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Not yet recruitingNCT07931066BIO-TC-LUpdated Nov 12, 2026

The Use of GFAP and UCH-L1 Biomarkers in Clinical Practice for the Management of Mild Traumatic Brain Injury

An observational study in Mild Traumatic Brain Injury (mTBI) and Biomarkers, sponsored by University Hospital, Grenoble. Not yet recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by University Hospital, Grenoble · Observational

Updated Nov 12, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
800
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 27 studies in Brain Concussion with a site in France — 8 open to participants now, 9 under way, none of them phase 3. Brain Concussion · France.

Planned enrollment
5th of 15
800 · median 560
Started
2026
with 1 other
Observational
15 of 27
5 open now
Registered
27th of 27
by date
Lead sponsor
3 of 27
University Hospital, Grenoble

Among the 27 studies in Brain Concussion with a site in France, this one is the 5th largest by planned enrollment of the 15 observational ones that give a count, is one of 2 that started in 2026, is one of 15 observational ones, and was the 27th registered.

Brain Concussion

639 studies on the registry are indexed under Brain Concussion; 165 are open to participants now.

Browse Brain Concussion studies →

Open to participants now

8 of the 27 studies in Brain Concussion with a site in France are open now. Recruiting first, the newest first:

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All 8 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 112 Brain Concussion studies recruiting now, 33 (29%) set no upper age limit and 72 (64%) stop at 75 or younger; 24 take children under 18; 38 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Mild traumatic brain injury (mTBI) is a frequent reason for emergency department visits. Although most patients have a normal brain CT scan, this examination is still widely ordered, exposing patients to radiation, overloading imaging services and increasing care costs. The decision to perform a brain CT scan is usually based on validated clinical decision rules, such as the Canadian CT Head Rule (CCHR) or the New Orleans Criteria (NOC). However, several studies including a recent meta-analysis suggest significant CT overuse in the management of mTBI.

In recent years, biomarkers specific to brain injury mainly Glial Fibrillary Acidic Protein (GFAP) and Ubiquitin Carboxy-terminal Hydrolase L1 (UCH-L1) have shown their ability to reliably rule out the presence of clinically significant intracranial injuries.

The combined use of GFAP and UCH-L1 has been recommended by the French Society of Anesthesia and Intensive Care Medicine (SFAR) and the French Society of Emergency Medicine (SFMU) in patients with mild traumatic brain injury at intermediate risk of intracranial bleeding, in order to limit the number of brain CT scans. Although prospective observational studies have evaluated the value of using these biomarkers, no study has evaluated their implementation in routine clinical practice.

Read the detailed description

The study will be conducted in the Emergency Department (ED) of Grenoble University Hospital.

The main objective of this prospective, single-center, observational study is therefore to analyze the use of GFAP and UCH-L1 biomarkers in routine clinical practice at Grenoble University Hospital to confirm their clinical utility and safety.

All adult patients presenting to the Grenoble Alpes University Hospital emergency department for mild traumatic brain injury will be enrolled and analyzed during the study period.

Data will be collected from electronic medical records. To assess patient's outcomes 1 month after their emergency department visit, a follow-up will telephone call will be conducted for the subgroup of patients who had a negative biomarker result without an initial CT scan.

03

Conditions studied

  • Mild Traumatic Brain Injury (mTBI)
  • Biomarkers

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Keywords

  • Mild Traumatic Brain Injury (mTBI)
  • Biomarkers
  • Brain CT Scan
  • GFAP
  • UCH-L1
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patient admitted in the Emergency department of Grenoble University Hospital for mild traumatic brain injury over a 4-month enrollment period from the start of the study

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

  • Patients over 18 years admitted to the emergency department of Grenoble University Hospital for mild traumatic brain injury over a 4-month enrollment period from the start of the study

Exclusion criteria

Exclusion Criteria:

  • Patients with penetrating head injury
  • Patients with a Glasgow Coma Scale score between 3 and 12 on admission to the emergency department
  • Patients unable to communicate or who do not speak French
  • Persons covered by Articles L1121-6 and L1121-8 of the French Public Health Code (CSP) (persons deprived of liberty by administrative or judicial decision, unable to understand the protocol)
  • Patients already enrolled in the study during a previous emergency department visit
  • Patients not affiliated to the french social security system
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
800 participants (estimated)
Target follow-up
1 Month
Patient registry
Yes

Groups and cohorts

  • All adult patients admitted in the Emergency Department for mild traumatic brain injury

    All adult patients presenting to the Grenoble Alpes University Hospital emergency department for mild traumatic brain injury will be enrolled and analyzed during the study period

    Other: Follow-up telephone call after one month

Interventions

  • OtherFollow-up telephone call after one month

    To assess patient's outcomes 1 month after their emergency department visit, a follow-up will telephone call will be conducted for the subgroup of patients who had a negative biomarker result without an initial CT scan.

    Also known as: A follow-up telephone call after one month for the subgroup of patients who had a negative biomarker result without an initial CT scan

06

What researchers measure

Primary outcomes

  1. The proportion of patients who underwent GFAP and UCH-L1 testing, and in whom a brain CT scan was avoided following a negative result in accordance with current guidelines

    The proportion of patients who underwent GFAP and UCH-L1 testing, and in whom a brain CT scan was avoided following a negative result in accordance with current guidelines

    Time frame: 1 month

Secondary outcomes

  1. Proportion of protocol deviations

    Proportion of protocol deviations (TBI wrongly classified as mild, Biomarkers wrongly measured, Biomarkers not measured when indicated, Brain CT scan wrongly performed, Brain CT scan not performed when indicated).

    Time frame: 24 hours

  2. Calculation of the time from emergency department arrival to biomarker ordering

    Calculation of the time from emergency department arrival to biomarker ordering (the time from biomarker ordering to result reporting).

    Time frame: 24 hours

  3. Assess the safety of using brain biomarkers in routine clinical practice, based on the 1-month clinical outcome of patients who had a negative measurement without an initial CT scan

    Proportion of patient who returned to the emergency department or to their general practitioner for a reason related to head trauma within one month of the initial visit. And proportion of CT scans showing a significant intracranial injury among those performed within the month

    Time frame: 1 month

  4. Evaluate the prognostic performance of brain biomarkers for ruling out intracranial injury, in the overall population and by age

    Calculation of prognostic performance indicators (area under the curve, sensitivity, specificity, positive and negative predictive values) of brain biomarkers for ruling out intracranial injury, in the overall population and by age

    Time frame: 1 month

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Yes — The international writing and publication rules (The Uniform Requirements for Manuscripts of the ICMJE, April 2010) will be followed. The minimum anonymized source data for performing the statistical analysis will be made public at the time of publication, with the article, or deposited in an appropriate public database. Other anonymized data may be available from the principal investigator upon reasonable request and with the consent of the sponsor. In accordance with the French law n ° 2002-303 of March 4th, 2002, the subjects can be informed, at their request, of the overall results of the research. In this study, the investigators commit to individually communicating the overall results to each subject participating in the research by a short (popularized) summary and associated with a copy of the scientific article.

Supporting information: Study protocol, Statistical analysis plan

Time frame: At the time of publication

Access criteria: The international writing and publication rules (The Uniform Requirements for Manuscripts of the ICMJE, April 2010) will be followed. Moreover, In accordance with the French law n ° 2002-303 of March 4th, 2002

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Mar 2027, 4 months later.

Of 72 non-industry observational studies under Brain Concussion, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 188. This study's planned 4 months is below that.

Counting every sponsor, half of 94 studies reached it within 35 months; a quarter within 16 and three quarters within 64.

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

Registered
Oct 29, 2026
First posted
Nov 12, 2026
StartEst.
Nov 5, 2026
Primary completionEst.
Mar 5, 2027
CompletionEst.
Jul 30, 2027
Last update
Nov 12, 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.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07931066
Responsible party
Sponsor
First posted
Nov 12, 2026
Start date
Nov 5, 2026 (estimated)
Primary completion
Mar 5, 2027 (estimated)
Completion
Jul 30, 2027 (estimated)
Last update
Nov 12, 2026

Study contacts

Nicolas SEGOND, MD PhD
Contact
NSegond@chu-grenoble.fr
0033476766784
Prudence MABIALA MAKELE, PhD
Contact
pmabialamakele@chu-grenoble.fr
0033476766784
Nicolas SEGOND, MD PhD
principal investigator · University Hospital, Grenoble

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 not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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