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A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study to Investigate the Efficacy and Safety of Progesterone in Patients with Severe Traumatic Brain Injury

Phase 3
Conditions
Health Condition 1: null- Traumatic Brain Injury (TBI)
Registration Number
CTRI/2011/07/001861
Lead Sponsor
BHR Pharma
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Other (Terminated)
Sex
Not specified
Target Recruitment
1180
Inclusion Criteria

1.Male or female patients, age between 16 and 70 years, inclusive (or lower age limit as required by local regulations)

2.Weight from 45 to 135 kg, inclusive.

3.Sustained a closed head trauma no more than 8 hours before initiation of study drug infusion

4.TBI diagnosed by history and clinical examination

5.Post-resuscitation GCS score between 4 to 8, inclusive

6.At least one reactive pupil

7.Evidence of TBI confirmed by abnormalities consistent with trauma on CT scan upon admission (Diffuse injury II-IV, evacuated and non-evacuated mass lesion, Marshall?s CT Classification)

8.Indication for ICP monitoring

Exclusion Criteria

1.Life expectancy of less than 24 hours as determined by the Investigator
2.Prolonged and/or uncorrectable hypoxia (Pa02< 60 mmHg) or hypotension (systolic blood pressure < 90 mmHg) upon admission.
3.Any spinal cord injury
4.Pregnancy
5.Penetrating head injury
6.Bilaterally fixed dilated pupils at the time of randomization
7.Coma suspected to be primarily due to other causes (e.g. alcohol)
8.Pure epidural hematoma
9.Preexisting clinically significant disease or chronic condition that can be ascertained at the time of admission and could affect functional outcome
10.Severe cardiac or hemodynamic instability after resuscitation
11.Known treatment with another investigational drug therapy or procedure within 30 days of injury.
12.A history of allergic reaction to progesterone and related drugs or any of the components of the infusion
13.Any disease, in the opinion of the Investigator, that is unstable or which could jeopardize the safety of the patient and his/her compliance in the study.
14.Subjects who, in the opinion of the Investigator, would not be able or willing to comply with the protocol through the final visit ( 6 months post-injury)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
GOS evaluation.Timepoint: 6 months post injury.
Secondary Outcome Measures
NameTimeMethod
Evaluation of GOSTimepoint: At 3 months;Evaluation of the GOS-ETimepoint: At 3 and 6 months;Mortality assessmentTimepoint: At 1 month and 6 months post TBI;Quality of Life (SF-36)Timepoint: At 3 and 6 months
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