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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04077411
Registration number
NCT04077411
Ethics application status
Date submitted
29/08/2019
Date registered
4/09/2019
Titles & IDs
Public title
Approaches and Decisions for Acute Pediatric TBI Trial
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Scientific title
Approaches and Decisions for Acute Pediatric TBI (ADAPT) Trial
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Secondary ID [1]
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U01NS081041
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Secondary ID [2]
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PRO13020047
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Universal Trial Number (UTN)
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Trial acronym
ADAPT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Severe Traumatic Brain Injury
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Condition category
Condition code
Injuries and Accidents
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Other injuries and accidents
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Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Other interventions - Observational
Children with severe TBI - Children with severe Traumatic Brain Injury
Other interventions: Observational
This is an observational study with no interventions.
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Glasgow Outcome Score - Extended Pediatrics
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Assessment method [1]
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Physician-rated assessment of functional outcome. Problems in functioning should have deteriorated from premorbid level. The categories are:
8 - Death 7 - Vegetative State (VS) 6 - Lower Severe Disability (Lower SD) 5 - Upper Severe Disability (Upper SD) 4 - Lower Moderate Disability (Lower MD) 3 - Upper Moderate Disability (Upper MD) 2 - Lower Good Recovery (Lower GR)
1 - Upper Good Recovery (Upper GR)
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Timepoint [1]
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6 months
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Eligibility
Key inclusion criteria
* Admission to a study site for treatment of severe traumatic brain injury
* ICP monitor placed as part of the child's standard care
* Glasgow Coma Scale (GCS) = 8 after resuscitation
* Age 0 - 18 y
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Minimum age
No limit
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Maximum age
18
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* 1. ICP Monitor placed at another hospital
* 2. Diagnosis of pregnancy in clinical subject
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
20/02/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
28/08/2018
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Sample size
Target
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Accrual to date
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Final
1000
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Children's Health Queensland Hospital and Health Service - Brisbane
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Royal Children's Hospital - Melbourne
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Recruitment hospital [3]
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Princess Margaret Hospital - Perth
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Recruitment postcode(s) [1]
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- Brisbane
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Recruitment postcode(s) [2]
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- Melbourne
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Recruitment postcode(s) [3]
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6008 - Perth
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Recruitment outside Australia
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Alabama
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Wisconsin
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India
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New Delhi
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Netherlands
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Barcelona
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Birmingham
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Bristol
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Cambridge
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Leeds
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Liverpool
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Newcastle upon Tyne
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Southampton
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United Kingdom
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Victoria
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Pittsburgh
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Address
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Government body
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Name [1]
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National Institute of Neurological Disorders and Stroke (NINDS)
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Ethics approval
Ethics application status
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Summary
Brief summary
Approaches and Decisions in Acute Pediatric TBI Trial (ADAPT) is an international research study designed to evaluate the impact of interventions on the outcomes of children with severe traumatic brain injury. Pediatric traumatic brain injury (TBI) is the leading killer of children, resulting in more than 7000 deaths and $2 billion in acute care costs each year. Despite this large burden of disease, advances in the field have been limited due to weak evidenced-based guidelines and the limitations of randomized, controlled trials (RCTs) to demonstrate efficacy of single treatment strategies due to wide treatment variability. ADAPT is a practical study design in a novel approach - an observational cohort study designed to evaluate the association of 6 aspects of pediatric TBI care with outcomes using statistical modeling to correct for confounding variables. Completion of this study will provide compelling evidence to change clinical practices, provide evidence for new Level II recommendations for future guidelines and lead to improved research protocols that would limit variability in TBI treatments - helping children immediately through better clinical practices and ultimately through more effective investigation.
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Trial website
https://clinicaltrials.gov/study/NCT04077411
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Trial related presentations / publications
Sarnaik A, Ferguson NM, O'Meara AMI, Agrawal S, Deep A, Buttram S, Bell MJ, Wisniewski SR, Luther JF, Hartman AL, Vavilala MS; Investigators of the ADAPT Trial. Age and Mortality in Pediatric Severe Traumatic Brain Injury: Results from an International Study. Neurocrit Care. 2018 Jun;28(3):302-313. doi: 10.1007/s12028-017-0480-x. Bell MJ, Adelson PD, Wisniewski SR; Investigators of the ADAPT Study,. Challenges and opportunities for pediatric severe TBI-review of the evidence and exploring a way forward. Childs Nerv Syst. 2017 Oct;33(10):1663-1667. doi: 10.1007/s00381-017-3530-y. Epub 2017 Sep 6. Miller Ferguson N, Sarnaik A, Miles D, Shafi N, Peters MJ, Truemper E, Vavilala MS, Bell MJ, Wisniewski SR, Luther JF, Hartman AL, Kochanek PM; Investigators of the Approaches and Decisions in Acute Pediatric Traumatic Brain Injury (ADAPT) Trial. Abusive Head Trauma and Mortality-An Analysis From an International Comparative Effectiveness Study of Children With Severe Traumatic Brain Injury. Crit Care Med. 2017 Aug;45(8):1398-1407. doi: 10.1097/CCM.0000000000002378. Larsen GY, Schober M, Fabio A, Wisniewski SR, Grant MJ, Shafi N, Bennett TD, Hirtz D, Bell MJ. Structure, Process, and Culture Differences of Pediatric Trauma Centers Participating in an International Comparative Effectiveness Study of Children with Severe Traumatic Brain Injury. Neurocrit Care. 2016 Jun;24(3):353-60. doi: 10.1007/s12028-015-0218-6. Surtees TL, Kumar I, Garton HJL, Rivas-Rodriguez F, Parmar H, McCaffery H, Riebe-Rodgers J, Shellhaas RA. Levetiracetam Prophylaxis for Children Admitted With Traumatic Brain Injury. Pediatr Neurol. 2022 Jan;126:114-119. doi: 10.1016/j.pediatrneurol.2021.10.009. Epub 2021 Oct 19.
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Public notes
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Contacts
Principal investigator
Name
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Michael J Bell, MD
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Address
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University of Pittsburgh Medical Center
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Study data will be released to the general public through FITBIR. ADAPT will adhere to all FITBIR policies and procedures.
Supporting document/s available: Study protocol, Informed consent form (ICF)
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When will data be available (start and end dates)?
One year after publication of main results paper.
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Available to whom?
Investigators requesting and receiving FITBIR data are expected to:
* Submit a Data Access Request;
* Protect data confidentiality;
* Ensure that data security measures are in place;
* Notify the Data Access and Quality Committee of policy violations;
* Submit annual progress reports detailing significant research findings; and
* Include acknowledgements of the FITBIR Informatics System in all publications and presentations.
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04077411