NCT05843214

Brief Summary

Non-invasive neuromonitoring tools such as transcranial doppler, optic nerve envelope diameter measurement and quantitative pupillometry are routinely used in acute brain injured patients as part of multimodal neuromonitoring with the aim, among others, of detecting episodes of intracranial hypertension, each method allowing the study of one of the different pathophysiological mechanisms of its impact. However, at present there is no data in the literature on the value of these non-invasive neuromonitoring tools in the management of patients undergoing controlled intracranial surgery. The study aims to help the early detection of postoperative neurological deterioration.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
230

participants targeted

Target at P75+ for all trials

Timeline
2mo left

Started Feb 2023

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress97%
Feb 2023Jun 2026

Study Start

First participant enrolled

February 10, 2023

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

April 11, 2023

Completed
25 days until next milestone

First Posted

Study publicly available on registry

May 6, 2023

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 9, 2026

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 9, 2026

Expected
Last Updated

May 6, 2023

Status Verified

April 1, 2023

Enrollment Period

3 years

First QC Date

April 11, 2023

Last Update Submit

May 2, 2023

Conditions

Outcome Measures

Primary Outcomes (3)

  • Evolution of non-invasive neuromonitoring measures (using transcranial doppler)

    This emasure will be performed bilaterally at the level of the first part of the middle cerebral artery, the values collected will be: * Systolic, mean and diastolic velocities; pulsatility index * Estimation of intracranial pressure

    From 1 hour before the surgery until Day 4 post-surgery

  • Evolution of non-invasive neuromonitoring measures (optic nerve envelope diameter)

    The diameter of the optic nerve envelope will be collected bilaterally using an ultrasound machine

    From 1 hour before the surgery until Day 4 post-surgery

  • Evolution of non-invasive neuromonitoring measures (quantitative pupillometry)

    The values collected will be : \- Size, quantification of the amplitude of variation to light, latency and speed of constriction of the pupil, presence or absence of anisocoria (defined by a difference \>1mm in size between the two pupils)

    From 1 hour before the surgery until Day 4 post-surgery

Interventions

4 days Post-operation follow-up. Data will be gathered before the surgery and at regular times after the surgery until day 4

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients undergoing planned neurosurgery

You may qualify if:

  • Regulated intracranial surgery: scheduled \> 48 hours
  • French-speaking patient
  • No opposition from the patient or a relative when the patient is unable to consent

You may not qualify if:

  • Chronic subdural haematoma
  • Isolated cerebral endovascular procedure
  • Stereotactic biopsy
  • Scheduled ventriculoperitoneal shunt or isolated ventriculocisternostomy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

CHU de la Réunion

Saint-Pierre, 97448, Reunion

RECRUITING

MeSH Terms

Interventions

Ultrasonography, Doppler, Transcranial

Intervention Hierarchy (Ancestors)

EchoencephalographyNeuroradiographyNeuroimagingDiagnostic ImagingDiagnostic Techniques and ProceduresDiagnosisRadiographyUltrasonographyUltrasonography, DopplerDiagnostic Techniques, NeurologicalInvestigative Techniques

Study Officials

  • Romain ASMOLOV, MD

    CHU de la Réunion

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 11, 2023

First Posted

May 6, 2023

Study Start

February 10, 2023

Primary Completion

February 9, 2026

Study Completion (Estimated)

June 9, 2026

Last Updated

May 6, 2023

Record last verified: 2023-04

Data Sharing

IPD Sharing
Will not share

Locations