NCT04239755

Brief Summary

evaluate the impact of Doxycycline on both clinical outcome and blood levels of NSE in patients with TBI.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
50

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Feb 2020

Shorter than P25 for phase_4

Geographic Reach
1 country

1 active site

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 21, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

January 27, 2020

Completed
5 days until next milestone

Study Start

First participant enrolled

February 1, 2020

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 30, 2020

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 30, 2020

Completed
Last Updated

February 18, 2021

Status Verified

February 1, 2021

Enrollment Period

6 months

First QC Date

January 21, 2020

Last Update Submit

February 16, 2021

Conditions

Outcome Measures

Primary Outcomes (2)

  • Neuron specific enolase

    levels of NSE

    7 days

  • Glasgow Coma Scale (GCS)

    Glasgow Coma Scale (GCS) 15 Points Normal:3 Points Abnormal

    7 days

Study Arms (2)

Doxycycline

ACTIVE COMPARATOR

Group (1) 25 patients that receive doxycycline 100 mg twice daily, either orally or through a nasogastric tube for 5 days.

Drug: Doxycycline 100 MG Oral Tablet

Placebo

PLACEBO COMPARATOR

group (2) will be 25 patients will receive placebo in addition to the standard treatment.

Other: placebo

Interventions

doxycycline 100 mg twice daily, either orally or through a nasogastric tube for 5 day

Also known as: vibramycine
Doxycycline
placeboOTHER

placebo in addition to the standard treatment.

Placebo

Eligibility Criteria

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

You may qualify if:

  • Hospital admission in the first 24 h of injury,
  • to 90 years of age and
  • Both sexes with moderate to severe traumatic brain injury (GCS score ≤ 12).
  • Able to tolerate enteral feeding and drug administration within the first 24 hours of TBI

You may not qualify if:

  • Hypersensitivity to tetracyclines
  • Pregnant and breast feeding women,
  • History of autoimmune disease.
  • History of receiving chronic steroid treatment and isotretinoin,
  • Pre-existing hepatic (AST, ALT greater than 3 times the upper limit of normal) or renal failure (BUN/ Creatinine 20:1; creatinine \> 2 mg/dL),
  • Known malignancies

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Tanta University Hospital

Tanta, El-Gharbia, 31527, Egypt

Location

Related Publications (2)

  • Sanchez Mejia RO, Ona VO, Li M, Friedlander RM. Minocycline reduces traumatic brain injury-mediated caspase-1 activation, tissue damage, and neurological dysfunction. Neurosurgery. 2001 Jun;48(6):1393-9; discussion 1399-401. doi: 10.1097/00006123-200106000-00051.

  • Janata A, Magnet IA, Schreiber KL, Wilson CD, Stezoski JP, Janesko-Feldman K, Kochanek PM, Drabek T. Minocycline fails to improve neurologic and histologic outcome after ventricular fibrillation cardiac arrest in rats. World J Crit Care Med. 2019 Nov 19;8(7):106-119. doi: 10.5492/wjccm.v8.i7.106. eCollection 2019 Nov 19.

MeSH Terms

Conditions

Brain Injuries, Traumatic

Interventions

DoxycyclineTablets

Condition Hierarchy (Ancestors)

Brain InjuriesBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesCraniocerebral TraumaTrauma, Nervous SystemWounds and Injuries

Intervention Hierarchy (Ancestors)

TetracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsDosage FormsPharmaceutical Preparations

Study Officials

  • Noha Mansour, Lecturer

    Mansoura University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Clinical Pharmacy Lecturer

Study Record Dates

First Submitted

January 21, 2020

First Posted

January 27, 2020

Study Start

February 1, 2020

Primary Completion

July 30, 2020

Study Completion

October 30, 2020

Last Updated

February 18, 2021

Record last verified: 2021-02

Data Sharing

IPD Sharing
Will not share

Locations