Non-invasive measurement of brain pressure in patients with traumatic brain injury
An Early Feasibility Study for the Development of a Model to Non-Invasively Estimate Intracranial Pressure (ICP) and New Metrics of Cerebral Autoregulation (CAR) Using the CoMind One EFS Device
This study is testing a new non-invasive device to measure brain pressure in patients with traumatic brain injury to see if it can replace the need for more risky surgical methods.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 581 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | CoMind Technologies Limited Industry-sponsored |
| Locations | 14 sites (Sacramento, California and 13 other locations) |
| Trial ID | NCT06368648 on ClinicalTrials.gov |
What this trial studies
This observational study aims to gather data to develop a non-invasive device for measuring intracranial pressure (ICP) in patients with conditions like traumatic brain injury. Participants will have both a standard invasive ICP monitor and a novel non-invasive device applied simultaneously to collect data. The study will analyze the relationship between invasive ICP measurements and non-invasive estimates to improve the accuracy of the new device. The goal is to eliminate the need for surgical procedures currently required for ICP monitoring, thereby reducing associated risks.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older who are receiving continuous invasive ICP monitoring as part of their standard care.
Not a fit: Patients with certain implants in the frontal bone or open wounds on the forehead may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to safer and more accessible monitoring of intracranial pressure for patients with brain injuries.
How similar studies have performed: While this approach is innovative, similar studies have shown promise in developing non-invasive monitoring techniques, indicating potential for success.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Male or female sex at birth, and aged 18 years or older on the date of enrollment. 2. Receiving continuous invasive ICP monitoring (Bolt or EVD) as part of standard care. 3. Invasive ICP monitor catheter penetrating the parenchyma or ventricles. 4. Receiving continuous invasive ABP monitoring as part of standard care. Exclusion Criteria: 1. Presence of any implant (cosmetic or otherwise) in the frontal bone in such proximity to the CoMind One EFS Sensor that they might physically touch. 2. Open wounds on the forehead such that CoMind One EFS Sensor cannot be safely placed over an area of intact skin 3. Presenting with radiographic evidence of a non-intact skull at the recording site on admission. 4. If patient is enrolled in an intervention/study that may interfere with SoC ICP measurements or the CoMind One EFS device measurement then the patient is ineligible. 5. Patients with decompressive craniectomy will be excluded unless a CoMind One EFS recording can be made from intact skull.
Where this trial is running
Sacramento, California and 13 other locations
- UC Davis Medical Center — Sacramento, California, United States (Recruiting)
- Christiana Care — Wilmington, Delaware, United States (Active_not_recruiting)
- Medstar Health — Washington D.C., District of Columbia, United States (Not_yet_recruiting)
- Jackson Memorial Hospital — Miami, Florida, United States (Recruiting)
- The University of Kansas Medical Center — Kansas City, Kansas, United States (Active_not_recruiting)
- Washington University Medical Center — St Louis, Missouri, United States (Recruiting)
- Albany Medical College — Albany, New York, United States (Active_not_recruiting)
- Stony Brook University Hospital — Stony Brook, New York, United States (Not_yet_recruiting)
- WakeMed — Raleigh, North Carolina, United States (Recruiting)
- Ohio State University — Columbus, Ohio, United States (Recruiting)
- University of Pennsylvania Hospital — Philadelphia, Pennsylvania, United States (Not_yet_recruiting)
- Vanderbilt University Medical Center — Nashville, Tennessee, United States (Recruiting)
- Inova Fairfax Medical Campus — Falls Church, Virginia, United States (Active_not_recruiting)
- University of Washington, Harborview — Seattle, Washington, United States (Recruiting)
Study contacts
- Principal investigator: Ramani Balu, MD, PhD — Inova Fairfax Hospital
- Study coordinator: David Diedo
- Email: david@comind.io
- Phone: 305-290-1680
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.