About this trial
The purpose of this innovative adaptive phase II trial design is to determine the optimal combination of hyperbaric oxygen treatment parameters that is most likely to demonstrate improvement in the outcome of severe TBI patients in a subsequent phase III trial.
Eligibility criteria
Qualifiers
Age 16 years or older and 65 years or younger
Present with severe TBI, defined as Glasgow Coma Scale (GCS) of 3 to 8.
Marshall computerized tomography (CT) score >1 in patients with a GCS of 7 or 8 or patients with an alcohol level >200 mg/dl
Ability to initiate the first hyperbaric oxygen treatment within 8 hours of admission in patients not requiring a craniotomy/craniectomy or any other major surgical procedure OR
Disqualifiers
First hyperbaric oxygen treatment cannot be initiated within 24 hours of injury
GCS of 3 with mid-position and non-reactive pupils bilaterally (4mm)
Penetrating head injury
Pregnant
Trial design
Treatments tested in this trial
- Hyperbaric oxygen (1.5 ATA, no NBH)
- Hyperbaric oxygen (2.0 ATA, no NBH)
- Hyperbaric oxygen (2.5 ATA, no NBH)
- Hyperbaric oxygen (1.5 ATA + NBH)
- Hyperbaric oxygen (2.0 ATA + NBH)
- Hyperbaric oxygen (2.5 ATA + NBH)
- Normobaric Hyperoxia (NBH)
- Usual Care
Treatment groups
8
Treatment groupsSee each treatment group below.
Sponsors and collaborators
Gaylan Rockswold
Lead sponsor
Hennepin Healthcare Research Institute
Sponsor institution
National Institute of Neurological Disorders and Stroke (NINDS)
Collaborator
Strategies to Innovate EmeRgENcy Care Clinical Trials Network
Collaborator