NCT03511339

Brief Summary

This study is being conducted to quantify the clinical safety and efficacy of head and neck cooling when applied up to 8 days after mild traumatic brain injury (mTBI) among adolescents participating in sporting activities.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
174

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2017

Longer than P75 for not_applicable

Geographic Reach
1 country

5 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

Study Start

First participant enrolled

November 4, 2017

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

March 30, 2018

Completed
28 days until next milestone

First Posted

Study publicly available on registry

April 27, 2018

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 27, 2022

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

May 29, 2022

Completed
Last Updated

May 3, 2023

Status Verified

May 1, 2023

Enrollment Period

4.5 years

First QC Date

March 30, 2018

Last Update Submit

May 1, 2023

Conditions

Keywords

ConcussionTBImTBI

Outcome Measures

Primary Outcomes (1)

  • The SCAT5 overall score will be collected at the initial visit in the Sports Medicine Clinic, and compared to follow-up visits throughout the study, with the objective of demonstrating better outcomes in the treatment group compared to the control group.

    Formal statistical hypothesis testing will be employed in the evaluation of this endpoint. Additionally, comparisons between treatment groups on the baseline SCAT5 (SCAT5-PRE) will be performed at initial visit (as reported by subject) and at each follow-up (72 hours, 10 days, and 4 weeks) separately to evaluate the time trend in recovery. Individual SCAT5 symptoms, each scored on a scale of 0-6, will also be summarized and compared by treatment group to investigate the effect of treatment on specific symptoms. These comparisons are intended to provide additional information on the pattern of recovery and are not attached to intended labeling claims; however, statistical testing of these endpoints will be accompanied by adjustment for multiplicity using the Hochberg-Holm method.

    Change from initial visit to 4 weeks

Secondary Outcomes (1)

  • Recovery time from initial visit, summarized by group and compared in the treatment group to control.

    Initial visit through earliest follow up where complete recovery is observed, maximum of 4 weeks after initial visit.

Study Arms (2)

Control

NO INTERVENTION

Brain rest

TecTraum Device

EXPERIMENTAL

Treatment with study device

Device: TecTraum device

Interventions

A non-invasive hypothermic therapy ("cold therapy") TecTraum device that provides localized cooling of the head and neck.

Also known as: Pro-2-Cool
TecTraum Device

Eligibility Criteria

Age12 Years - 21 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Males and females ages 12 - 21 years
  • Initial provider visit is within 8 days of mTBI injury
  • Confirmed mTBI diagnosis from sporting activities
  • In generally good health as confirmed by medical history and as determined by site investigator
  • Has a symptom score of at least 7 (analogous of the SCAT5 symptoms score)
  • Has informed consent obtained per protocol and as required per Institutional Review Board (IRB)

You may not qualify if:

  • Cleared to return to play during initial visit
  • Suffers a serious TBI as evidenced by worsening symptoms, specifically:
  • Seizure
  • Hospitalization
  • Existing positive diagnostic testing, which include radiology scans that indicate brain bleed
  • Slurred speech, which has not resolved within 72 hours of mTBI injury
  • Sustains another head or neck injury at the time of mTBI injury which requires medical treatment
  • Known or disclosed pregnancy or breast-feeding
  • History of a serious medical or psychiatric disorder that include:
  • Suicide attempt in the last 6 months
  • Unmanaged depression or anxiety
  • Hospitalization in the last 6 months for psychiatric treatment
  • History of Reynaud's disease or phenomenon, cold agglutinin disease, cryoglobulinemia, or cryofibrinogenemia
  • Previously diagnosed with a cerebrovascular disorder
  • Is unable to understand the study requirements or the informed consent
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

University of Michigan - Michigan Medicine

Ann Arbor, Michigan, 48108, United States

Location

Akron Children's Hospital

Akron, Ohio, 44308-1062, United States

Location

Akron Children's Hospital, Mahoning Valley Campus

Boardman, Ohio, 44512, United States

Location

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

Dayton Children's Hospital

Dayton, Ohio, 45404, United States

Location

Related Publications (1)

  • Congeni J, Murray T, Kline P, Bouhenni R, Morgan D, Liebig C, Lesak A, McNinch NL. Preliminary Safety and Efficacy of Head and Neck Cooling Therapy After Concussion in Adolescent Athletes: A Randomized Pilot Trial. Clin J Sport Med. 2022 Jul 1;32(4):341-347. doi: 10.1097/JSM.0000000000000916. Epub 2021 Mar 10.

Related Links

MeSH Terms

Conditions

Brain Concussion

Condition Hierarchy (Ancestors)

Brain Injuries, TraumaticBrain InjuriesBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesCraniocerebral TraumaTrauma, Nervous SystemHead Injuries, ClosedWounds and InjuriesWounds, Nonpenetrating

Study Officials

  • Joseph Congeni, MD

    Akron Children's Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 30, 2018

First Posted

April 27, 2018

Study Start

November 4, 2017

Primary Completion

April 27, 2022

Study Completion

May 29, 2022

Last Updated

May 3, 2023

Record last verified: 2023-05

Data Sharing

IPD Sharing
Will not share

Locations