Disorder of ConsciousnessNCT05682248
Study of Brain Function Evaluation and Intervention System for Acute and Prolonged Disorders of Consciousness
A study testing Transcranial magnetic stimulation in people with Disorder of Consciousness, run by Xuanwu Hospital, Beijing at 1 site in China.
Trial summary
The research focuses on establishing a system for validating the effectiveness of key technologies for targeted combined non-invasive interventions in awakening consciousness. Read more about this study
- Who is it for?
- Ages 14 to 80 years
- Conditions the study is for
- Disorder of Consciousness
- What is being tested?
- Transcranial magnetic stimulation
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 180 participants
- Where
- 1 siteChina
- Study dates
- 13 Apr 2022to Nov 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 14 to 80 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Admission criteria for patients with prolonged disorders of consciousness (Total 200) Inclusion Criteria:(1)Age 14-80 years;(2)In accordance with the diagnostic criteria of unresponsive arousal syndrome or minimally conscious state by international research;(3)Brain Trauma, stroke and hypoxic-ischemic encephalopathy lead to disturbance of consciousness;(4) right-handed;(5)The patient's family members signed the informed consent form; Exclusion Criteria:(1)The history of mental illness and a history of hearing impairment;(2)Intracranial arterial clamp, pacemaker and other metal implants; (3)During the experiment, sedatives and other drugs that affect the excitability of the cortex;(4)The presence of uncontrolled seizures or involuntary movements;
Admission criteria for patients with acute disorders of consciousness(Total 300) Inclusion Criteria:(1)Age 14-60 years;(2)Meets diagnostic criteria for coma recognized in international studies;(3)the GCS score was less than 8; (4)Brain Trauma, stroke and hypoxic-ischemic encephalopathy lead to disturbance of consciousness;(5) right-handed;(6)The patient's family members signed the informed consent form; Exclusion Criteria:(1)The history of mental illness and a history of hearing impairment;(2)Intracranial arterial clamp, pacemaker and other metal implants; (3)During the experiment, sedatives and other drugs that affect the excitability of the cortex;(4)The presence of uncontrolled seizures or involuntary movements; Admission criteria for patients with acute disorders of consciousness;(5)No spontaneous breathing;(6)Status Epilepticus;(7)Need emergency neurosurgical treatment can not cooperate with the examination;
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
About this study
Official title: Science and Technology Innovation 2030
The research focuses on establishing a system for validating the effectiveness of key technologies for targeted combined non-invasive interventions in awakening consciousness.
Read the detailed description
Analyzed the EEG activity and brain network changes before and after stimulation by TMS stimulation of key brain regions, and correlated them with brain function. To verify the "time-frequency-space" neural mechanism of consciousness.
- Conditions
- Disorder of Consciousness
- Being tested
- Transcranial magnetic stimulation, Sham Transcranial magnetic stimulation
- Keywords
- TMS, Non-invasive neuromodulation, Brain Function Test
- Medical subject headings
- Consciousness Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Transcranial magnetic stimulationDevice
Transcranial magnetic stimulation
Sham Transcranial magnetic stimulationDevice
Sham Transcranial magnetic stimulation
| Study group | Role | What they receive |
|---|---|---|
| Real rTMS group | Experimental | True rTMS stimulation: 10Hz, intensity: 90% RMT, duration: 10s, interval: 30s, stimulation cycle: 1 time/day, treatment duration: 10 days; Receives: Device: Transcranial magnetic stimulation |
| Sham rTMS group | Placebo comparator | sham stimulation group : intensity :0; other parameters are the same as true rTMS stimulation Receives: Device: Sham Transcranial magnetic stimulation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Coma recovery scale-revised(CRS-R)
CRS-R scale includes 6 dimensions such as audiovisual, arousal level, verbal response, motor and communication, scoring 0 to 23, the higher the score the better the neurological function, and each score reflects the presence or absence of the evaluated person and the strength of consciousness
Measured: Assessment within 24 hours before, and 1 hour after TMS treatment
Change from the p300 in electroencephalogram
Assessment the p300 in event related potential(ERP)
Measured: Assessment within 24 hours before, and 1 hour after TMS treatment
Change from resting-state in electroencephalogram
Assessment the spectral power and coherence by in resting-state EEG
Measured: Assessment within 24 hours before, and 1 hour after TMS treatment
Change from TEP in electroencephalogram
Assessment the TMS Evoked Potential(TEP)
Measured: Assessment within 24 hours before, and 1 hour after TMS treatment
Change from PCI in electroencephalogram
Assessment the perturbational complexity index(PCI) in TMS-EEG
Measured: Assessment within 24 hours before, and 1 hour after TMS treatment
Change from ROI in neuroimage techniques-PET
The distribution of 18F-FDG in the brain was analyzed according to the imaging situation, and the brain regions of interest (ROI) were outlined, and the uptake of 18F-deoxyglucose (FDG) in the patients was observed according to the brain ROI.
Measured: Assessment within 24 hours before ,and 1 hour after TMS treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jan 2023
- Study start13 Apr 2022
- Primary completionAug 2024 (estimated)
- Study completionNov 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Disorder of ConsciousnessStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Outcomes assessor
- Enrolment
- 180 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Xuanwu Hospital, Beijing
- Sponsor type
- University, hospital or other
- Collaborators
- Tianjin University, Jilin University
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05682248
- Sponsor's protocol ID
- 2021ZD0204305
- Status last verified
- Dec 2023
- First submitted
- 13 Nov 2022
- Last updated
- 5 Jun 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Science and Technology Innovation 2030
- ClinicalTrials.gov ID
- NCT05682248
- Acronym / sponsor ID
- 2021ZD0204305
- Conditions
- Disorder of Consciousness
- Keywords
- TMS, Non-invasive neuromodulation, Brain Function Test
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 180 participants (estimated)
- Lead sponsor
- Xuanwu Hospital, BeijingUniversity, hospital or other
- Collaborators
- Tianjin University, Jilin University
- Study start
- 13 Apr 2022 (actual)
- Primary completion
- Aug 2024 (estimated)
- Study completion
- Nov 2026 (estimated)
- First posted
- 12 Jan 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The research focuses on establishing a system for validating the effectiveness of key technologies for targeted combined non-invasive interventions in awakening consciousness.
Detailed description
Analyzed the EEG activity and brain network changes before and after stimulation by TMS stimulation of key brain regions, and correlated them with brain function. To verify the "time-frequency-space" neural mechanism of consciousness.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Real rTMS group | Experimental | Device: Transcranial magnetic stimulationTrue rTMS stimulation: 10Hz, intensity: 90% RMT, duration: 10s, interval: 30s, stimulation cycle: 1 time/day, treatment duration: 10 days; |
| Sham rTMS group | Placebo comparator | Device: Sham Transcranial magnetic stimulationsham stimulation group : intensity :0; other parameters are the same as true rTMS stimulation |
Who may qualify
- Ages
- 14 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Transcranial magnetic stimulationTranscranial magnetic stimulation | Device | Real rTMS group |
| Sham Transcranial magnetic stimulationSham Transcranial magnetic stimulation | Device | Sham rTMS group |
Primary outcome
Change from Coma recovery scale-revised(CRS-R)
Time frame: Assessment within 24 hours before, and 1 hour after TMS treatment
CRS-R scale includes 6 dimensions such as audiovisual, arousal level, verbal response, motor and communication, scoring 0 to 23, the higher the score the better the neurological function, and each score reflects the presence or absence of the evaluated person and the strength of consciousness
Change from the p300 in electroencephalogram
Time frame: Assessment within 24 hours before, and 1 hour after TMS treatment
Assessment the p300 in event related potential(ERP)
Change from resting-state in electroencephalogram
Time frame: Assessment within 24 hours before, and 1 hour after TMS treatment
Assessment the spectral power and coherence by in resting-state EEG
Change from TEP in electroencephalogram
Time frame: Assessment within 24 hours before, and 1 hour after TMS treatment
Assessment the TMS Evoked Potential(TEP)
Change from PCI in electroencephalogram
Time frame: Assessment within 24 hours before, and 1 hour after TMS treatment
Assessment the perturbational complexity index(PCI) in TMS-EEG
Change from ROI in neuroimage techniques-PET
Time frame: Assessment within 24 hours before ,and 1 hour after TMS treatment
The distribution of 18F-FDG in the brain was analyzed according to the imaging situation, and the brain regions of interest (ROI) were outlined, and the uptake of 18F-deoxyglucose (FDG) in the patients was observed according to the brain ROI.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Jun 2024.
- Individual participant dataSharing planned: No
Related trials for Disorder of Consciousness
Not yet recruiting
Stellate Ganglion Block on Postoperative Sleep Status in Patients With Prolonged Disorders of Consciousness
Stellate Ganglion Block, Prolonged Disorders of Consciousness
Not yet recruiting
Miniature In-line Respirator
Brain Death, Respiration, Artificial
RecruitingPhase 4
The Electroencephalographic Mechanisms of Anesthesia and Human Consciousness
Consciousness, Level Altered
Recruiting
Conscious Sedation Versus General Anesthesia for Pulsed Field Ablation in Paroxysmal Atrial Fibrillation
Paroxysmal Atrial Fibrillation
RecruitingPhase 3
Study Evaluating the Efficacy and Safety of RAP-219 in Adult Participants With Focal Seizures FOCUS-1
Focal Seizure, Epilepsy
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Transcranial magnetic stimulation in people with Disorder of Consciousness, run by Xuanwu Hospital, Beijing at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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: enrolling by invitation, as of the sponsor's last update on 5 Jun 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 China. 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. Some participants in this study may receive a placebo. 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?
This study is still under way. Results are not available in the source record yet.
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?
Change from Coma recovery scale-revised(CRS-R) (time frame: Assessment within 24 hours before, and 1 hour after TMS treatment). The study lists 6 primary outcomes in all. 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 5 Jun 2024.