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NCT04686344
Point of Care Optic Nerve Sheath Ultrasound to Assess Intracranial Pressure
EARLY_PHASE1 trial testing intermittent boluses of Hypertonic saline in Optic Nerve Sheath in 50 participants. Completed in 30 August 2021.
10 August 2021
Quick facts
| Lead sponsor | Cairo University |
|---|---|
| Phase | EARLY_PHASE1 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | single |
| Primary purpose | treatment |
| Enrollment | 50 |
| Start date | 21 December 2020 |
| Primary completion | 10 August 2021 |
| Estimated completion | 30 August 2021 |
| Sites | 2 locations across Egypt |
Drugs / interventions tested
- intermittent boluses of Hypertonic saline — full drug profile →
- continuous infusion of Hypertonic saline — full drug profile →
Conditions studied
- Optic Nerve Sheath — all drugs for Optic Nerve Sheath →
- Hypertonic Saline — all drugs for Hypertonic Saline →
Sponsor
Cairo University
Who can join
Adults 18 to 60, any sex, with Optic Nerve Sheath or Hypertonic Saline. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
Elevated intracranial pressure (ICP) is one of the most common symptoms encountered in a variety of traumatic injuries and diseases. Any tissue swelling within the rigid confines of the skull results in increased ICP, which may lead to life-threatening structural alterations in the brain or cerebral blood flow, thus causing oxygen deprivation and ischemia in the brain. Methods for ICP monitoring can be divided into invasive and noninvasive approaches. In fluid-based systems, external ventricular drainage (EVD) has been considered the gold standard. Clinicians have found several noninvasive methods that can be used as surrogates for invasive methods for ICP measurement. The optic nerve, as part of the central nervous system, is wrapped by the dural sheath. The optic nerve sheath (ONS) is the continuation of the subarachnoid space at the optic nerve, and its tissues are connected with the subarachnoid space. Thus, an increase in ICP results in a corresponding elevation of the ONS diameter (ONSD). Hypertonic solutions such as mannitol and hypertonic saline (HTS) are recommended early in the management of ICH after severe TBI . They provide therapeutic benefit along with a wide therapeutic margin. The most recent BTF guidelines stated "although hyperosmolar therapy may lower intracranial pressure, there was insufficient evidence about effects on clinical outcomes to support a specific recommendation, or to support use of any specific hyperosmolar agent".
Publications & conference data
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04686344 (US National Library of Medicine, public domain)
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Cairo University
- Last refreshed: 17 September 2021
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