TBI (Traumatic Brain Injury) Clinical Trial
Official title:
Asia Coma Electrical Stimulation Trial: an Asian Multicenter Randomized Controlled Trial to Assess the Efficacy and Safety of Right Median Nerve Stimulation for Traumatic Coma
This study is a prospective multicenter randomized controlled trial from Asian countries to compare the effect and safety of right median nerve stimulation versus traditional treatment for comatose patients at the early stage following traumatic brain injury.
Traumatic brain injury (TBI) is a leading cause of mortality and morbidity and one of the
greatest unmet needs in public health. The most severe injury can lead to a poor outcome and
prolonged coma of the victims. It is estimated that ten to fifteen percent of the severe TBI
patients are discharged in a prolonged coma or a vegetative state. However, no treatment
measure to data has been proven robustly to alter the pace of recovery or improve
neurological outcome of the comatose patients following TBI.
Although right median nerve electrical stimulation (RMNS) has been used clinically for more
than two decades, no strong evidence of efficacy was generated because of the limitations in
the past trials including a small sample size or the inappropriate study design. In the
present study, a multicenter research network with inclusion of neurotrauma centers from
China, India, Nepal and Kazakhstan was established with the aim to validate the efficacy and
safety of a promising intervention strategy for traumatic coma at early stage. Since RMNS is
a simple, inexpensive, noninvasive technique with a good safety profile, our study will
probably add more evidence to the treatment of traumatic coma in Asian countries.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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