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Safety and Efficacy of Wendan Decoction in Acute Moderated to Severe Brain Injury

Primary Purpose

Acute Brain Injury

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Wendan decoction combination in acute brain injury
Sponsored by
Taichung Tzu Chi Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Brain Injury focused on measuring traditional chinese medicine combination treatment

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • traumatic brain injury or spontaneously intracerebral hemorrhage within 14 days of onset;
  • an initial score of 3-12 points of GCS score;
  • adults between 18 to 80 years old;
  • and signed informed consent form.

Exclusion Criteria:

  • after 14 days of onset;
  • a history of previous TBI or stroke;
  • intracranial aneurysm or arteriovenous malformation ruptured;
  • combination other major organ injury (heart, lung, intra-abdomen organ, pelvic fracture, major vessels);
  • other severe disease such as heart or kidney failure;
  • previous diagnosed cancer; and pregnant women.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    neurologic intensive care in acute brain injury

    Arm Description

    With the guidance of Taiwan Neurosurgical Society and Taiwan Neurological Society, patients in the control group were given the consistent treatment. (http://www.neurosurgery.org.tw/nsr/tbi/main.htm and http://www.stroke.org.tw/guideline/guideline_1.asp). The intensive treatments were established according to the traumatic brain injury treatment guidelines and spontaneously intracerebral hemorrhage general treatment principles from these two society in Taiwan.

    Outcomes

    Primary Outcome Measures

    Ventilator use
    how many days of ventilator use
    ICU stay
    how many days of ICU stay
    Glasgow coma scale
    from 3 to 15 , higher value indicate better outcome
    Disability rating scale
    from 0 to 29 , higher value mean worse outcome
    modified Rankin scale
    from 0 to 6 , 0 mean normal and 6 mean dead , higher value indicated worse outcome
    mortality
    between 1 month mortality

    Secondary Outcome Measures

    Glasgow coma scale
    from 3 to 15 , higher value indicate better outcome
    modified Rankin scale
    from 0 to 6 , 0 mean normal and 6 mean dead , higher value indicated worse outcome
    Disability rating scale
    from 0 to 29 , higher value mean worse outcome
    Barthel index
    from 0 to 100 , higher value mean independency daily life care and better outcome

    Full Information

    First Posted
    February 13, 2019
    Last Updated
    February 21, 2019
    Sponsor
    Taichung Tzu Chi Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03851809
    Brief Title
    Safety and Efficacy of Wendan Decoction in Acute Moderated to Severe Brain Injury
    Official Title
    A Randomized Controlled Trial of Wendan Decoction as a Palliative Treatment for Acute Brain Injury
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    June 1, 2014 (Actual)
    Primary Completion Date
    July 31, 2015 (Actual)
    Study Completion Date
    January 31, 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Taichung Tzu Chi Hospital

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Efficacy and safety of Traditional Chinese Medicine (Wendan decoction) combined with conventional neurologic intensive care in patients with acute moderated to severe brain injury in early stage - A randomized controlled study.
    Detailed Description
    This study adopted a prospective, randomized controlled design. All eligible patients included in the study agreed to participated and signed the informed consent from and the study procedures were approved by the ethical committee of Taichung Tzu Chi general hospital (REC103-26). Patients were recruited from the neurosurgery department of Taichung Tzu Chi general hospital between June 2014 and July 2015. A total of 60 patients were enrolled in this study and randomized into intervention group and control group. All patients of both groups were enrolled within 14 days after episode and a follow-up interview until 6 months from the onset. The intervention group mean regular neuro-intensive care combined TCM and the intervention group mean only neuro-intensive care. But there are 7 patients in intervention group and 12 patients in control group quit out this study

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Acute Brain Injury
    Keywords
    traditional chinese medicine combination treatment

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2, Phase 3
    Interventional Study Model
    Single Group Assignment
    Model Description
    randomized clinical trial
    Masking
    None (Open Label)
    Masking Description
    no masking design
    Allocation
    N/A
    Enrollment
    60 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    neurologic intensive care in acute brain injury
    Arm Type
    Experimental
    Arm Description
    With the guidance of Taiwan Neurosurgical Society and Taiwan Neurological Society, patients in the control group were given the consistent treatment. (http://www.neurosurgery.org.tw/nsr/tbi/main.htm and http://www.stroke.org.tw/guideline/guideline_1.asp). The intensive treatments were established according to the traumatic brain injury treatment guidelines and spontaneously intracerebral hemorrhage general treatment principles from these two society in Taiwan.
    Intervention Type
    Drug
    Intervention Name(s)
    Wendan decoction combination in acute brain injury
    Intervention Description
    In the intervention group, traditional Chinese medicine was given between 14 days of onset and TCM was used 1 month at least in intervention group.
    Primary Outcome Measure Information:
    Title
    Ventilator use
    Description
    how many days of ventilator use
    Time Frame
    1 month
    Title
    ICU stay
    Description
    how many days of ICU stay
    Time Frame
    1 month
    Title
    Glasgow coma scale
    Description
    from 3 to 15 , higher value indicate better outcome
    Time Frame
    1 month
    Title
    Disability rating scale
    Description
    from 0 to 29 , higher value mean worse outcome
    Time Frame
    1 month
    Title
    modified Rankin scale
    Description
    from 0 to 6 , 0 mean normal and 6 mean dead , higher value indicated worse outcome
    Time Frame
    1 month
    Title
    mortality
    Description
    between 1 month mortality
    Time Frame
    1 month
    Secondary Outcome Measure Information:
    Title
    Glasgow coma scale
    Description
    from 3 to 15 , higher value indicate better outcome
    Time Frame
    6 month
    Title
    modified Rankin scale
    Description
    from 0 to 6 , 0 mean normal and 6 mean dead , higher value indicated worse outcome
    Time Frame
    6 month
    Title
    Disability rating scale
    Description
    from 0 to 29 , higher value mean worse outcome
    Time Frame
    6 month
    Title
    Barthel index
    Description
    from 0 to 100 , higher value mean independency daily life care and better outcome
    Time Frame
    6 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: traumatic brain injury or spontaneously intracerebral hemorrhage within 14 days of onset; an initial score of 3-12 points of GCS score; adults between 18 to 80 years old; and signed informed consent form. Exclusion Criteria: after 14 days of onset; a history of previous TBI or stroke; intracranial aneurysm or arteriovenous malformation ruptured; combination other major organ injury (heart, lung, intra-abdomen organ, pelvic fracture, major vessels); other severe disease such as heart or kidney failure; previous diagnosed cancer; and pregnant women.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Safety and Efficacy of Wendan Decoction in Acute Moderated to Severe Brain Injury

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