Study of Citicoline for the Treatment of Traumatic Brain Injury (COBRIT)
The Citicoline Brain Injury Treatment (COBRIT) is a randomized, double-blind, placebo controlled, multi-center trial of the effects of 90 days of citicoline on functional outcome in patients with complicated mild, moderate and severe traumatic brain injury.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Citicoline Brain Injury Treatment Trial|
- Functional and Cognitive Outcome [ Time Frame: 90 days ] [ Designated as safety issue: No ]The primary outcome of this study was analyzed using a global statistic of the Network Core Battery. There were 9 scales: California Verbal Learning Test II (CVLT-II); Controlled Oral Word Association Test (COWAT); Digit Span (DS); Glasgow Outcome Scale Extended (GOSE); Processing Speed Index (PSI); Stroop Test 1 and 2 (ST1&2); and Trail Making Test part A and B (TMT parts A and B). Each scale was assigned cut-off for good outcome: GOSE>7, CVLT>36, PSI>85, TMT part A <42, TMT part B<138.1, DS>7.15, ST1<60.29, ST2<151.47, COWAT>32.5. Logistic regression was used to estimate the global OR.
|Study Start Date:||July 2007|
|Study Completion Date:||May 2011|
|Primary Completion Date:||May 2011 (Final data collection date for primary outcome measure)|
Placebo tablets formulated to resemble the citicoline treatment.
Drug Placebo Inactive twice a day given orally or enterally. The first dose is given within 24 hours of injury and treatment continues until 90 days or until the 90-day outcome assessment.
Experimental treatment administered orally or enterally depending upon whether the participant can swallow at 1,000 mg twice a day for 90 days or until the 90-day outcome assessment.
1000 mg twice a day orally or enterally. The first dose is within 24 hours of injury and treatment continues for 90-days or until the 90-day outcome assessment.
Other Name: CDP-Choline, Cytidine 5-diphosphocholine, Somazina
Traumatic brain injury (TBI) is a major cause of death and disability. In the United States alone approximately 1.4 million sustain a TBI each year, of which 50,000 people die, and over 200,000 are hospitalized. Despite numerous prior clinical trials no standard pharmacotherapy for the treatment of TBI has been established in either the acute or post acute setting. Citicoline is a naturally occurring endogenous compound. This compound offers the potential of employing neuroprotection, neuro-recovery and neurofacilitation to enhance recovery after TBI.
The primary goal of this study is to assess the efficacy of citicoline compared to placebo on functional and cognitive outcome in participants with traumatic brain injury.
|United States, Alabama|
|University of Alabama at Birmingham|
|Birmingham, Alabama, United States, 35294-3295|
|United States, Maryland|
|University of Maryland, Baltimore|
|Baltimore, Maryland, United States, 21201|
|United States, Pennsylvania|
|Philadelphia, Pennsylvania, United States, 19141-3099|
|University of Pittsburgh|
|Pittsburgh, Pennsylvania, United States, 15213-3221|
|United States, Tennessee|
|University of Tennessee Health Sciences Center|
|Memphis, Tennessee, United States, 38163|
|United States, Texas|
|University of Texas, Southwestern Medical Center|
|Dallas, Texas, United States, 75390|
|United States, Virginia|
|Virginia Commonwealth University|
|Richmond, Virginia, United States, 23298-0677|
|United States, Washington|
|University of Washington|
|Seattle, Washington, United States, 23298-0631|
|Principal Investigator:||Sherry Melton, MD||University of Alabama at Birmingham|
|Principal Investigator:||Howard Eisenberg, MD||University of Maryland, Baltimore County|
|Principal Investigator:||Jack Jallo, MD, PhD||Temple University|
|Principal Investigator:||Joseph Ricker, PhD||University of Pittsburgh|
|Principal Investigator:||Shelly Timmons, MD, PhD||University of Tennessee Health Sciences Center|
|Principal Investigator:||Ramon Diaz-Arrastia, MD, PhD||University of Texas Southwestern Medical Center|
|Principal Investigator:||John Ward, MD||Virginia Commonwealth University|
|Principal Investigator:||Nancy Temkin, PhD||University of Washington|
|Study Director:||Beth Ansel, PhD||National Institute of Child Health and Human Development, National Center for Medical Rehabilitation Research|
|Principal Investigator:||William Friedewald, MD||Columbia University Department of Biostatistics|