NCT02650609

Brief Summary

Chronic subdural hematomas are a frequent neurosurgical pathology in the elderly. Gold standard is surgical evacuation of these hematomas. Physiopathology of chronic subdural hematoma involves numerous inflammatory processes which could be inhibited by steroids.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
202

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Jun 2016

Typical duration for phase_3

Geographic Reach
1 country

17 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 4, 2016

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 8, 2016

Completed
6 months until next milestone

Study Start

First participant enrolled

June 24, 2016

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 20, 2019

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

March 20, 2020

Completed
Last Updated

June 9, 2020

Status Verified

June 1, 2020

Enrollment Period

2.7 years

First QC Date

January 4, 2016

Last Update Submit

June 8, 2020

Conditions

Keywords

chronic subdural hematomassurgical treatmentcorticosteroids

Outcome Measures

Primary Outcomes (1)

  • Delay of occurrence of surgical treatment of the Chronic subdural hematomas

    1 month

Secondary Outcomes (12)

  • Quality of life score

    1, 3 and 6 months

  • Time to surgical treatment

    during the first 6 months

  • Rate of surgical treatment of the Chronic subdural hematomas

    1, 3 and 6 months

  • Functional scales : daily living

    1, 3 and 6 months

  • Functional scales : cognitive

    1, 3 and 6 months

  • +7 more secondary outcomes

Study Arms (2)

Methylprednisolone

EXPERIMENTAL

Methylprednisolone will be supplied as powder and stored in capsules containing 16 mg with lactose as excipient. Capsules will be administered orally in the morning, during breakfast with a glass of water. Dose is adapted according to the weight of the patient (1mg/kg): * \<60 kg: 3 pills of 16 mg/day * 60-80kg: 4 pills of 16 mg/day * \>80kg: 5 pills of 16 mg/day The duration of the treatment is 21 days.

Drug: Methylprednisolone

Placebo

PLACEBO COMPARATOR

Placebo capsules will only contain lactose. Capsules will be administered orally in the morning, during breakfast with a glass of water. Dose is adapted according to the weight of the patient (1mg/kg): * \<60 kg: 3 pills of 16 mg/day * 60-80kg: 4 pills of 16 mg/day * \>80kg: 5 pills of 16 mg/day The duration of the treatment is 21 days.

Drug: Placebo

Interventions

Methylprednisolone
Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18 years old,
  • With chronic or subacute, uni or bilateral subdural hematoma,
  • Confirmed by cerebral scan without contrast enhancement,
  • Without clinical and radiological signs of severity,
  • Written informed consent from patients or their next of kin according to the patients cognitive status.

You may not qualify if:

  • Diabetics patients,
  • Contraindication for methylprednisolone,
  • Previous surgery for chronic subdural hematoma during the past 6 months,
  • Pre-existing severe dementia related to other etiology than the Chronic subdural hematomas,
  • Existing neurological pathology that can be associated with dementia,
  • Patients treated with corticosteroids,
  • Protected person (adults legally protected (under judicial protection, guardianship or supervision), person deprived of their liberty, pregnant woman, lactating woman and minor),
  • Participating in other concomitant research.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (17)

CHU Amiens

Amiens, France

Location

CHU Angers

Angers, France

Location

CHU Besançon

Besançon, France

Location

CHU Bordeaux Neurochirurgie A

Bordeaux, France

Location

CHU Bordeaux Neurochirurgie B

Bordeaux, France

Location

CHU Brest

Brest, France

Location

CHU Caen

Caen, France

Location

CHU Lille

Lille, France

Location

HC Lyon

Lyon, France

Location

AP-HM - Hôpital La Timone

Marseille, France

Location

CHU Nancy

Nancy, France

Location

CHU Nantes

Nantes, France

Location

CHU Poitiers

Poitiers, France

Location

CHU Rouen

Rouen, France

Location

CHU Saint Etienne

Saint-Etienne, France

Location

CHU Strasbourg

Strasbourg, France

Location

CHU Tours

Tours, France

Location

Related Publications (1)

  • Henaux PL, Le Reste PJ, Laviolle B, Morandi X. Steroids in chronic subdural hematomas (SUCRE trial): study protocol for a randomized controlled trial. Trials. 2017 Jun 5;18(1):252. doi: 10.1186/s13063-017-1990-8.

MeSH Terms

Conditions

Hematoma, Subdural, Chronic

Interventions

Methylprednisolone

Condition Hierarchy (Ancestors)

Hematoma, SubduralIntracranial Hemorrhage, TraumaticIntracranial HemorrhagesCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesCraniocerebral TraumaTrauma, Nervous SystemVascular DiseasesCardiovascular DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsHematomaHemorrhageWounds and Injuries

Intervention Hierarchy (Ancestors)

PrednisolonePregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic Compounds

Study Officials

  • Xavier XM MORANDI, MD, PhD

    CHU Rennes

    PRINCIPAL INVESTIGATOR
  • Pierre-Louis PH HENAUX, MD

    CHU Rennes

    PRINCIPAL INVESTIGATOR
  • Pierre-Jean PL LE RESTE, MD

    CHU Rennes

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 4, 2016

First Posted

January 8, 2016

Study Start

June 24, 2016

Primary Completion

March 20, 2019

Study Completion

March 20, 2020

Last Updated

June 9, 2020

Record last verified: 2020-06

Data Sharing

IPD Sharing
Will not share

Locations