in Children

An interventional study of Rectal ozone sessions and Conventional rehabilitation program in Rectal Ozone, Neuroprotector and CNS, sponsored by Al-Azhar University. Recruiting at 1 site in Egypt. Open to participants aged 1 Month to 18 Years. Per ClinicalTrials.gov, last updated 2025-09-04.

Sponsored by Al-Azhar University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Oct 2025, 1 year ago, but the record still lists the study as recruiting.
  • Registered 3 months after the study started (first participant enrolled May 2025, registered Aug 2025).
  • Started May 2025; still recruiting 1 year 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
1 Month to 18 Years
Sex
All
01

Study summary

This study aims to evaluate the efficacy of rectal ozone therapy as a neuroprotective modality in Pediatric acquired brain injury.

Read the detailed description

Acquired brain injury (ABI) from primary neurologic diagnoses accounts for 20% of all pediatric critical care admissions and more than 60,000 hospital admissions annually.

Ozone (O3) gas was discovered in the 1840s, and soon after that, the scientific community began to expand past the notion that it was just another gas of the Earth's atmosphere.

02

Conditions studied

  • Rectal Ozone
  • Neuroprotector
  • CNS
  • Insult
  • Children
03

In context

Lead sponsor

Al-Azhar University is the lead sponsor of 505 studies on the registry; 167 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
1 Month to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age from 1 month to 18 years.
  • Both sexes.
  • Children admitted to the pediatric intensive care unit (PICU) with acquired neurological insult.
  • Children with neurological sequelae
  • Children who are exposed to acquired brain injury, e.g., traumatic brain injury, cardiac arrest, intracranial hemorrhage, central nervous system infections, stroke, tumor, or hypoxia, with neurological sequelae diagnosed by neurological examination and magnetic resonance imaging (MRI), to detect that disorder early.

Exclusion criteria

Exclusion Criteria:

  • Patients with no degree of disability or sequelae.
  • Patients not fit for Rectal ozone therapy.
  • Patients with active epilepsy and recurrent seizures.
  • Children with a positive family history of degenerative brain insults.
  • Children with behavioral problems.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Group I

    Patients will receive 40 Rectal ozone sessions or until improvement (maximum 80 sessions), in addition to their conventional rehabilitation program.

    Other: Rectal ozone sessions

  • Active comparator
    Group 2

    Patients will receive their conventional rehabilitation program only (physiotherapy sessions three times per week for the treatment period (six months).

    Other: Conventional rehabilitation program

Interventions

  • OtherRectal ozone sessions

    Patients will receive 40 Rectal ozone sessions or until improvement (maximum 80 sessions), in addition to their conventional rehabilitation program.

  • OtherConventional rehabilitation program

    Patients will receive their conventional rehabilitation program only (physiotherapy sessions three times per week for the treatment period (six months).

06

What researchers measure

Primary outcomes

  1. Assessment of muscle Tone

    Assessment of muscle tone (degree of spasticity) of affected child according to Modified Ashworth's Scale. Ashworth's scale is a 6-point scale, from 0 to 4, with higher scores indicating greater spasticity.

    Time frame: 6 months post-sessions

Secondary outcomes

  1. Incidence of reduction in neuroinflammation

    Incidence of reduction in neuroinflammation will be recorded.

    Time frame: 6 months post-sessions

  2. Assessment of quality of life

    Assessment of quality of life including emotional well-being or social interaction will be recorded.

    Time frame: 6 months post-sessions

  3. Incidence of adverse effects

    Incidence of adverse effects will be recorded.

    Time frame: 6 months post-sessions

  4. Measurement of age-related response variability

    Age-related response variability by evaluating how different age groups respond to treatment will be recorded.

    Time frame: 6 months post-sessions

07

Study locations

1 of 1 sites recruiting
  • Al-Azhar University
    Cairo, 11651, Egypt
    • Ahmed M Asfour, Master · Contact · drahmedasfour14@gmail.com · 00201017440223
    • Osama A Elagami, MD · Sub investigator
    • Abeer M Salamah, MD · Sub investigator
    • Mohamed I Hussein, MD · Sub investigator
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — The data will be available upon a reasonable request from the corresponding author after the end of study for one year.

Supporting information: Study protocol

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07153627
Lead sponsor
Al-Azhar University
Responsible party
Ahmed Mohamed Abd ELgawad Mohamed Asfour (Assistant Lecturer of Pediatrics, Faculty of Medicine, Al-Azhar University, Egypt., Al-Azhar University) — Principal investigator
First posted
Sep 4, 2025
Start date
May 1, 2025
Primary completion
Oct 1, 2025 (estimated)
Completion
Oct 1, 2025 (estimated)
Last update
Sep 4, 2025

Study contacts

Ahmed M Asfour, Master
Contact
drahmedasfour14@gmail.com
00201017440223

Oversight

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

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