Spinal Cord Injuries Clinical Trial
— DISCUSOfficial title:
Duroplasty for Injured Cervical Spinal Cord With Uncontrolled Swelling
QUESTION. Does duroplasty improve outcome after spinal cord injury? WHAT DO WE STUDY? We will investigate whether performing a surgical procedure called duroplasty improves outcomes after spinal cord injury. WHY SPINAL CORD INJURY? Spinal cord injury is a devastating condition that causes permanent disability such as paralysis, numbness and loss of bladder and bowel control. Currently, there are no treatments shown to improve outcome after spinal cord injury. WHAT IS DUROPLASTY? Duroplasty is an operation that involves opening the tough membrane around the cord, called the dura, and stitching a patch of artificial dura to expand the space around the swollen cord. WHY IS DUROPLASTY BEING STUDIED? Based on our preliminary evidence, we think that the dura causes cord pressure after injury. We have shown in a small study of patients that performing this operation safely and effectively reduces pressure on the injured cord. WHO IS ELIGIBLE? Adult patients with severe spinal cord injuries in the neck who will have surgery within 72 hours. WHAT TREATMENT? Those who agree to take part will be allocated by chance (like tossing a coin) to standard treatment or standard treatment plus duroplasty. Some patients will also be asked to take part in a smaller study that involves placing probes at the injury site. WHERE? We will recruit patients from U.K. Major Trauma Centres. Most assessments will be done in U.K. Spinal Injury Centres. Later on, we may recruit from overseas. HOW LONG? We aim to recruit 222 - 260 patients over 4 years. Patients will be followed up for a year. WHAT DO WE ASSESS? Patients will be assessed (using questionnaires and by examination) how well they can use their hands, walk, control their bladder and bowel and their quality of life. Some of these assessments will be repeated at 3, 6 and 12 months after surgery. WHAT IS THE OPTIONAL MECHANISTIC STUDY? DISCUS includes an optional study for at least 50 patients who will take part in the randomised controlled trial. The aim of the mechanistic study is to determine how duroplasty improves outcome, i.e. whether duroplasty reduces cord compression, improves blood flow to the injured cord perfusion, improves cord metabolism and reduces cord inflammation. WHAT IS THE OPTIONAL INFORMATION STUDY? For the first two years, a study called QuinteT Recruitment Intervention (QRI) is designed to optimise patient recruitment and informed consent in the trauma setting.
Status | Recruiting |
Enrollment | 222 |
Est. completion date | October 8, 2026 |
Est. primary completion date | January 8, 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 16 Years and older |
Eligibility | Inclusion Criteria: 1. Age =16 years 2. Severe cervical (C2 - T1) traumatic spinal cord injury (AIS grade A-C) 3. Deemed to require and be suitable for surgery that includes laminectomy by local surgeon 4. Surgery within 72 hours of traumatic spinal cord injury 5. Able to provide informed consent or consultee declaration or proxy consent. Exclusion Criteria: 1. Dural tear due to traumatic spinal cord injury 2. Life-limiting or rehabilitation-restricting co-morbidities 3. Thoracic or lumbar traumatic spinal cord injury 4. Other central nervous system disease |
Country | Name | City | State |
---|---|---|---|
United Kingdom | St George's Hospital NHS Foundation Trust | London |
Lead Sponsor | Collaborator |
---|---|
St George's, University of London | Buckinghamshire Healthcare NHS Trust, Ohio State University, St George's University Hospitals NHS Foundation Trust, St. Mary's University, University of Bristol, University of Cambridge, University of Oxford |
United Kingdom,
Phang I, Werndle MC, Saadoun S, Varsos G, Czosnyka M, Zoumprouli A, Papadopoulos MC. Expansion duroplasty improves intraspinal pressure, spinal cord perfusion pressure, and vascular pressure reactivity index in patients with traumatic spinal cord injury: injured spinal cord pressure evaluation study. J Neurotrauma. 2015 Jun 15;32(12):865-74. doi: 10.1089/neu.2014.3668. Epub 2015 May 4. — View Citation
Phang I, Zoumprouli A, Papadopoulos MC, Saadoun S. Microdialysis to Optimize Cord Perfusion and Drug Delivery in Spinal Cord Injury. Ann Neurol. 2016 Oct;80(4):522-31. doi: 10.1002/ana.24750. Epub 2016 Aug 19. — View Citation
Saadoun S, Papadopoulos MC. Acute, Severe Traumatic Spinal Cord Injury: Monitoring from the Injury Site and Expansion Duraplasty. Neurosurg Clin N Am. 2021 Jul;32(3):365-376. doi: 10.1016/j.nec.2021.03.008. Epub 2021 May 7. Review. — View Citation
Werndle MC, Saadoun S, Phang I, Czosnyka M, Varsos GV, Czosnyka ZH, Smielewski P, Jamous A, Bell BA, Zoumprouli A, Papadopoulos MC. Monitoring of spinal cord perfusion pressure in acute spinal cord injury: initial findings of the injured spinal cord pressure evaluation study*. Crit Care Med. 2014 Mar;42(3):646-55. doi: 10.1097/CCM.0000000000000028. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in AIS motor score | Change in American Spinal Injury Association Impairment Scale total limb motor score at 6 months | 6 months versus baseline | |
Secondary | Change in AIS light touch score | Change in American Spinal Injury Association Impairment Scale total light touch sensory score | 6 months versus baseline | |
Secondary | Change in AIS pin prick score | Change in American Spinal Injury Association Impairment Scale total pin prick sensory score | 6 months versus baseline | |
Secondary | Change in AIS grade | Change in American Spinal Injury Association grade | 6 months versus baseline | |
Secondary | CUE-Q | Capabilities of upper extremity-questionnaire (CUE-Q) | 6 months | |
Secondary | Grip strength | Hand grip strength assessed with dynamometer | 6 months | |
Secondary | WISCI II | Walking Index for Spinal Cord Injury version ii | 6 months | |
Secondary | SCIM III | Spinal Cord Independence Measure version III | 6 months | |
Secondary | SF-36 | Short Form survey 36 | 3 months, 6 months, 12 months | |
Secondary | Spinal re-operations | Number of reoperations on spine | 12 months | |
Secondary | Adverse events | Procedure Specific complications and adverse events | 12 months | |
Secondary | Mortality | Mortality | 12 months | |
Secondary | Length of hospital stay | Length of hospital stay | 12 months | |
Secondary | MRI | Magnetic resonance imaging of cervical spine | 2 weeks, 6 months | |
Secondary | Injury site physiology and metabolism (optional) | Optional mechanistic study: Mean daily intraspinal pressure, spinal cord perfusion pressure, tissue glucose, lactate, pyruvate, glycerol, glutamate, cytokines measured from the injury site | Up to 5 days after surgery |
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