ClinicalTrials.gg
RecruitingNCT07180277ESM-TBIUpdated Sep 22, 2026

Methylprednisolone for Moderate to Severe Traumatic Brain Injury

A Phase 4 interventional study of Placebo and Methylprednisolone (MP) in Traumatic Brain Injury, sponsored by Zhangjiagang First People's Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by Zhangjiagang First People's Hospital · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
520
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn if standard-dose methylprednisolone sodium succinate can improve neurological recovery and safety in adults with moderate to severe traumatic brain injury (TBI). The main questions it aims to answer are:

  1. Does adding a 5-day course of methylprednisolone improve overall long-term neurological outcome compared with placebo?
  2. Does methylprednisolone reduce 6-month mortality or increase the proportion of patients with good neurological recovery?
  3. What medical problems do participants experience when receiving methylprednisolone? Researchers will compare methylprednisolone sodium succinate (2 mg/kg/day intravenously for 5 days) with a matching placebo to see if the steroid improves outcomes beyond standard TBI care.

Participants will:

  1. Receive either methylprednisolone or placebo once daily for 5 days, added to guideline-directed standard care.
  2. Undergo CT scans and neuro-examinations during hospitalization.
  3. Return for follow-up visits at 1 month and 6 months after injury for neurological assessments, safety checks, and questionnaires.
02

Conditions studied

  • Traumatic Brain Injury

Keywords

  • Methylprednisolone
  • Traumatic Brain Injury
03

In context

Brain Injuries, Traumatic

1,721 studies on the registry are indexed under Brain Injuries, Traumatic; 447 are open to participants now.

This study's planned enrollment of 520 is above the median of 52 across 1,088 interventional studies indexed under Brain Injuries, Traumatic.

Browse Brain Injuries, Traumatic studies →

Lead sponsor

Zhangjiagang First People's Hospital is the lead sponsor of 2 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 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age18-65 years.
  • Patients with moderate-to-severe traumatic brain injury whose Glasgow Coma Scale (GCS) score at admission is4-12.
  • Study drug must be initiated within12 hours after injury.
  • Imaging (CT) demonstrates cerebral contusion, or cerebral contusion with intracerebral hematoma.
  • Written obtained from the subject or legally authorized representative.

Exclusion criteria

Exclusion Criteria:

  • Known to or any to their use.
  • History of diabetes mellitus requiring pharmacological treatment, or capillary blood glucose\<2.8 mmol/L or >22.2 mmol/L.
  • Shock at admission (systolic blood pressure\<90 mmHg for more than30 minutes).
  • Pregnant or lactating women.
  • Patients with systemic infectious diseases.
  • Patients with a confirmed diagnosis of peptic ulcer.
  • Patients with a confirmed diagnosis of systemic diseases.
  • Participation in another clinical trial within the past3 months.
  • Any condition that, in the investigator's opinion, renders the patient unsuitable for this study.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
520 participants (estimated)

Study arms

  • Experimental
    methylprednisolone

    Drug: Methylprednisolone (MP)

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugPlacebo

    2 mg/kg diluted in 100 mL of normal saline (maximum dose 160 mg) , IV once daily for 5 days

  • 2 mg/kg diluted in 100 mL of normal saline (maximum dose 160 mg) , IV once daily for 5 days

06

What researchers measure

Primary outcomes

  1. Distribution of Glasgow Outcome Scale-Extended (GOS-E) scores at 180 days.

    Time frame: 180 days

Secondary outcomes

  1. All-cause mortality

    Time frame: 180 days

  2. Proportion of patients with good neurological outcome (GOS-E 5-8)

    Time frame: 180 days

  3. Incidence of adverse events after treatment

    Time frame: 30 days

Other outcomes

  1. CT Measurement of Cerebral Edema Volume

    Time frame: From enrollment to 7 days after the end of medication

  2. Mini-Mental State Examination (MMSE)

    Time frame: 180 days

  3. EQ-5D-VAS Scores

    Time frame: 180 days

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Carney N, Totten AM, O'Reilly C, Ullman JS, Hawryluk GW, Bell MJ, Bratton SL, Chesnut R, Harris OA, Kissoon N, Rubiano AM, Shutter L, Tasker RC, Vavilala MS, Wilberger J, Wright DW, Ghajar J. Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition. Neurosurgery. 2017 Jan 1;80(1):6-15. doi: 10.1227/NEU.0000000000001432. PubMed 27654000 ↗
  • Roberts I, Yates D, Sandercock P, Farrell B, Wasserberg J, Lomas G, Cottingham R, Svoboda P, Brayley N, Mazairac G, Laloe V, Munoz-Sanchez A, Arango M, Hartzenberg B, Khamis H, Yutthakasemsunt S, Komolafe E, Olldashi F, Yadav Y, Murillo-Cabezas F, Shakur H, Edwards P; CRASH trial collaborators. Effect of intravenous corticosteroids on death within 14 days in 10008 adults with clinically significant head injury (MRC CRASH trial): randomised placebo-controlled trial. Lancet. 2004 Oct 9-15;364(9442):1321-8. doi: 10.1016/S0140-6736(04)17188-2. PubMed 15474134 ↗
  • He C, Wang Y, Gong W, Zhang S. Targeted Delivery of Acid-Responsive Rutin Nanoparticles Based on Aldehyde Adsorption for the Treatment of Spinal Cord Injury in Rats. ACS Biomater Sci Eng. 2025 Apr 14;11(4):2192-2202. doi: 10.1021/acsbiomaterials.5c00038. Epub 2025 Apr 1. PubMed 40167167 ↗
  • Chen X, Chai Y, Wang SB, Wang JC, Yue SY, Jiang RC, Zhang JN. Risk factors for corticosteroid insufficiency during the sub-acute phase of acute traumatic brain injury. Neural Regen Res. 2020 Jul;15(7):1259-1265. doi: 10.4103/1673-5374.272611. PubMed 31960811 ↗
  • Zhang B, Bai M, Xu X, Yang M, Niu F, Gao F, Liu B. Corticosteroid receptor rebalancing alleviates critical illness-related corticosteroid insufficiency after traumatic brain injury by promoting paraventricular nuclear cell survival via Akt/CREB/BDNF signaling. J Neuroinflammation. 2020 Oct 25;17(1):318. doi: 10.1186/s12974-020-02000-2. PubMed 33100225 ↗
  • Liu Z, Yang Y, He L, Pang M, Luo C, Liu B, Rong L. High-dose methylprednisolone for acute traumatic spinal cord injury: A meta-analysis. Neurology. 2019 Aug 27;93(9):e841-e850. doi: 10.1212/WNL.0000000000007998. Epub 2019 Jul 29. PubMed 31358617 ↗
  • Zhang Y, Xiao S, Zhu L, Gan X, Huang Y, Dan F, Chen J, Zhou R, Tang W, Liu J, Liu Z. Effect of Low-dose Methylprednisolone in Promoting Neurological Function Recovery After Spinal Cord Injury: Clinical and Animal Studies. Spine (Phila Pa 1976). 2025 Jul 15;50(14):965-974. doi: 10.1097/BRS.0000000000005269. Epub 2025 Jan 29. PubMed 39876698 ↗
  • Zheng C, Li R, Shen C, Guo F, Fan D, Yang L, Zhang L, Chen A, Chen Y, Chen D, Zi W, Guo C, Nguyen TN, Albers GW, Campbell BCV, Qiu Z, Hu Z. Methylprednisolone as Adjunct to Thrombectomy for Acute Intracranial Internal Carotid Artery Occlusion Stroke: Post Hoc Secondary Analysis of the MARVEL Randomized Clinical Trial. JAMA Netw Open. 2025 Feb 3;8(2):e2459945. doi: 10.1001/jamanetworkopen.2024.59945. PubMed 39964685 ↗
  • Wang B, Zhang Q, Liu C, Chen X. Counteracting immunodepression by extracellular matrix hydrogel to promote brain tissue remodeling and neurological function recovery after traumatic brain injury. Biomaterials. 2025 Jul;318:123181. doi: 10.1016/j.biomaterials.2025.123181. Epub 2025 Feb 8. PubMed 39970603 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared due to ethical restrictions. The study protocol and statistical analysis plan are available upon reasonable request from the corresponding author.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2026 (actual). Primary completion is estimated for Jan 2029, 34 months after the start.

Of 25 phase 4 interventional studies under Brain Injuries, Traumatic, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 148. This study's planned 34 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 9, 2025
First posted
Sep 18, 2025
StartActual
Mar 29, 2026
Primary completionEst.
Jan 31, 2029
CompletionEst.
Jul 31, 2029
Last update
Sep 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07180277
Lead sponsor
Zhangjiagang First People's Hospital
Responsible party
Rong Gao (Professor, Zhangjiagang First People's Hospital) — Principal investigator
First posted
Sep 18, 2025
Start date
Mar 29, 2026
Primary completion
Jan 31, 2029 (estimated)
Completion
Jul 31, 2029 (estimated)
Last update
Sep 22, 2026

Study contacts

Xiaobo Qian
Contact
776730288@qq.com
+86 13616248318

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Methylprednisolone

Start the discussion