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NCT02991690NARecruiting

Systemic Hypothermia in Acute Cervical Spinal Cord Injury

University of Miami

Start Date

8/4/2017

Completion Date

9/1/2026

Summary

This study is a prospective multi-center trial designed to determine the safety profile and efficacy of modest (33ºC) intravascular hypothermia following acute cervical (C1 to C8) Spinal Cord Injury (SCI).

Detailed Description

The purpose of the proposed clinical trial is to demonstrate the safety and efficacy of intravascular hypothermia as part of the early hospital management and treatment for acute cervical SCI. Each year in the US, there are over 11,000 new cases of para- and quadriplegia and 100,000 new cases of partial but permanent neurological losses due to acute SCI. Thus the potential for clinical hypothermia following SCI to improve neurological outcome has significant value. Many patients suffering SCI become permanently dependent on caretakers and become a financial liability to both the family and society. Hypothermia has the potential to improve outcome so that more patients suffering SCI can regain independent motor and sensory function and remain economically productive members of society. The use of modest hypothermia through intravascular cooling may ultimately lead to better care of the patient with acute SCI and may also have more widespread uses in patients presenting with stroke or cardiac arrest. In the long-term, this research may lend support to the use of hypothermia that could in turn save money for the patients, hospitals, the government and society as a whole.

Eligibility Criteria

Age Range: 18 years to 70 years

Inclusion Criteria: * 18 - 70 years of age * AIS Grade A - C * Glasgow Coma Scale ≥14 * Able to start hypothermia treatment within 24 hours of injury * Non-penetrating injury. Patients urgently taken to the operating room for surgical reduction may also be included. Exclusion Criteria: * Age \> 70 years * AIS Grade D * Hyperthermia on admission (\>38.5ºC) * Severe systemic injury * Severe bleeding * Pregnancy * Coagulopathy * Thrombocytopenia * Known prior severe cardiac history * Blood dyscrasia * Pancreatitis * Reynaud's syndrome * Cord transection

Interventions

OTHER

Hypothermia

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Conditions

Spinal Cord Injury, Acute

Locations

HonorHealth Research Institute with Barrow Brain and Spine

Phoenix, Arizona 85027

United States

Jackson Memorial Hospital

Miami, Florida 33136

United States

Emory University School of Medicine

Atlanta, Georgia 30303-3049

United States

Indiana University School of Medicine

Indianapolis, Indiana 46202-1000

United States

University of Maryland School of Medicine

Baltimore, Maryland 21201

United States

Thomas Jefferson University

Philadelphia, Pennsylvania 19107-5125

United States

Prisma Health - University of South Carolina

Columbia, South Carolina 29203

United States