Prognostication of Recovery in Early Disorders of Consciousness Study
Part of paid clinical trials in Philadelphia, Pennsylvania.
- Sponsor
- University of Pennsylvania
- Study ID
- NCT07074678
- Status
- Enrolling By Invitation
Conditions
- Coma; Prolonged
- Comatose
- Disorder of Consciousness
- Minimally Conscious State
- Vegetative State
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Accepted
Interventions
- Functional MRI (fMRI) — DIAGNOSTIC_TESTResearch MRI, which will include both structural and functional sequences, will either be collected independently, or in conjunction with clinically-indicated sequences. Functional MRI captures the blood oxygen level dependent (BOLD) signal that reflects brain activity. A subset of the PREDICT study fMRI will include sequences with auditory and/or noxious stimulation. Noxious stimulation will be delivered with an MRI-compatible device that delivers intermittent nailbed pressure under computerized control. Additionally, the BOLD signal will be captured at rest to investigate functional neural networks.
Study Details
The goal of this study is to determine the extent to which neuroimaging metrics (e.g., functional MRI) are associated with the current level of consciousness, and future consciousness recovery, in patients with disorders of consciousness resulting from acute brain injury. The main questions this study aims to answer are: How do functional MRI findings (e.g., covert consciousness and network connectivity) associate with current level of consciousness? How do functional MRI findings (e.g., covert consciousness and network connectivity) associate with future recovery of consciousness? How does noxious stimulation affect the detection of covert consciousness and functional brain network connectivity?
Key Dates
- Start date
- Mar 8, 2023
- Status verified
- Jul 2025
- Primary completion
- Mar 8, 2028
- Completion
- Mar 8, 2029
Study Design
- Enrollment
- 150 participants (estimated)
- Allocation
- NA
- Intervention model
- SINGLE_GROUP
- Primary purpose
- DIAGNOSTIC
Arms
- Experimental: Single armPatients and healthy controls will undergo functional MRI, which may include auditory and noxious stimulation.
Primary Outcome Measure
Detection of technologic covert consciousness [ Time Frame: Baseline, during hospitalization (estimated approximately 1 month from brain injury) ]
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Hospital of the University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | - |
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