Baricitinib for Moderate and Severe Traumatic Intracerebral Hemorrhage/Contusions
A Randomized Control Trial of Baricitinib Administration in Patients With Moderate and Severe Traumatic Intracerebral Hemorrhage/Contusions
Tang-Du Hospital
100 participants
Nov 24, 2023
INTERVENTIONAL
Conditions
Summary
The purpose of the present study is to study the effect of baricitinib administration on outcome of participants with moderate and severe traumatic intracerebral hemorrhage/contusions. A multi-center randomized control trial will be conducted. Participants with a radiological diagnosis of traumatic intracerebral hemorrhage/contusions and an initial GCS score of 5-12 will be screened and enrolled in the first 24 hours after traumatic brain injury.
Eligibility
Inclusion Criteria8
- Age 18 years older and younger than 80 years old.
- Definite history of traumatic brain injury.
- Admission within≤24 hours after the traumatic brain injury.
- CT scans demonstrate intracerebral hemorrhage/contusions with and without extracerebral hemorrhage (epi- and sub- dural hemorrhage)
- GCS score of 5 or greater and no more than 12 at time of enrollment.
- Closed head injury.
- Admission without infections
- Signed and dated informed consent by the subject, legally authorized representative, or surrogate obtained.
Exclusion Criteria15
- Time of head injury cannot be reliably assessed.
- Subjects is considered a candidate for immediate surgical intervention because of severe extracranial injury.
- Open head injury.
- Pregnancy or parturition within previous 30 days or active lactation.
- Use of Janus kinase inhibitors (baricinitib,abroctinib, AG490 and etc.)
- Pre-traumatic dementia or disability.
- With severe liver, kidney disease, or malignancy, life expectancy is less than 14 days.
- Severe pulmonary infection.
- Severe or acute heart failure.
- Severe infections within previous 30 days.
- History of myocardial infarction.
- Known sensitivity to baricinitib.
- Severe decreases in neutrophil, lymphocyte and platelet counts, severe decrease in hemoglobin.
- Severe liver and kidney dysfunction.
- Currently participating in other interventional clinical trials.
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Interventions
Baricitinib with be be administrated orally (or crushed for nasogastric tube delivery) and given daily at the dosage of 4mg for consecutive 14 days
Patients will receive standard treatment and care according to the current management guidelines for traumatic brain injury.
Locations(1)
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NCT06065046