Status:

ENROLLING_BY_INVITATION

Ketogenic Diet & Functional Recovery in Moderate to Severe Traumatic Brain Injury

Lead Sponsor:

Loma Linda University

Conditions:

Traumatic Brain Injury

Eligibility:

All Genders

16-90 years

Phase:

NA

Brief Summary

Traumatic Brain Injury (TBI) represents a significant public health risk in the United States leaving many survivors with significant long term cognitive deficits and at risk for neurodegenerative dis...

Detailed Description

Traumatic Brain Injury (TBI) represents a significant public health risk in the United States leaving many survivors with significant long term cognitive deficits and at risk for neurodegenerative dis...

Eligibility Criteria

Inclusion

  • complicated mild (GCS 13-15), moderate (GCS 9 - 12) to severe (GCS ≤ 8) traumatic brain injury (TBI) between 2-30 days post injury
  • Admitted to Loma Linda University surgical intensive care unit (SICU)

Exclusion

  • history of comorbid ischemic stroke following qualifying TBI
  • history of premorbid brain injury with associated loss of consciousness
  • history of psychiatric disorder
  • history of premorbid neurological disorder or neurosurgical intervention
  • pregnancy
  • depressed GCS score due to acute intoxication
  • liver dysfunction as defined by liver enzymes 5 times the upper limit of normal or chronic cirrhosis
  • acute renal failure according to the Risk, Injury, Failure, Loss of kidney function, and End-stage kidenty disease (RIFLE) classification
  • abdominal surgery during the same admission
  • type 1 diabetes
  • gastroparesis
  • dyslipidemia
  • severe asphasia
  • known history of metabolic disorders that are a contradiction for ketogenic diet (KD) such as primary carnitine deficient, carnitine palmitoyltransferase (CPT) I or II deficiency, carnitine translocase deficiency, beta-oxidation defects, pyruvate carboxylase deficiency, or porphyria
  • prealbumin (transthyretin) levels of \<10 mg/dL within 3 days of admission
  • Metal, implanted device (ICP monitor), pregnancy, claustrophobia, or other contraindication to MRI

Key Trial Info

Start Date :

December 7 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2025

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT04530032

Start Date

December 7 2020

End Date

December 1 2025

Last Update

January 15 2025

Active Locations (1)

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Loma Linda University Health

Loma Linda, California, United States, 92354