The SyNAPSe trial will study if giving intravenous (i.v.) progesterone within 8 hours of the injury for a total of 120 hours to severe traumatic brain injury patients improves their recovery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
1,195
Intravenous administration of 0.71mg/kg/hr for 1hr followed by 0.5mg/kg/hr administered intravenously for an additional 119 hrs.
Intravenous administration equal to 0.71mg/kg/hr for 1hr followed by 0.5mg/kg/hr administered intravenously for an additional 119 hrs.
Glasgow Outcome Scale (GOS)
The GOS assesses mortality and disability in traumatic brain injury (TBI) patients according to the designation: Good Recovery, Moderate Disability, Severe Disability, Vegetative State or Dead.
Time frame: 6 months
Mortality at Month 1
The mortality rate at one month will be compared between the two treatment groups.
Time frame: 1 month post injury
Mortality at Month 6
The mortality rate at six months will be compared between the two treatment groups.
Time frame: 6 months post injury
Glasgow Outcome Scale at 3 Months
The GOS assesses the mortality and disability in traumatic brain injury patients according to the designation: Good Recovery, Moderate Disability, Severe Disability, Vegetative State, or Dead.
Time frame: Month 3
Glasgow Outcome Scale - Extended (GOS-E)
The GOS-E assessment of mortality and disability in TBI patients extends the original five GOS categories of functional outcome to eight categories: * Dead * Vegetative State * Lower Severe Disability * Upper Severe Disability * Lower Moderate Disability * Upper Moderate Disability * Lower Good Recovery * Upper Good Recovery
Time frame: 3 months and 6 months post injury
Short Form (36) Health Survey (SF-36)
The Short Form (36) Health Survey (SF-36) is a validated survey of patient health consisting of eight scaled scores which are the weighted sums of the questions in their section. The eight sections are: vitality, physical functioning, bodily pain, general health perceptions, role physical, role emotional, role mental and mental health. The maximum score is 30. A score of 23 or lower is indicative of cognitive impairment. The 8 scales can also be further summarized to provide a summary score for physical health and a summary score for mental health. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.
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University of South Alabama Medical Center
Mobile, Alabama, United States
LAC+USC Medical Center
Los Angeles, California, United States
University of California San Diego Medical Center
San Diego, California, United States
Denver Health Medical Center
Denver, Colorado, United States
Christiana Care Health System Hospital
Newark, Delaware, United States
Delray Medical Center
Delray Beach, Florida, United States
Tallahassee Memorial Healthcare
Tallahassee, Florida, United States
Tampa General Hospital
Tampa, Florida, United States
Saint Alphonsus Regional Medical Center
Boise, Idaho, United States
John H. Stroger Jr. Hospital of Cook County
Chicago, Illinois, United States
...and 146 more locations
Time frame: 3 months and 6 months post injury
Potentially Clinically Important On-Treatment Cerebral Perfusion Pressure (CPP) and Summary of Maximum Therapy Therapeutic Intensity Level (TIL)
Cerebral Perfusion Pressure (CPP) levels are presented according to clinically significant cut-off values. CPP was calculated from intracranial pressures and mean arterial pressures measured from Day through Day 6 after initiation of study medication, if an ICP monitor was in place. Specific therapies received during Days 1-6 are summarized according to the Therapeutic Intensity Level (TIL) by treatment group, as maximum level of therapy administered to the subject.
Time frame: Admission through post-infusion Day 6