Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06568536

Measuring Brain Complexity to Detect and Predict Recovery of Consciousness in the ICU

Led by Massachusetts General Hospital · Updated on 2025-05-15

120

Participants Needed

2

Research Sites

246 weeks

Total Duration

On this page

Sponsors

M

Massachusetts General Hospital

Lead Sponsor

N

National Institute of Neurological Disorders and Stroke (NINDS)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Disorders of consciousness (DoC) caused by severe brain injury affect millions of people worldwide each year. A patient's level of consciousness in the intensive care unit (ICU) significantly impacts the recovery from disability and is a primary determinant of family decisions about withdrawal of life-sustaining therapy (WLST). However, reliable assessment of consciousness in the ICU remains elusive. Transcranial magnetic stimulation-electroencephalography (TMS-EEG) is a tool that has shown the best performance in detecting signs of consciousness in patients with chronic DoC. The goals of this prospective, observational study are to demonstrate the diagnostic performance and prognostic utility of TMS-EEG in the ICU setting.

CONDITIONS

Official Title

Measuring Brain Complexity to Detect and Predict Recovery of Consciousness in the ICU

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age greater than or equal to 18
  • Functionally independent at baseline
  • Acquired brain injury within the last 28 days
  • Disorder of consciousness with no command following on two or more consecutive assessments
  • Continuous intravenous sedation that can be stopped for at least 10 minutes
  • ICU clinicians approve safe placement of a 64-electrode EEG cap on the scalp
Not Eligible

You will not qualify if you...

  • Status epilepticus or uncontrolled seizure disorder
  • No head CT scan from current hospital admission and contraindications for MRI such as implanted magnetic-sensitive metals in the head
  • Medical instability, restlessness, or other factors preventing safe participation or data quality
  • Hemicraniectomy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

2

UW Health University Hospital

Madison, Wisconsin, United States, 53792

Not Yet Recruiting

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Research Team

B

Brian L. Edlow, MD

CONTACT

M

Melanie Boly, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

DIAGNOSTIC

Number of Arms

1

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Measuring Brain Complexity to Detect and Predict Recovery of Consciousness in the ICU | DecenTrialz