Interleukin-1 receptor antagonist in severe traumatic brain injury

ISRCTN ISRCTN88597330
DOI https://doi.org/10.1186/ISRCTN88597330
Secondary identifying numbers IL1ra 02 v04
Submission date
09/09/2008
Registration date
24/11/2008
Last edited
11/05/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Peter Hutchinson
Scientific

Level 4 A block, box 167
Addenbrookes Hospital
Hills Road
Cambridge
CB2 0QQ
United Kingdom

Study information

Study designOpen label randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA single centre phase II study of interleukin-1 receptor antagonist in the treatment of severe traumatic brain injury
Study objectivesInterleukin-1 receptor antagonist (IL-1ra) is safe, will cross the blood brain barrier and attenuate the cerebral inflammatory response to traumatic brain injury.
Ethics approval(s)Cambridge Local Research Ethics Committee 2 (LREC 2), June 2008, ref: 06/Q0108/64
Health condition(s) or problem(s) studiedTraumatic brain injury
InterventionParticipants are randomised to receive 5 days of 100 mg IL-1ra (Kineret) subcutaneously once a day or a placebo.

Clinical follow-up at 6 months.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase II
Drug / device / biological / vaccine name(s)Interleukin-1 receptor antagonist
Primary outcome measureSafety: based on adverse events, follow-up assessment of outcome at 6 months.
Secondary outcome measures1. IL-1ra, IL-1alpha, IL-1beta, IL-6, IL-8 in serum and by cerebral microdialysis, measured by 4-hourly serum markers twice daily
2. Cerebral lactate, pyruvate, glucose, glutamate, glycerol by cerebral microdialysis, measured by 4-hourly serum markers twice daily
3. Clinical follow-up at 6 months, Glasgow Outcome Scale (GOS) and 36-item Short Form Health Survey (SF-36)
Overall study start date15/09/2008
Completion date15/09/2009

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants26
Key inclusion criteria1. Severe traumatic brain injury
2. Aged 16 - 65 years, either sex
3. Abnormal computed tomography (CT) scan requiring sedation, paralysis, ventilation and multi-modality monitoring as part of clinical care
Key exclusion criteria1. Head injury unlikely to survive 5 days, e.g. bilaterally fixed dilated pupils
2. Follow up not possible
3. Not suitable for insertion of cranial access device, e.g. bleeding diathesis
4. Immunosuppression
5. Severe renal insufficiency
6. Pregnancy/nursing mothers
7. Known hypersensitivity to E. Coli derived products
8. Adminstration of live vaccine
Date of first enrolment15/09/2008
Date of final enrolment15/09/2009

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Level 4 A block, box 167
Cambridge
CB2 0QQ
United Kingdom

Sponsor information

Cambridge University Hospitals NHS Foundation Trust (UK)
Hospital/treatment centre

Research and Development
Addenbrookes Hospital
Hills Road
Cambridge
CB2 0QQ
England
United Kingdom

Website http://www.addenbrookes.org.uk/
ROR logo "ROR" https://ror.org/04v54gj93

Funders

Funder type

Charity

Academy of Medical Sciences (UK)
Private sector organisation / Other non-profit organizations
Alternative name(s)
The Academy of Medical Sciences
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2014 Yes No

Editorial Notes

11/05/2016: Publication reference added.