proportion of eligible patients that can be randomized, enrolled, adhere to protocol, and complete follow-up
| Group | Value | 95% CI |
|---|---|---|
| Cold-stored Platelet (CSP) | 50 | |
| Standard Care | 50 |
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Cold-stored Platelet Early Intervention in TBI
Phase 2 trial testing Cold Stored Platelets in Traumatic Brain Injury in 100 participants. Completed in 13 May 2024.
| Lead sponsor | Jason Sperry |
|---|---|
| Phase | Phase 2 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | single |
| Primary purpose | treatment |
| Enrollment | 100 |
| Start date | 21 March 2022 |
| Primary completion | 13 May 2024 |
| Estimated completion | 13 May 2024 |
| Sites | 1 location across United States |
Jason Sperry — full company profile →
Adults 18 to 89, any sex, with Traumatic Brain Injury. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
proportion of eligible patients that can be randomized, enrolled, adhere to protocol, and complete follow-up
| Group | Value | 95% CI |
|---|---|---|
| Cold-stored Platelet (CSP) | 50 | |
| Standard Care | 50 |
A tool used to characterize 6-month functional status into 8 defined categories, with 1 being the worst (death) to 8 being the most favorable (good recovery).
| Group | Value | 95% CI |
|---|---|---|
| Cold-stored Platelet (CSP) | 21 | |
| Standard Care | 20 | |
| Cold-stored Platelet (CSP) | 22 | |
| Standard Care | 20 |
Mortality within 24 hours
| Group | Value | 95% CI |
|---|---|---|
| Cold-stored Platelet (CSP) | 1 | |
| Standard Care | 0 |
Mortality in-hospital
| Group | Value | 95% CI |
|---|---|---|
| Cold-stored Platelet (CSP) | 6 | |
| Standard Care | 7 |
Evidence of progression of TBI. Common Data Elements for CT scan indicators of TBI progression will be utilized.
| Group | Value | 95% CI |
|---|---|---|
| Cold-stored Platelet (CSP) | 8 | |
| Standard Care | 11 |
10-item questionnaire used to quickly assess post-traumatic amnesia following head injury. The GOAT is read orally to the patient and may be easily administered at the bedside. The total score accounts for orientation of person, place, and time, and recollection of events pre and post- injury. Cutoff scores are available to identify abnormal, borderline, and normal orientation. The total GOAT score is obtained by deducting the sum of the error points from each incorrect response from 100.Range is 0-100. A score of 66 or lower is categorized as "impaired," 66-75 as "borderline," and 76-100 as "
| Group | Value | 95% CI |
|---|---|---|
| Cold-stored Platelet (CSP) | 95 | 72 – 100 |
| Standard Care | 91 | 71 – 100 |
Any transfusion complication in Emergency Department or Operating Room
| Group | Value | 95% CI |
|---|---|---|
| Cold-stored Platelet (CSP) | 0 | |
| Standard Care | 0 |
Occurrence of Acute Respiratory Distress Syndrome (ARDS) within 6 hours of transfusion of platelets
| Group | Value | 95% CI |
|---|---|---|
| Cold-stored Platelet (CSP) | 0 | |
| Standard Care | 0 |
Incidence of pulmonary embolism, venous thrombosis, or arterial thrombosis
| Group | Value | 95% CI |
|---|---|---|
| Cold-stored Platelet (CSP) | 1 | |
| Standard Care | 0 |
Time frame: 6 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | Cold-stored Platelet (CSP) | Standard Care |
|---|---|---|---|
| other | Infections and infestations | — | — |
| Pneumonia | Respiratory, thoracic and mediastinal disorders | — | — |
| Acute kidney injury | Renal and urinary disorders | — | — |
| pulmonary consolidation | Respiratory, thoracic and mediastinal disorders | — | — |
| seizures | Nervous system disorders | — | — |
| deep vein thrombosis | Vascular disorders | — | — |
Most-reported serious reactions: other, Pneumonia, Acute kidney injury, pulmonary consolidation, seizures, deep vein thrombosis.
Data from ClinicalTrials.gov NCT04726410 adverse events section.
The Cold Stored Platelet Early Intervention in Traumatic Brain Injury (CriSP-TBI) trial is a proposed 3 year, open label, single center, randomized trial designed to determine the feasibility, efficacy, and safety of urgent release cold stored platelets (CSP) in patients with TBI requiring platelet transfusion. Patients will be randomized to receive either standard care or early infusion of urgent release cold stored platelets (CSP). The proposed pilot study will enroll at the University of Pittsburgh and will enroll approximately 100 patients. The primary outcome for the pilot trial is feasibility, with principal secondary clinical outcome of 6-month Extended Glasgow Outcome Scale (GOS-E).
7 peer-reviewed publications reference this trial (live from Europe PMC):
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