Usefulness of Biomarkers in the Management of Mild Traumatic Brain Injury in Adults (Biotraumap) (NCT04543162) | Clinical Trial Compass
CompletedNot Applicable
Usefulness of Biomarkers in the Management of Mild Traumatic Brain Injury in Adults (Biotraumap)
France1,025 participantsStarted 2019-10-02
Plain-language summary
The indication of cranial computed tomography (CCT) is difficult to define for patients with mild traumatic brain injury (mTBI). For mTBI patients with a medium risk of intracranial complications, CCT scans are indicated although 90% of them are normal.
The interest of the S100B protein has been widely demonstrated in the management of mTBI in adults. Its serum concentration (for blood sampling drawn less than 3 hours after trauma) can accurately predict a normal CCT scan for mTBI patients with a medium risk of intracranial complications. That's why, serum assay of the S100B protein is routinely used in the Emergency Department of Clermont-Ferrand University Hospital for the treatment of patients with mTBI.
The objective of the study is to optimize the management strategy for mTBI patients by blood testing of new brain biomarkers. These biomarkers are synthesized by brain cells and are released into the blood in case of intracranial lesions.
Who can participate
Age range
18 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Male and female patient, major
* Patient admitted to the Emergency Department for mTBI, with a medium risk of intracranial lesions according to the SFMU (French Emergency Medicine Society) criteria, for which an S100B protein assay is indicated:
* GCS score of 15 with at least one associated risk factor: amnesia facts more than 30 minutes before the mTBI loss of consciousness, anti platelet aggregating agent
* Time between mTBI and blood draw (for the S100B protein assay) less than 3 hours.
* Patient covered by a Social Security scheme.
Exclusion Criteria:
* Patient classified in the high risk group of intracranial lesions according to SFMU criteria :
* GCS score less than 15, 2 hours after the trauma
* Focused neurological deficit
* Post-traumatic convulsion
* Suspicion of open fracture of the skull or embarrassment
* Any sign of fracture of the base of the skull (hemotympanum, bilateral periorbital bruise, otorrhea or rhinorrhea of cerebrospinal fluid)
* Treatment with anticoagulants
* More than one episode of vomiting.
* Patient classified in the group at low risk of intracranial lesions according to the SFMU criteria, presenting a GCS score of 15 without any criteria for moderate or high risk groups of intracranial lesions.
* Patient consulting for moderate or severe head trauma (GCS score less than 13).
* Refusal of the patient (signature of the opposition form).
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1This trial measured specific blood biomarkers like GFAP, UCH-L1, and Tau to help diagnose mild traumatic brain injury — is my doctor already using any of these biomarkers in my evaluation, or are they still considered experimental in routine care?
2Since this study is now completed, have the results been published, and if so, do they suggest any of these biomarkers are reliable enough to change how my mild TBI should be managed compared to standard CT scanning?
3Could testing for these cerebral biomarkers help clarify whether I actually have an intracranial injury, and would my doctor consider ordering any of them as part of my current workup?
4This trial was focused on adults with mild traumatic brain injury — given my specific situation, does my doctor think biomarker-based approaches are relevant to my case, or is standard imaging still the better path for me right now?
5Are there any clinical settings or hospitals near me where biomarker testing for mild TBI is already being used in practice based on research like this, and is that something worth exploring with my care team?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.