This study is a prospective multi-center trial designed to determine the safety profile and efficacy of modest (33ºC) intravascular hypothermia following acute cervical (C1 to C8) Spinal Cord Injury (SCI).
The purpose of the proposed clinical trial is to demonstrate the safety and efficacy of intravascular hypothermia as part of the early hospital management and treatment for acute cervical SCI. Each year in the US, there are over 11,000 new cases of para- and quadriplegia and 100,000 new cases of partial but permanent neurological losses due to acute SCI. Thus the potential for clinical hypothermia following SCI to improve neurological outcome has significant value. Many patients suffering SCI become permanently dependent on caretakers and become a financial liability to both the family and society. Hypothermia has the potential to improve outcome so that more patients suffering SCI can regain independent motor and sensory function and remain economically productive members of society. The use of modest hypothermia through intravascular cooling may ultimately lead to better care of the patient with acute SCI and may also have more widespread uses in patients presenting with stroke or cardiac arrest. In the long-term, this research may lend support to the use of hypothermia that could in turn save money for the patients, hospitals, the government and society as a whole.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
120
To deliver intravascular hypothermia, an Alsius Icy CoolGuard® catheter (US Food and Drug Administration approved, Premarket Notification \[510(k), K030421\]; Alsius Corporation, Irvine, California) will be inserted through the femoral vein using a sterile technique. Patients will be cooled at a maximum rate (2-2.5 ºC/hr.) until they reach the target temperature (T 33 ºC), which will be maintained for 48 hours, and then re-warmed at 0.1 ºC/hr. until normothermia (T 37ºC) is achieved.
HonorHealth Research Institute with Barrow Brain and Spine
Phoenix, Arizona, United States
RECRUITINGJackson Memorial Hospital
Miami, Florida, United States
RECRUITINGEmory University School of Medicine
Atlanta, Georgia, United States
Neurological improvement on American Spinal Injury Association (ASIA)
Improvement in ASIA Impairment Scale (AIS) after modest hypothermia
Time frame: Between baseline and 12 months
Neurological improvement on ASIA
Improvement in ASIA motor score after modest hypothermia
Time frame: Between baseline and 12 months
Functional improvement in Functional Independence Measure (FIM)
Functional improvement in FIM after modest hypothermia
Time frame: 12 months
Functional improvement in Spinal Cord Independence Measure (SCIM)
Functional improvement in SCIM after modest hypothermia
Time frame: 12 months
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Indiana University School of Medicine
Indianapolis, Indiana, United States
TERMINATEDUniversity of Maryland School of Medicine
Baltimore, Maryland, United States
RECRUITINGThomas Jefferson University
Philadelphia, Pennsylvania, United States
RECRUITINGPrisma Health - University of South Carolina
Columbia, South Carolina, United States
RECRUITING