Prospective Observational Multimodal Neuromonitoring in Adult NSICU Patients
Part of paid clinical trials in Dallas, Texas.
- Sponsor
- University of Texas Southwestern Medical Center
- Study ID
- NCT07577713
- Status
- Not Yet Recruiting
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Conditions
- Brain Injuries, Traumatic
- Cerebral Hemorrhage
- Delayed Emergence From Anesthesia
- Encephalopathy
- Ischemic Stroke
- Subarachnoid Hemorrhage, Aneurysmal
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Study Details
This is a prospective observational cohort study of adult patients admitted to the Neurosciences Intensive Care Unit (NSICU) at UT Southwestern Medical Center. The study acquires multimodal neuromonitoring data - including SedLine quantitative EEG (qEEG) from standard-of-care monitoring, Brain4Care (B4C) noninvasive intracranial dynamics monitoring, and near-infrared spectroscopy (NIRS)-derived cerebral autoregulation (CA) indices where NIRS is already in clinical use - and links these data to bedside physiologic, medication, diagnostic, and clinical outcome variables during standard care. No alteration of clinical management occurs. The study prioritizes aneurysmal subarachnoid hemorrhage (aSAH) patients to characterize the natural history of noninvasive CA parameter evolution through the delayed cerebral ischemia (DCI) window (admission through Day 14) and provides preliminary data for subsequent interventional study design.
Key Dates
- Start date
- Jul 31, 2026
- Status verified
- Apr 2026
- Primary completion
- Sep 30, 2028
- Completion
- Sep 30, 2029
Study Design
- Enrollment
- 300 participants (estimated)
Arms
- Arm: Adult NSICU PatientsAdult patients age 18 years or older admitted to the NSICU at UT Southwestern Medical Center. Diagnostic groups include but are not limited to aneurysmal subarachnoid hemorrhage, traumatic brain injury, intracerebral hemorrhage, acute ischemic stroke, seizure-related presentations, postoperative neurosurgical patients, disorders of consciousness, and encephalopathy. aSAH patients represent the priority enrollment group. All participants have at least one monitoring modality acquired: B4C extensometry placed by study personnel, and/or research data recorded from existing standard-of-care SedLine, NIRS, TCD, or long-term monitoring EEG monitoring.
Primary Outcome Measure
Proportion of enrolled participants with analyzable Brain4Care extensometry (P2/P1 ratio) recording across NSICU diagnoses [ Time Frame: Through ICU Day 14 or hospital discharge, whichever occurs first ]
Central Contacts
- Noah Jouett, DO, PhD2147862783
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| UT Southwestern Medical Center - Clements University Hospital NSICU | Dallas | Texas | 75390 | Noah Jouett, DO, PhD (PRINCIPAL_INVESTIGATOR) Ulrike Hoffmann, MD, PhD (SUB_INVESTIGATOR) DaiWai Olson, PhD, RN (SUB_INVESTIGATOR) |
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