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NCT07129577: POCkET

Point of Care Testing in Emergency Departments After Mild Traumatic Brain Injury

Not yet recruiting Last updated 19 August 2025
What this trial tests

trial in Injuries, Head in 400 participants. Not yet recruiting.

Timeline
1 September 2025
Primary endpoint
29 August 2026
29 August 2026

Quick facts

Lead sponsorCambridge University Hospitals NHS Foundation Trust
StatusNot yet recruiting
Study typeOBSERVATIONAL
Enrollment400
Start date1 September 2025
Primary completion29 August 2026
Estimated completion29 August 2026

Conditions studied

Sponsor

Cambridge University Hospitals NHS Foundation Trust

Who can join

Adults 18 to 100, any sex, with Injuries, Head or Traumatic Brain Injuries. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Traumatic brain injury (TBI) is estimated to have the highest incidence of all common neurological disorders, affecting 50 to 60 million people worldwide each year. In the UK, approximately one million people attend an Emergency Department (ED) annually following a head injury, and 80-90% of these are classified as mild TBI (mTBI), also referred to as concussion. In the acute setting, mTBI is typically defined by a Glasgow Coma Scale (GCS) score of 13-15 on presentation. Current acute management focuses primarily on identifying which patients require a CT head scan to detect life threatening injuries that may need neurosurgical intervention, observation, or neurocritical care. However, there is increasing recognition that the term "mild" can be misleading. Many patients, including those with normal CT scans,experience persistent functional, cognitive, and symptomatic deficits that may benefit from further intervention and follow-up care. Blood biomarkers offer significant potential to improve the early diagnosis, risk stratification, and prognostication of mTBI in the ED setting. While these biomarkers are increasingly being developed and evaluated in moderate and severe TBI, their clinical utility in mild TBI has not yet been definitively demonstrated. To fully assess their potential value, it is essential to understand the current care pathways for mTBI in the ED, how they are implemented in practice, and where biomarker information could meaningfully enhance clinical decision making and improve patient outcomes. The POCKET study will use a systems engineering approach, in combination with health economic evaluation, to assess the potential role and utility of point-of-care blood biomarkers in the management of mild TBI in UK emergency departments. This research will be conducted using the Abbott biomarker platform.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other Cambridge University Hospitals NHS Foundation Trust trials

Trials by the same sponsor.

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Data sources for this page

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