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Close Head Injury clinical trials

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NCT ID: NCT00196131 Active, not recruiting - Clinical trials for Subarachnoid Hemorrhage

Problems With Morphine Use in Patients With a Severe Brain Injury

Start date: January 2005
Phase: Phase 1/Phase 2
Study type: Interventional

Hypothesis: During severe brain trauma (injury, surgery) the ensuing inflammatory response in the central nervous system (CNS) results in a decrease in the expression of the transporter protein p-glycoprotein (PGP) in the blood brain barrier. This loss results in the penetration into the brain of certain drugs that are normally excluded by the transporter protein. In this study the working hypothesis is that the agitation observed in patients with CNS trauma treated with morphine is related to the inflammation evoked loss of PGP in the blood brain barrier and the accumulation of the morphine metabolite 3-morphine glucuronide.