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Acute Brain Injury ComaNCT07115459

Development and Validation of a Prognostic Model for Neurocritical Patients Using Multimodal Brain Monitoring

An observational study of Acute Brain Injury Coma and Neurocritical Care, run by Xiangya Hospital of Central South University at 1 site in China.

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Trial summary

This study aims to develop and validate a prognostic model for neurocritical patients using multimodal brain monitoring data. By combining data from various monitoring techniques such as EEG, TCD, and NIRS, this model will help predict 90-day outcomes (awake, comatose, or deceased) and support personalized treatment… Read more about this study

Who is it for?
Ages 18 to 80 years
How many people
200 participants
Where
1 siteChina
Study dates
8 Jan 2024to 31 Dec 2027
Phase
Observational

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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Neurocritical patients aged 18-80 years with acute brain injury admitted to the ICU.

Who may be able to join

  • Aged 18-80 years, no gender restrictions.
  • Diagnosed with acute brain injury (ABI), including one of the following: large cerebral infarction, supratentorial large-volume intracerebral hemorrhage, subarachnoid hemorrhage, or severe traumatic brain injury, with imaging evidence (CT or MRI) supporting the diagnosis.
  • On ICU admission, Glasgow Coma Scale (GCS) eye response = 1 (no eye opening) and motor score ≤ 5 (does not follow commands); or within 48 hours, neurological deterioration with no eye opening and motor score reduced to ≤ 5 (total GCS score ≤ 8).
  • Able to undergo continuous multimodal monitoring, with an expected ICU stay of ≥72 hours.
  • Informed consent signed by the family or legal representative.

Who cannot join

  • Confirmed brain death on admission or imaging showing irreversible brain herniation.
  • Severe trauma unrelated to brain injury (e.g., multiple fractures, spinal cord injuries, or visceral rupture) that may interfere with brain function monitoring or outcome assessment.
  • Pre-existing severe neurological disorders such as epilepsy, severe encephalopathy, or chronic intracranial conditions (e.g., brain tumors or hydrocephalus).
  • Inability to perform multimodal monitoring due to technical issues (e.g., equipment failure or sensor installation problems).
  • Predicted survival time <24 hours after admission, or family members choose to withdraw treatment.
  • Refusal to participate in the study by the patient or their legal representative.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • XiangyaHospital of Central South University

    Changsha, Hunan, 410080

    Zhang

    Recruiting

Other trials in China

About this study

Official title: Protocol for Developing and Validating a Multimodal Brain Monitoring-Based Prognostic Model for Neurocritical Patients: A Prospective, Observational, Multicenter Cohort Study

This study aims to develop and validate a prognostic model for neurocritical patients using multimodal brain monitoring data. By combining data from various monitoring techniques such as EEG, TCD, and NIRS, this model will help predict 90-day outcomes (awake, comatose, or deceased) and support personalized treatment decisions. The study is observational and involves no experimental interventions.

Read the detailed description

This study is a prospective, observational, multicenter cohort study conducted in China. It focuses on neurocritical patients with acute brain injury, including large cerebral infarction, intracranial hemorrhage, subarachnoid hemorrhage, or severe traumatic brain injury. The study will collect multimodal data from EEG, TCD, and NIRS monitoring within 1-3 days of ICU admission. Machine learning algorithms will be used to develop a model predicting 90-day outcomes, categorized as awake, comatose, or deceased. The study population includes patients aged 18-80 years. Exclusion criteria include pre-existing severe neurological disorders, incomplete monitoring data, or withdrawal during the study period.

Keywords
Multimodal Brain Monitoring, Prognostic Model
Medical subject headings
Cerebral Infarction, Intracranial Hemorrhages, Subarachnoid Hemorrhage, Brain Injuries, Traumatic

What is being measured

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

  1. 90-day Outcome Prediction

    The primary outcome is the prediction of patient status at 90 days post-ICU admission, categorized as awake, comatose, or deceased.

    Measured: 90-day

Timeline

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

  1. First posted11 Aug 2025
  2. Study start8 Jan 2024
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07115459
Sponsor's protocol ID
2024070747-2
Status last verified
Sep 2026
First submitted
3 Aug 2025
Last updated
17 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There is no plan to share individual participant data (IPD) due to privacy, ethical, or regulatory considerations

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