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NOT YET RECRUITING
NCT07287358
NA

Optimal Cerebral Perfusion Pressure Guided Therapy: Assessment of Target Effectiveness - II

Sponsor: Maastricht University Medical Center

View on ClinicalTrials.gov

Summary

After severe traumatic brain injury, adequate blood flow to the brain is essential for recovery. This depends on arterial blood pressure, yet intensive care units apply fixed targets to all patients - treating every brain and patient the same. This study aims to change that. With new technology, 'optimal' blood pressure can be determined for each individual brain and treatment can be tailored accordingly. This personalized approach to neurocritical care has never been tested in a randomized controlled study before. If effective in showing reduced brain damage biomarkers, it will fundamentally transform brain injury treatment and dramatically improve recovery outcomes for patients worldwide.

Official title: CPPopt Guided Therapy: Assessment of Target Effectiveness - II

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

62

Start Date

2027-01-01

Completion Date

2029-05-15

Last Updated

2026-09-28

Healthy Volunteers

No

Interventions

OTHER

Optimal cerebral perfusion pressure

The CPPopt treatment group will receive management according to the Brain Trauma Foundation (BTF) guidelines, except for the targeted cerebral perfusion pressure. Here, the calculated "optimal cerebral perfusion pressure (CPPopt)" will be targeted, with updated CPPopt targets every 4 hours. CPPopt treatment will be performed for a maximum of 5 days. If a patient still requires ICP treatment after 5 days, the standard, guideline-based treatment will be followed. CPPopt treatment can be shorter than 5 days, if ICP measurement is no longer required, if a patients wakes up, or if a patient dies.

Locations (4)

Medisch Spectrum Twente

Enschede, Netherlands

Maastricht Universitair Medisch Centrum+

Maastricht, Netherlands

Radboud University Medical Center

Nijmegen, Netherlands

Haaglanden Medisch Centrum

The Hague, Netherlands