357 Participants Needed

Fresh Frozen Plasma for Traumatic Brain Injury

HA
LT
NM
Overseen ByNicole Meredyth, MD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether fresh frozen plasma (FFP), a blood product, can aid individuals with moderate to severe traumatic brain injury (TBI). Researchers aim to determine if FFP is safe and improves outcomes such as recovery time and overall brain function. Participants will receive either standard treatment or standard treatment plus FFP to compare results. The trial seeks individuals with a confirmed brain injury on a CT scan and no restrictions on receiving blood products. As a Phase 2, Phase 3 trial, this study is crucial for assessing FFP's effectiveness in a larger group and represents one of the final steps before potential FDA approval, offering participants a chance to contribute to groundbreaking research.

Do I have to stop taking my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that fresh frozen plasma (FFP) could be a helpful treatment for traumatic brain injury (TBI). Studies suggest that FFP might improve recovery for people with severe head injuries. For instance, one study found that FFP could lower the risk of bleeding in the brain, a major concern for TBI patients.

In terms of safety, FFP is usually well-tolerated. Past patients have demonstrated that receiving plasma does not often lead to serious side effects. This indicates that using FFP is generally safe, with few people experiencing major problems. However, like any treatment, there may be risks, so discussing them with healthcare providers is important.

Overall, current evidence suggests that FFP is a safe option for TBI treatment, with potential benefits for improving patient recovery.12345

Why do researchers think this study treatment might be promising?

Researchers are excited about using Fresh Frozen Plasma (FFP) for traumatic brain injury because it offers a unique approach compared to traditional treatments like supportive care and medications to reduce intracranial pressure. Unlike these standard treatments, FFP provides a concentrated source of clotting factors and proteins, which might help stabilize bleeding and improve recovery after head trauma. This approach targets the injury at a biochemical level, potentially reducing the extent of brain damage and speeding up the healing process.

What evidence suggests that fresh frozen plasma might be an effective treatment for traumatic brain injury?

Research suggests that fresh frozen plasma (FFP) might help treat traumatic brain injuries. In this trial, some participants will receive the standard of care plus FFP, while others will receive only the standard of care. Some studies have shown that giving patients more plasma compared to red blood cells can lower the risk of death in those with severe blunt traumatic brain injuries. This suggests that patients who receive more plasma may have a better chance of surviving. Other research indicates that FFP can help reduce a type of brain bleeding called DTICH in people with severe head injuries. However, not all studies agree on its effectiveness, so more research is needed to confirm these benefits.24567

Who Is on the Research Team?

HA

Hasan Alam, MD

Principal Investigator

Northwestern University

Are You a Good Fit for This Trial?

The FIT-BRAIN trial is for individuals with moderate to severe traumatic brain injury (TBI), confirmed by a CT scan showing a lesion of at least 8 mm. Participants must have a Glasgow Coma Scale score between 3 and 12, indicating the severity of their brain injury.

Inclusion Criteria

I have a moderate to severe brain injury.
My initial CT scan showed a brain injury larger than 8 mm.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants receive standard of care treatment or standard of care treatment plus 2 units of fresh frozen plasma (FFP)

First 24 hours post-injury
In-hospital treatment

Follow-up

Participants are monitored for safety and effectiveness with outcome measures at 24 hours, 3 months, and 6 months post-injury

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Fresh Frozen Plasma (FFP)
Trial Overview This study tests if adding fresh frozen plasma (FFP) to standard care improves outcomes after TBI. Patients are randomly assigned to receive either just standard care or standard care plus FFP. The effects on safety, recovery over time, ICU-free days, mortality rate, and hospital discharge condition are being compared.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Standard of Care + FFPExperimental Treatment1 Intervention
Group II: Standard of CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Northwestern University

Lead Sponsor

Trials
1,674
Recruited
989,000+

University of Southern California

Collaborator

Trials
956
Recruited
1,609,000+

Oregon Health and Science University

Collaborator

Trials
1,024
Recruited
7,420,000+

University of Alabama at Birmingham

Collaborator

Trials
1,677
Recruited
2,458,000+

Vanderbilt University Medical Center

Collaborator

Trials
922
Recruited
939,000+

Medical College of Wisconsin

Collaborator

Trials
645
Recruited
1,180,000+

University of California, Davis

Collaborator

Trials
958
Recruited
4,816,000+

University of Texas Southwestern Medical Center

Collaborator

Trials
1,102
Recruited
1,077,000+

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40972016/
Association between the fresh frozen plasma-to-red blood ...Conclusions: The authors found no association between FFP-to-RBC transfusion ratio and neurological outcomes, including in-hospital mortality, ...
FFP In Traumatic BRAin INjury (FIT-BRAIN) TrialThe two units of fresh frozen plasma will consist of 400-500 ml. The 24-hour, 3-month and 6-month outcome measures include hemorrhagic progression of contusion ...
Therapeutic target of high fresh frozen plasma to red blood ...Effectiveness ... Decreased mortality in patients with isolated severe blunt traumatic brain injury receiving higher plasma to packed red blood ...
The effect of fresh frozen plasma in severe closed head injuryIn this study we evaluated the effect of fresh frozen plasma (FFP) on the reduction in the incidence of DTICH in severe closed head injury victims.
Fresh Frozen Plasma to Red Blood Cell Ratio in Blunt ...This cohort study investigates the association of a high fresh frozen plasma to red blood cell ratio with survival outcomes in patients with ...
6.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/17029771/
The effect of fresh frozen plasma in severe closed head injuryIn this study we evaluated the effect of fresh frozen plasma (FFP) on the reduction in the incidence of DTICH in severe closed head injury victims.
Plasma transfusion and hospital mortality in moderate ...Prior research suggests that plasma may improve outcomes in traumatic brain injury (TBI). We examined the association between plasma administration and ...
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