Traumatic Brain Injury Clinical Trials Network

创伤性脑损伤临床试验网络

• 批准号: 6918066
• 负责人: Malcolm ROSS BULLOCK
• 金额: $ 44.05万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-05 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6918066
• 关键词: brain; brain injury; chemotherapy; clinical trials; cooperative study; cyclosporines; human subject; human therapy evaluation; immunosuppressive; intravenous administration; medical rehabilitation related tag; microdialysis; oxygen transport; patient oriented research; pharmacokinetics; rehabilitation; respiratory oxygenation; trauma

DESCRIPTION (provided by applicant): For over thirty years, the Virginia Commonwealth University's Medical College of Virginia Hospital (VCU/MCVH) has been active in brain injury research and has contributed to what is now known about its pathophysiological mechanisms and established the value of early, aggressive neurosurgical intervention. Advances in surgical techniques, management of intracranial pressure, and pharmacological approaches to acute care management helped the Division of Neurosurgery and VCU/MCVH attain international recognition as a research and clinical center. Since the mid-1970s, the Department of Physical Medicine and Rehabilitation (PM&R) has collaborated actively with the Division of Neurosurgery to develop innovative, interdisciplinary approaches to providing optimal care to patients with a traumatic brain injury (TBI). These collaborations have demonstrated the importance of early treatment decisions on long-term outcome. Advances made in the past decade by PM&R include the creation of a uniform head injury database, an extended system of care, new partnerships with service providers and advocacy organizations, validation of improved outcome measures, and collaboration with other model systems programs and databases in evaluating the costs, outcomes, and benefits of service. This application is the investigators' response to RFA-HD-01-007 to participate under a cooperative agreement as a Clinical Network Site. As a member site of the TBI Network, they will collaborate with other members, the Data Coordinating Center and project scientists of the National Institute of Child Health and Human Development to develop, implement, and assess research protocols, interventions, and evaluation strategies for patients with a moderate or severe TBI. As requested in the RFA, they have included a "concept protocol" which briefly outlines a randomized, placebo-controlled trial to test the safety, tolerability, and pharmacokinetics of a single intravenous infusion of Cyclosporin A in patients with a severe TBI.

描述（由申请人提供）：三十多年来，弗吉尼亚联邦大学医学院弗吉尼亚医院（VCU/MCVH）一直活跃于脑损伤研究，并为现在已知的病理生理机制做出了贡献，并建立了早期积极神经外科干预的价值。手术技术、颅内压管理和急性护理管理的药理学方法的进步帮助神经外科和VCU/MCVH获得了国际认可，成为研究和临床中心。自20世纪70年代中期以来，物理医学和康复系（PM&R）与神经外科部门积极合作，开发创新的跨学科方法，为创伤性脑损伤（TBI）患者提供最佳护理。这些合作证明了早期治疗决定对长期结果的重要性。PM&R在过去十年中取得的进展包括创建统一的头部损伤数据库，扩展的护理系统，与服务提供者和倡导组织的新伙伴关系，验证改进的结果措施，以及与其他模型系统程序和数据库合作评估服务的成本，结果和效益。本申请是研究者对RFA-HD-01-007的回应，以临床网络研究中心的身份参与合作协议。作为TBI网络的成员网站，他们将与其他成员，数据协调中心和国家儿童健康和人类发展研究所的项目科学家合作，为中度或重度TBI患者制定，实施和评估研究方案，干预措施和评估策略。根据RFA的要求，他们纳入了一项“概念方案”，简要概述了一项随机、安慰剂对照试验，以测试严重TBI患者单次静脉输注环孢素A的安全性、耐受性和药代动力学。