Pilot Study of Hypothermia for Intracerebral Hemorrhage in Croatia
Recruitment status was Not yet recruiting
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Purpose
In this pilot study the researchers will investigate efficacy of hypothermia in the early stage of treatment patients with primary intracerebral hemorrhage.
| Condition | Intervention | Phase |
|---|---|---|
|
Hypothermia Primary Intracerebral Hemorrhage Signs and Symptoms |
Device: Cincinnati Sub-Zero," Blanketrol III" |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
- Neurological outcome [ Time Frame: 3 months after the onset ] [ Designated as safety issue: No ]
- Neurological outcome [ Time Frame: 6 months after the onset ] [ Designated as safety issue: No ]
- Mortality [ Time Frame: 1 week ] [ Designated as safety issue: Yes ]
- Mortality [ Time Frame: 1 month ] [ Designated as safety issue: Yes ]
- Mortality [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
- The incidence of significant cardiac arrhythmias, infections, severe disturbances of electrolytes [ Time Frame: 3 days ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 20 |
| Study Start Date: | January 2011 |
| Estimated Study Completion Date: | June 2012 |
| Estimated Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Hypothermia
Device: Cincinnati Sub-Zero Hyper-Hypothermia to core temperature of 34C for 24 hours, rewarming rate 0,5/2h until the patient reaches 36,5C
|
Device: Cincinnati Sub-Zero," Blanketrol III" |
Detailed Description:
The purpose of this pilot trial is to determine whether hypothermia improves neurological outcome (measured as 3 and 6 months after the onset of symptoms using mRS, GOS and BI) in patients who has suffered a primary intracerebral hemorrhage. The patients with primary intracerebral hemorrhage presented with coma (GCS ≤ 8) and ICH score 2-4 will be included. Induction of hypothermia will be initiated within 6 hours of symptoms onset. Patients will be cooled to core temperature of 34°C during 24 hours using non-invasive temperature management (Cincinnati Sub-Zero). The temperature will be measured continuously by esophageal system. After 24 hours of successful cooling, the target temperature will be gradually raised to achieve slow re-warming of 0.5°C / 2 h until the core temperature reaches 36,5°C.
During hypothermia ECG, blood pressure, oxygen saturation and intracranial pressure will be measured continuously and registered every 30 min. The first CT scan of the brain, after initial, will be done early after normothermia is reached.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- GCS ≤ 8
- ICH score 2-4
- symptom onset within 6 hours
- ages 18 - 80
Exclusion Criteria:
- pregnancy
- hemodynamical unstability
- recent myocardial infarction
- systolic blood pressure < 90 mm Hg
Contacts and Locations| Contact: Igor Antoncic, MD, MSc | +38551658315 | igor.antoncic@ri.t-com.hr |
| Croatia | |
| Intensive Care Unit, Department of Neurology, University Hospital Rijeka | Not yet recruiting |
| Rijeka, Croatia, 51000 | |
| Contact: Igor Antoncic, MD, MSc +38551658315 igor.antoncic@ri.t-com.hr | |
| Sub-Investigator: Sinisa Dunatov, MD | |
| Sub-Investigator: Marina Bralic, MD, MSc | |
| Principal Investigator: | Igor Antoncic, MD, MSc | Intensive Care Unit, Departmen of Neurology, University Hospital Rijeka, Croatis |
More Information
No publications provided
| Responsible Party: | University Hospital Rijeka, Igor Antončić MD |
| ClinicalTrials.gov Identifier: | NCT01221142 History of Changes |
| Other Study ID Numbers: | HfICHiC |
| Study First Received: | October 13, 2010 |
| Last Updated: | December 27, 2010 |
| Health Authority: | Croatia: Ethics Committee |
Keywords provided by University of Rijeka:
|
Hypothermia, ICH |
Additional relevant MeSH terms:
|
Hemorrhage Hypothermia Signs and Symptoms Cerebral Hemorrhage Pathologic Processes Body Temperature Changes Intracranial Hemorrhages |
Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases Nervous System Diseases Vascular Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 16, 2013