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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT04252261
Other study ID # 202001005
Secondary ID
Status Not yet recruiting
Phase Phase 2
First received
Last updated
Start date June 1, 2020
Est. completion date December 31, 2021

Study information

Verified date May 2020
Source Xiangya Hospital of Central South University
Contact Zhixiong Liu
Phone +8615874290600
Email zhixiongliu@csu.edu.cn
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

High rates of patients with frontal brain damage show serious cognitive functional deficits, which negatively impact their quality of life and are linked with poor clinical outcomes. Sulforaphane has shown significant antioxidant and cellular protective effects in animal models associated with oxidative stress, such as focal cerebral ischemia, brain inflammation, and intracranial hemorrhage. Preclinical research has shown that sulforaphane can significantly improve spatial localization and working memory impairment after brain damage. The primary aim of this clinical trial is to assess the efficacy of sulforaphane for improving cognitive function in patients with frontal brain damage.


Description:

90 patients aged 18-65 years, of both genders, who have incurred cognitive deficits after frontal brain damage will be recruited in the neurosurgery department in Xiangya hospital. All focal lesions were confined to the frontal brain, which is verified by CT or MRI. Cognitive deficits will be diagnosed using the Chinese version of the Montreal Cognitive Assessment (MoCA-C). All eligible recruited patients will be randomly divided into two groups in a 2:1 ratio. Participants will receive a battery of cognitive tests at baseline and again after 4 and 12 weeks to determine the effect of sulforaphane on cognition. T1-weighted brain magnetic resonance images and resting-state functional MRI will be carried out using 3 Tesla (3T) brain MRI at these timepoints. Brain magnetic resonance spectrum will be applied to detect MRI markers of brain metabolites and gut microbiota will also be assessed over this period.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 90
Est. completion date December 31, 2021
Est. primary completion date December 31, 2021
Accepts healthy volunteers No
Gender All
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria:

- 18-65 years old

- Focal lesions were confined to the frontal brain, which is verified by CT or MRI

- Clinical diagnosis of Cognitive deficits using the Chinese version of the Montreal Cognitive Assessment (MoCA-C) with scores < 26 will be assessed as having cognitive deficits (<25 for patients educated <12 years)

- be adherent to the continued sulforaphane treatment medication

Exclusion Criteria:

- Previous history of cognitive impairment

- Brain MRI indicating damage was not restricted to the frontal lobe.

- Inability to cooperate with cognitive testing for disturbance of consciousness or mental disorder

- Pregnancy or maternal lactation

- Life expectancy < 3 months

- CO poisoning, autoimmune encephalitis, intracranial infection, or other types of diffuse intracranial disease.

- plan to receive radiotherapy during the trial period

- Laboratory examination showing liver and kidney insufficiency or other severe complications; the presence of diseases which may interfere with the results of the evaluation

- Involvement in other trials 1 month prior to the start of the trial or during the trial period

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
sulforaphane
To evaluate the effects of sulforaphane on the cognitive improvement of patients with frontal brain damage
placedo
To evaluate the effects of sulforaphane on the cognitive improvement of patients with frontal brain damage

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
Xiangya Hospital of Central South University

Outcome

Type Measure Description Time frame Safety issue
Primary Changes from baseline cognitive tests scores at 3 months The battery of cognitive tests include different domains of cognitive tests, higher scores indicates better cognition. Week 1 and week 12.
Secondary the resting state MRI (rsMRI) It can be served as a powerful tool to map networks of "functional connectivity" in the brain even in the absence of task activation or stimulation. Week 0 and 12.
Secondary T1-weighted spin-echo MRI It can be used as outcome measures in therapeutic trials Week 0, 4, and 12.