Antisecretory factor in severe traumatic brain injury (AFISTBI): protocol for an exploratory randomized placebo-controlled trial.
Linus Réen, David Cederberg, Niklas Marklund...
https://pubmed.ncbi.nlm.nih.gov/39920739/Actively Recruiting
Led by Peter Siesjö · Updated on 2026-01-21
20
Participants Needed
1
Research Sites
25 weeks
Total Duration
Researchers are evaluating the addition of Salovum, an egg yolk powder enriched with antisecretory factor AF, in the treatment of severe traumatic brain injury TBI. This phase 2 randomized study compares Salovum to a placebo egg yolk powder not enriched with AF. The study aims to understand how AF affects cerebral edema and intracranial pressure ICP, which are critical factors impacting brain function and recovery after severe injury. Participants will receive either Salovum or the placebo suspended in tap water and administered through a gastric feeding tube for five days. All participants will also receive standard care for severe TBI, including invasive monitoring of ICP, brain oxygen pressure PtbO2, and brain metabolites by cerebral microdialysis. Treatment groups are assigned by randomization with triple masking, and trauma intensity will be tracked using a trauma intensity level TIL score to adjust for co-interventions. During the study, patients will undergo continuous monitoring of ICP and inflammatory markers for five days. Researchers will also assess trauma severity and patient outcomes, including mortality and the Glasgow Outcome Scale-Extended GOSE. The study will follow participants closely to evaluate the effects of Salovum on brain injury over the treatment period and during follow-up assessments.
CONDITIONS
Antisecretory Factor In Severe Traumatic Brain Injury
P
Peter Siesjö, MD, PhD
D
David Cederberg, MD
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Peter Siesjö
Lead Sponsor
Skane University Hospital
Collaborating Sponsor
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit (in-person)
Duration - 5 days
Participants receive either Salovum or placebo egg yolk powder through a gastric feeding tube along with standard care for severe traumatic brain injury in the Neuro Intensive Care Unit.
Continuous care during hospital stay
Duration - Up to study completion
Participants are assessed for mortality and neurological outcome after the treatment period.
1 or more follow-up visits depending on recovery
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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https://pubmed.ncbi.nlm.nih.gov/25248325/Peter Siesjö
Lead Sponsor
Skane University Hospital
Collaborating Sponsor