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External Lumbar Drainage to Reduce ICP in Severe TBI: a Phase 1 Clinical Trial
Sponsor: Brain Trauma Foundation
Summary
The goal of this phase 1 randomized controlled safety and feasibility clinical trial are to determine the safety of external lumbar drainage (ELD) in select patients with severe Traumatic Brain Injury (TBI). The main questions it aims to answer are (i) if ELD is feasible and (ii) safe to perform in severe TBI patients who have radiological evidence of patent basal cisterns and midline shift \<5mm without increasing the risk of neurological worsening or cerebral herniation. All participants will receive routine usual care. The study group will additionally have ELD for cerebrospinal fluid (CSF) drainage. A comparison will be made between the usual treatment plus ELD (interventional) groups, and the usual treatment (control) groups on incidence rate of neurological worsening or cerebral herniation events, and whether total hours with raised intracranial pressure (ICP) are different.
Official title: External Lumbar Drainage to Abort Severe Traumatic IntraCranial Hypertension: A Phase 1 Randomized, Allocation-concealed, Open-label, Safety and Feasibility Clinical Trial
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
30
Start Date
2024-06-24
Completion Date
2027-06-30
Last Updated
2025-09-19
Healthy Volunteers
No
Interventions
External Lumbar drainage
ELD @ 15 or 20mmHg based on intervention arm with maximum of 10ml/hour drainage
Locations (5)
University of Florida
Gainesville, Florida, United States
Kansas University Medical Center
Kansas City, Kansas, United States
University of Texas Southwestern Medical Center
Dallas, Texas, United States
Brooke Army Medical Center
Fort Sam Houston, Texas, United States
University of Texas
San Antonio, Texas, United States