This study wants to evaluate whether MLC901 will help improve the condition of adult patients with moderate traumatic brain injury.
This is a double blind placebo controlled randomized trial to determine whether giving MLC901 for 6 months will improve the outcomes in a adult patients with moderate traumatic brain injury.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
120
Mariano Marcos Memorial Hospital and Medical Center
Batac, Ilocos Norte, Philippines
RECRUITINGNorthern Mindanao Medical Center
Cagayan de Oro, Misamis Oriental, Philippines
RECRUITINGPhilippine General Hospital
Manila, Philippines
RECRUITINGGOS-E at 6 months
This is the most widely used TBI outcome measure with the extended version ranging from 0 (dead) to 8 (full recovery)
Time frame: 18 months
Mortality at 6 months
The number of patients who died in each arm at 6 months
Time frame: 18 months
Cerebral swelling at baseline, 1 & 2 weeks
Cerebral swelling is assessed by CT-scan
Time frame: 18 months
Glasgow Outcome Scale Extended (GOS-E) at baseline, 1,3 & 9 months
This clinical scale is the most widely used outcome measure after TBI, with the extended version scoring from 0 (dead) to full recovery (8).
Time frame: 18 months
Glasgow Coma Scale (GCS) at baseline, 1, 3, 6 & 9 months
This is a widely used clinical scale to assess the depth and duration of impaired consciousness and coma by measuring motor responsiveness, verbal performance and eye opening. The score ranges from 3 to 15.
Time frame: 18 months
Montreal Cognitive Assessment Filipino Version (MoCA-P) at 1,3,6 & 9 months
This is an adaptation of the MoCA to the Philippine setting, used in the detection of mild cognitive impairment. The scores range between 0-10, with a score of 26 or over considered to be normal.
Time frame: 18 months
Frontal Assessment Battery at 1,3,6 & 9 monts
This battery of tests is used to assess frontal lobe dysfunction, consisting of the following sub tests: conceptualisation, mental flexibility, motor programming, sensitivity to interference, inhibitory control and environmental autonomy.Total scor is from a maximum of 18, with higher scores indicating better performance.
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Time frame: 18 months
RiverMead Postconcussion Symptome Questionnaire Score at 1,3,6 & 9 months
This is a 10 item questionnaire mainly used for patients with mild to moderate TBI. This is a 16 item questionnaire, scored on a 5 point Liberty scale ranging from 0 (not experienced at all) to 4 ( a severe problem).
Time frame: 18 months
Barthel Index (BI) at 1,3,6 & 9 months
This scale is used to assess functional disability by quantifying patient performance in 10 activities of daily living. The score ranges from 0 (totally dependent) to 100 (fully independent).
Time frame: 18 months
Hospital Anxiety and Depression Scale at 1,3,6 & 9 months
This scale is used to measure levels of anxiety and depression, ranging from 0 to 21,with normal score of 0-7, mild 8-10, moderate 11-14 and severe 15-21.
Time frame: 18 months
EQ-5D at 1,3,6 & 9 months (EuroQol Group)
This instrument describes the health status of respondents in 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The score ranges from 0-100, with higher scores for higher health related quality of life.
Time frame: 18 months
Safety until 9 months: adverse events
Safety is assessed by checking for the occurence of adverse events
Time frame: 18 months
Compliance until 6 months
Compliance is documented by the number of medications taken at set intervals during follow up
Time frame: 18 months