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Spinal cord injury-induced secondary immune depression (SCI-IDS) - a prospective and multicenter study

Conditions
T09.3
T08.0
Injury of spinal cord, level unspecified
Registration Number
DRKS00000122
Lead Sponsor
Charité Universitätsmedizin Berlin, CCM, Klinik für Neurologie und Abteilung für Experimentelle Neurologie
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
117
Inclusion Criteria

• Patients suffering from an isolated traumatic spinal cord injury (ASIA A-D), surgical stabilization scheduled, lesion can include more than 1 segment
• Or patients suffering from acute isolated spinal fracture without neurological abnormality (ASIA E), surgical stabilization scheduled, lesion can include more than 1 segment
• Legal age of the patient
• Documented informed consent of the patient

Exclusion Criteria

• Non-traumatic spinal cord injury
• 2 or more spinal cord lesions definable one from another
• Severe Polytrauma
• Additional serious traumatic brain injury (TBI)
• Neoplasia and/or antineoplastic therapy
• Rheumatic diseases / collagenosis / vasculitis
• Other autoimmune diseases
• Pre-existing acute/chronic infection
• Pre-existing systemic steroid treatment
• Severe alcohol or drug addiction
• Pregnancy, lactation

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Parameters of venous blood samples - Immunephenotyping: HLA-DR-expression on monocytes.
Secondary Outcome Measures
NameTimeMethod
Parameters of venous blood samples - immunephenotyping and blood count: Lymphocyte subpopulation: B-, T- and NK-cells; T-cell subpopulation: CD3, CD4, CD8; T-cell activation: HLA-DR, LFA-1, CD28, CD57.<br>Soluble mediators/cytokines: PCT, LBP, Il-6, Il-10; ConA-induced T-lymphocyte cytokine production: TNF-alpha, IL-10 after 24h.<br>CRFs: current mediation, infectious diseases (pneumonia, UTI).
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