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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00222742
Registration number
NCT00222742
Ethics application status
Date submitted
16/09/2005
Date registered
22/09/2005
Date last updated
11/07/2012
Titles & IDs
Public title
Hypothermia in Children After Trauma
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Scientific title
Pediatric Traumatic Brain Injury Consortium: Hypothermia
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Secondary ID [1]
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1R01NS052478-01
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Secondary ID [2]
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1R01-NS052478-01
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Traumatic Brain Injury
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Condition category
Condition code
Injuries and Accidents
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Other injuries and accidents
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Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Surgery - induced moderate hypothermia
Experimental: A - Induced moderate hypothermia (32-33 C)
Treatment: Surgery: induced moderate hypothermia
Subjects assigned to the treatment arm will be cooled to 32-33 °C for 48 hours and then slowly warmed.
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Intervention code [1]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The primary specific aim of this RCT is to determine the effect of induced moderate HYPO (32-33 °C) after severe TBI in children on mortality.
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Assessment method [1]
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Timepoint [1]
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3 month post injury
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Secondary outcome [1]
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To determine the effect of HYPO after severe TBI in children on global function and neurocognitive outcomes in the areas of intellectual ability/development, memory and learning, and behavior.
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Assessment method [1]
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Timepoint [1]
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at 6 and 12 months post injury
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Secondary outcome [2]
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To determine the effect of HYPO after severe TBI in children of different age ranges (< 6y; 6-<16y; and 16-<18y) on mortality and 6 and 12 months functional and neurocognitive outcomes.
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Assessment method [2]
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Timepoint [2]
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3, 6 and 12 months post injury
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Secondary outcome [3]
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To determine the effect of HYPO after severe TBI in children on reducing intracranial hypertension and maintaining adequate cerebral perfusion pressure (CPP).
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Assessment method [3]
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Timepoint [3]
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7 days post injury
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Eligibility
Key inclusion criteria
1. Patients with a GCS </= 8
2. Glasgow Motor Score < 6
3. Closed head injury
4. Age 0 < 18 y
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Minimum age
No limit
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Maximum age
17
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion Criteria
1. Unavailable to initiate cooling within 6 hours of injury
2. Glasgow Coma Scale (GCS) score = 3 and abnormal brainstem function
3. Normal initial CT scan (No blood, fracture, swelling, and/or shift)
4. Penetrating brain injury
5. No known mechanism of injury
6. Unknown time of injury
7. Uncorrectable coagulopathy (PT/PTT > 16/40 sec, INR > 1.7)
8. Hypotensive episode (Systolic Blood Pressure <5th percentile for age>10 min)
9. Documented Hypoxic episode (O2 saturation < 94% for > 30 min)
10. Pregnancy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2007
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/03/2012
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Sample size
Target
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Accrual to date
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Final
90
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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Sydney Children's Hospital, Randwick - Sydney
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Recruitment hospital [2]
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Children's Hospital at Westmead - Westmead
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Recruitment hospital [3]
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Royal Children's Hospital, Brisbane - Brisbane
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Recruitment hospital [4]
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Mater Children's Hospital - Brisbane
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Children's Youth and Women's Health Service - North Adelaide
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Recruitment hospital [6]
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Royal Children's Hospital Melbourne - Parkville
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Recruitment hospital [7]
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Princess Margaret Hospital for Children - Subiaco, Perth
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Recruitment postcode(s) [1]
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2031 - Sydney
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Recruitment postcode(s) [2]
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2145 - Westmead
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Recruitment postcode(s) [3]
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4029 - Brisbane
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Recruitment postcode(s) [4]
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4101 - Brisbane
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Recruitment postcode(s) [5]
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5006 - North Adelaide
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Recruitment postcode(s) [6]
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3052 - Parkville
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Recruitment postcode(s) [7]
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6008 - Subiaco, Perth
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Arizona
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United States of America
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California
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United States of America
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District of Columbia
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United States of America
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Florida
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United States of America
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Minnesota
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United States of America
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Missouri
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New York
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United States of America
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North Carolina
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Ohio
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United States of America
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Pennsylvania
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Texas
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United States of America
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Washington
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Canada
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Alberta
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Canada
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British Columbia
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New Zealand
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Auckland
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South Africa
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Cape Town
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United Kingdom
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London
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Country [18]
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United Kingdom
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State/province [18]
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West Midlands
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Funding & Sponsors
Primary sponsor type
Other
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Name
Phoenix Children's Hospital
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Address
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Other collaborator category [1]
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Government body
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Name [1]
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National Institutes of Health (NIH)
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Address [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary hypothesis for this application for a multicenter phase III randomized clinical trial (RCT) is that induced moderate hypothermia (HYPO) (32-33 °C) after severe traumatic brain injury (TBI) in children and maintained for 48 hours will improve mortality at 3 months and 12 month functional outcome as assessed by the Glasgow Outcome Scale (GOS).
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Trial website
https://clinicaltrials.gov/study/NCT00222742
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Trial related presentations / publications
Meinert E, Bell MJ, Buttram S, Kochanek PM, Balasubramani GK, Wisniewski SR, Adelson PD; Pediatric Traumatic Brain Injury Consortium: Hypothermia Investigators. Initiating Nutritional Support Before 72 Hours Is Associated With Favorable Outcome After Severe Traumatic Brain Injury in Children: A Secondary Analysis of a Randomized, Controlled Trial of Therapeutic Hypothermia. Pediatr Crit Care Med. 2018 Apr;19(4):345-352. doi: 10.1097/PCC.0000000000001471. Adelson PD, Wisniewski SR, Beca J, Brown SD, Bell M, Muizelaar JP, Okada P, Beers SR, Balasubramani GK, Hirtz D; Paediatric Traumatic Brain Injury Consortium. Comparison of hypothermia and normothermia after severe traumatic brain injury in children (Cool Kids): a phase 3, randomised controlled trial. Lancet Neurol. 2013 Jun;12(6):546-53. doi: 10.1016/S1474-4422(13)70077-2. Epub 2013 May 8.
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Public notes
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Contacts
Principal investigator
Name
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P. David Adelson, MD
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Address
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Phoenix Children's Hospital
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00222742
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