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Traumatic Brain InjuryTRACENCT04364568

Minor Traumatic Brain Injury : MRI Examination of Consequences and Social Insertion

A study testing Magnetic Resonance Imaging in people with Traumatic Brain Injury, run by University Hospital, Grenoble at 1 site in France.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Minor traumatic brain injury (mTBI) (Glasgow Coma Scale 13 to 15) represent 70 to 90% of traumatic brain injury. Different disorders may occur after a traumatic minor brain injury (somatic, cognitive or affective) within 2 weeks. For 10 to 20% these symptoms are persistent and are part of post-concussion syndrome. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Traumatic Brain Injury
What is being tested?
Magnetic Resonance Imaging
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
11 participants
Where
1 siteFrance
Study dates
2 Jul 2021to 1 May 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients who answered to psychological questionnaires 3 month after mTBI
  • Patients with mTBI according to European Federation of Neurological Societies
  • Initial CT scan indication according to 2012 French Society of Emergency Medicine and European Federation of Neurological Societies
  • Health insurance
  • Written consent

Who cannot join

  • Under 18 years
  • Psychiatric or neurologic history with long term treatment
  • Hospitalization due to extra-cranial wounds or intoxication (except alcool)
  • MTBI due to aggression
  • MRI contraindication
  • Inability to understand french language
Show all 11Show fewer
  • Pregnant or breastfeeding women
  • Incapacitated patients in accordance with article L 1121-5 to L1121-8 of the public health code
  • Patients in another study's exclusion time
  • Inability to have a follow-up
  • Patients who can't be reached in case of emergency

Trial locations and contacts

1 site in 1 country.

France1 site
  • Chu Grenoble Alpes

    Grenoble, 38047

Other trials in France

About this study

Minor traumatic brain injury (mTBI) (Glasgow Coma Scale 13 to 15) represent 70 to 90% of traumatic brain injury. Different disorders may occur after a traumatic minor brain injury (somatic, cognitive or affective) within 2 weeks.

For 10 to 20% these symptoms are persistent and are part of post-concussion syndrome. Today a small amount of tools to predict this syndrome are available. Cerebral CT scan, a routine test for mTBI, isn't relevant to predict the post concussion syndrome.

Read more

In order to improve understanding of the evolution toward this complication, it seems relevant to run a multimodal study.

Multiparameter MRI combined to psychological and sociological evaluations cold provide a better global perception.

Being tested
Magnetic Resonance Imaging
Medical subject headings
Brain Injuries, Traumatic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Magnetic Resonance ImagingRadiation

    Also called Sociological interview, Psychological interview

    IRM Sequences T1, T2, FLAIR, T2*, Cerebral Blood Flow (CBF) et mean diffusivity (MD)

Study groups in NCT04364568
Study groupRoleWhat they receive
Symptomatic group at three monthExperimentalRivermead Post-Concussion Syndrome >= 12 MRI and clinical exam and sociological interview at day 105 (+/-15 days) 6 months follow up : sociological interview 1 year follow up : psychological and sociological interview, Rivermead Post Concussion Syndrome questionnaire
Receives: Radiation: Magnetic Resonance Imaging
Asymptomatic group at three monthExperimentalRivermead Post-Concussion Syndrome < 12 MRI and clinical exam and sociological interview at day 105 (+/-15 days) 6 months follow up : sociological interview 1 year follow up : psychological and sociological interview, Rivermead Post Concussion Syndrome questionnaire
Receives: Radiation: Magnetic Resonance Imaging

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Compare the mean lesion volume fraction found in multiparametric magnetic resonance imaging between patients with and without post-concussions syndrome, three months after a mild Traumatic Brain Injury.

    Mean of cerebral volume fraction corresponding to lesions areas, found in multiparametrical magnetic resonance imaging (expressed as a percentage), 3 months after mild traumatic brain injury.

    Measured: 3 months

Secondary outcomes (11)
  1. Describe correlation between anamnestic risk factors, demographic data and post-concussion syndrome occurence

    Describe correlation between risk factor and the development of post-concussion syndrome.

    Describe risk factors as demographic factors and medical history correlated with the development of post-concussion syndrome.

    The risk factors studies will be:

    • Age (median in years)
    • Sex
    • Cohabitation status
    • Education
    • Daily consumption of alcohol
    • Smoking
    • Glasgow score
    • Loss of consciousness after the trauma
    • Associated injuries This information will be obtained using the medical record and by interviewing the patient. The presence of post-concussion syndrome will be defined using the Rivermead Post-concussion Symptoms Questionnaire. The presence of post-concussion syndrome will correspond to a score higher than 12.

    Measured: 3 months

  2. Level of asymmetry of the signal between each hemisphere, for each magnetic resonance imagings equence, and with the techniques of ROI (Regions of Interests): asymmetry threshold corresponding to a lesion.

    Measuring the level of asymmetry of the signal between each hemisphere, for each magnetic resonance imaging sequence, and with the techniques of ROI (Regions of Interests) ;to determine the asymmetry threshold corresponding to a lesion.

    Measured: 3 months

  3. Graph metrics in resting-state functional magnetic resonance imaging in both groups

    Describe the graph metrics in resting-state functional MRI in both groups

    Measured: 3 months

  4. Clinical correlation of magnetic resonance imaging with symptoms.

    Look for a clinical correlation between psychological evaluation tests and magnetic resonance imaging observations such as damages zones.

    Measured: 3 months

  5. Describe in both groups, the evolution of symptomatology at one year

    Describe in both groups, the evolution of symptomatology at one year with the Rivermead Post-Concussion Syndrome Questionnaire (RPCSQ). The Rivermead questionnaire ranges from 0 to 64. The presence of post-concussion syndrome will correspond to a score higher than 12.

    Measured: 12 months

  6. Evaluate the impact of mTBI on patients' lifestyles

    Sociologic interview to understand the impact of mTBI on patients' lifestyles and social insertion.

    Measured: 6 months

  7. Evaluate the impact of mTBI on patients' lifestyles

    Sociologic interview to understand the impact of mTBI on patients' lifestyles and social insertion.

    Measured: 12 months

  8. Evaluate the impact of social characteristics at stake and the resources mobilized

    Understand the impact of social characteristics at stake and the resources mobilized in the social life's re-establishment post TBI through a sociologic interview

    Measured: 6 months

  9. Evaluate the impact of social characteristics and the resources mobilized

    Understand the impact of social characteristics at stake and the resources mobilized in the social life's re-establishment post TBI through a sociologic interview

    Measured: 12 months

  10. Evaluate the experience of mTBI and post-concussion syndrome through the patient's personal appreciation, the judgement of family and friends and the medical follow-up of the general practitioner.

    Sociologic questionnaires to different actors of the patient recovery to understand the experience of mTBI and post-concussion syndrome :

    • the patient's personal appreciation,
    • the judgement of family and friends
    • the medical follow-up of the general practitioner.

    Measured: 6 months

  11. Evaluate the experience of mTBI and post-concussion syndrome through the patient's personal appreciation, the judgement of family and friends and the medical follow-up of the general practitioner.

    Sociologic questionnaires to different actors of the patient recovery to understand the experience of mTBI and post-concussion syndrome :

    • the patient's personal appreciation,
    • the judgement of family and friends
    • the medical follow-up of the general practitioner.

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Apr 2020
  2. Study start2 Jul 2021
  3. Primary completion12 Apr 2024
  4. Study completion1 May 2024

Why it stopped: difficulty recruiting and no sociologists

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
prospective, monocentric, etiological cohort study
Masking
Single blind
Who is masked
Investigator
Enrolment
11 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04364568
Sponsor's protocol ID
38RC19.305
Acronym
TRACE
Status last verified
May 2024
First submitted
20 Mar 2020
Last updated
28 May 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Magnetic Resonance Imaging in people with Traumatic Brain Injury, run by University Hospital, Grenoble at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 28 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: difficulty recruiting and no sociologists). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Compare the mean lesion volume fraction found in multiparametric magnetic resonance imaging between patients with and without post-concussions syndrome, three months after a mild Traumatic Brain Injury. (time frame: 3 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 May 2024.

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