Concussion, Brain Clinical Trial
— RESCUE-RACEROfficial title:
Research Evaluating Sports ConcUssion Events - Rapid Assessment of Concussion and Evidence for Return
NCT number | NCT03844282 |
Other study ID # | A094577 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | November 9, 2018 |
Est. completion date | December 31, 2022 |
Verified date | December 2023 |
Source | University of Cambridge |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
RESCUE-RACER is jointly sponsored by the University of Cambridge and Cambridge University Hospitals NHS Foundation Trust. The RESCUE-RACER programme evaluates motorsports competitors at baseline (CArBON) and post-injury (CARS). The CArBON study (Competitor Assessment at Baseline; Ocular, Neuroscientific) collects a battery of neuroscientific data in a baseline assessment. The CARS study (Concussion Assessment and Return to motorSport), repeats the CArBON battery throughout the recovery period in competitors who sustain a potentially concussive event during motorsport. The primary outcome of the RESCUE-RACER programme is to establish the natural history of concussive symptoms and signs in motorsport competitors using a comprehensive neuroscientific battery. The standard clinical assessment of concussive symptoms will be correlated with objective clinical scoring, in addition to neurocognitive and neuropsychological assessments. Advanced brain imaging with MRI will be used to further characterize head injuries in motorsport. Finally, salivary biomarkers will be collected to monitor the measurable biological effects of a potentially concussive event immediately following injury and through recuperation in the recovery period. The secondary outcome is investigation of a novel diagnostic tool for concussion, in the form of a 3D head-mounted display and eye tracking system capable of assessing ocular, vestibular and reaction time (OVRT) functions (the I-PAS device, now re-named Dx 100). The results of RESCUE-RACER will form an evidence base for medical decision-making track side after a potentially-concussive incident and will advise on clinic management of motorsports concussion, including the important 'return-to-race' decision.
Status | Completed |
Enrollment | 103 |
Est. completion date | December 31, 2022 |
Est. primary completion date | December 31, 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 16 Years and older |
Eligibility | Inclusion criteria (CArBON and CARS) a) Competitive motorsports participants Additional inclusion criteria - CARS only 1. Exposure to a potentially concussive event during motorsport activity OR a diagnosis of concussion during motorsport made by an experienced clinician <3 weeks prior to referral. 2. Mental capacity to consent to study participation Exclusion criteria (CArBON) Prior severe or moderate traumatic brain injury, diagnosis of mild traumatic brain injury or concussion within the last 6 months, symptoms of head injury at time of enrolment Exclusion criteria - (CArBON and CARS) Absolute exclusion criteria 1. Age <16 years 2. Ongoing injuries so severe as to preclude study enrolment 3. Recent (within the last 4 months) or current involvement in a research study involving administration of trial medication Possible exclusion criteria i. Recent (within the last 4 months) or current involvement in an observational research study (decision made by the enrolling study team member based upon the study's time commitments and the likelihood and feasibility of the participant attending future RESCUE-RACER assessments) ii. For MRI imaging only; metal implants or exposure to metal foreign objects (such as welding) - as per local policy (at the University of Cambridge Wolfson Brain Imaging Centre, WBIC). |
Country | Name | City | State |
---|---|---|---|
United Kingdom | Mr Stephen Kelleher | Cambridge | Cambridgeshire |
Lead Sponsor | Collaborator |
---|---|
University of Cambridge | Cambridge University Hospitals NHS (National Health Service) Foundation Trust, Federation Internationale de l'Automobile - Year 2 onwards, Global Institute for Motorsport Safety (GIMSS) - Year 1, Neurolign Technologies LLC (previously Neuro Kinetics Incorporated, NKI) |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in SCAT5 decision scores | Change in performance on the Sports Concussion Assessment Tool 5 (SCAT5) from baseline to follow-up, as measured by sections of the assessment:
Symptoms - number (range 0-22) and severity (each rated as 0-6), summed to form a symptom severity score (range 0-132), with higher scores indicating worse symptoms *For more information please see Step 2: Symptom Evaluation at link below* Orientation score Immediate memory score Concentration score Neurological examination Number of balance errors Delayed recall score Which are combined to form a Decision (please see Step 6 at https://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097506SCAT5.full.pdf). |
Baseline (CArBON assessments) to 1-3 weeks after concussion (CARS assessments) | |
Primary | Change in computerised neurocognitive assessment scores | Change in neurocognitive performance from baseline to follow-up, as measured by the Immediate Post-concussion Assessment and Cognitive Testing tool (ImPACT, please see https://impacttest.com/).
This previously-validated assessment consists of the following sections: Attention (including processing) Memory (verbal and visual recognition; visual working) Visual motor speed Learning Impulse control (response inhibition) Delayed memory (repeat of verbal and visual tasks in 2) Which are combined to form Composite scores, whose calculation is defined in the ImPACT's Administration & Interpretation Manual (available on request). |
Baseline (CArBON assessment) to 1-3 weeks after concussion (CARS assessments) | |
Primary | Change in computerised neuropsychological assessment scores | Change in neuropsychological performance from baseline to follow-up, as measured by CANTAB Connect Research, the world's most validated, precise and reliable research software (please see http://www.cambridgecognition.com/products/cognitive-research/).
This previously-validated assessment software consists of the following sections: Attention (processing and psychomotor speed) Memory (visual episodic) Executive function and decision-making (working memory and strategy; planning). Each assessment produces a number of outputs, as detailed in the CANTAB Connect Research Overview Document (available on request). |
Baseline (CArBON assessment) to 1-3 weeks after concussion (CARS assessments) | |
Primary | Change in the brain's microstructural architecture, or functional changes in the brain | Change in the brain's microstructural architecture, or functional changes in the brain, from baseline to follow-up as measured by:
High-resolution structural imaging - disruption of usual cerebral architecture (i.e. volume of sub/cortical structures) Susceptibility-weighted imaging (SWI) - signal alteration Diffusion-weighted imaging (DWI) - voxel intensity Resting-state functional MRI (fMRI) - changes in blood oxygenation level Proton spectroscopy |
Baseline (CArBON assessment) to 1-3 weeks after concussion (CARS assessments) | |
Primary | Change in salivary biomarker levels | Change in the levels of salivary biomarkers from baseline to follow-up as potentially measured by markers of:
Neuronal injury - such as neurofilament light chain (NFL) Glial injury - such as S100B (a calcium-binding peptide) Epigenetic effects - as measured by micro RNA levels (miRNA) Neurofibrillary degeneration - as measured by tau. |
Baseline (CArBON assessments) to 1-3 weeks after concussion (CARS assessments) | |
Secondary | Altered performance in ocular, vestibular and reaction time (OVRT) assessment utilising the I-PAS/Dx100 device | The applicability of OVRT assessment as a diagnostic tool for motorsport concussion will be investigated by correlating changes in OVRT performance at baseline to OVRT performance following a clinical diagnosis of concussion or participation in motorsport activity. The assessment will be conducted with a portable head-mounted 3D display (please see http://neurolign.com/our-technology/, previously https://www.neuro-kinetics.com/products/).
Alteration in OVRT performance will be measured using: Ocular tests - saccades (vertical, horizontal, predictive, self-paced, memory-guided and anti-), smooth pursuit, optokinetic reflex, vergence, light reflex Vestibular tests - subjective visual vertical Reaction time assessments - auditory, visual The I-PAS/Dx100 training manual is available on request (publication of further assessment details is subject to patents and/or copyright). |
Baseline (CArBON assessments) to 1-3 weeks after concussion (CARS assessments) |
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT04109677 -
AIM CONTROL and SWECON - Handball The SWEdish CONcussion Study in Elite Handball
|
||
Recruiting |
NCT04932278 -
The Role of Osteopathic Manipulative Medicine in Recovery From Concussions
|
N/A | |
Withdrawn |
NCT05062148 -
Fundamental and Applied Concussion Recovery Modality Research and Development: Applications for the Enhanced Recovery
|
N/A | |
Recruiting |
NCT05682677 -
Combined Neuromodulation and Cognitive Training for Post-mTBI Depression
|
N/A | |
Recruiting |
NCT04992130 -
Sport Concussion Performance-Based Prevention Program
|
N/A | |
Completed |
NCT05095012 -
RECOVER Clinical Pathway for Pediatric Concussion
|
N/A | |
Recruiting |
NCT05886400 -
The Effects of Environmental Distractions on SCAT6 Outcomes
|
N/A | |
Active, not recruiting |
NCT05400551 -
Craneofacial Injuries in Rink Hockey Athletes
|
||
Recruiting |
NCT04121780 -
Growth Hormone Replacement Therapy for Retried Professional Football Players
|
Phase 2 | |
Withdrawn |
NCT03575741 -
Postural Control in Children and Adolescents After Suffering From a Concussion
|
||
Active, not recruiting |
NCT05471791 -
Development of a Concussion Management Platform for Children and Youth
|
N/A | |
Completed |
NCT04730167 -
The Monaco Initiative for Concussion in Motorsport Pilots
|
||
Completed |
NCT03478059 -
Dual-task Assessment and Rehabilitation for Individuals With Residual Symptoms After mTBI
|
N/A | |
Recruiting |
NCT05685121 -
A Wrist-Worn Nerve Stimulator for Remediating Persistent Post-Concussive Symptoms in Adolescents
|
N/A | |
Completed |
NCT04122274 -
Comparing and Interactive Concussion Education Platform to Current Education Standards
|
N/A | |
Completed |
NCT04558346 -
Ghrelin (OXE--103) for Acute Concussion Management
|
Phase 2 | |
Completed |
NCT04074486 -
Evaluation and Validation of a Multimodal Brain Function Biomarker With NPC
|
||
Not yet recruiting |
NCT05562232 -
The Effect of Creatine Monohydrate on Persistent Post-concussive Symptoms
|
N/A | |
Recruiting |
NCT05326555 -
Dynamic Vision Testing and Concussion Management Dream Team 65
|
||
Completed |
NCT03671083 -
Validation of Brain Function Assessment Algorithm for mTBI/Concussion
|