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FeverPhase 4NCT00751634

Temperature Control in Central Fever in the Neuro-ICU

A Phase 4 study testing Gaymar Rapr-Round (external cooling blanket) in people with Fever and Brain Hemorrhage, run by Northwestern University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

There are few treatments for central fever (fever that is due to the central nervous system, as opposed to an infectious source). We hypothesize that an externally applied cooling blanket will reduce temperature in neurologically ill patients with central fever. Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Fever, Brain Hemorrhage
What is being tested?
Gaymar Rapr-Round (external cooling blanket)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteUnited States
Study dates
Jan 2009to Jan 2011
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Two or more days with core temperature ≥ 100.4F
  • Approval of the patient's primary attending physician
  • Need for core temperature measurement independent of the study.
  • Admission to the Neuro-ICU [intensive care unit] for an underlying condition

Who cannot join

  • Evidence for an infectious cause of fever, such as pneumonia, bacteremia, CNS [central nervous system] infection or urinary tract infection.
  • Expected death from any cause
  • Known sensitivity to the device
  • History of pre-admission hypothalamic dysfunction or known temperature dysregulation
  • Use of 2 or more vasopressor medications, since this may make a local skin reaction to the device more likely
  • Hemodynamic instability

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Northwestern Memorial Hospital

    Chicago, Illinois, 60611

Other trials in United States

About this study

There are few treatments for central fever (fever that is due to the central nervous system, as opposed to an infectious source). We hypothesize that an externally applied cooling blanket will reduce temperature in neurologically ill patients with central fever.

Being tested
Gaymar Rapr-Round (external cooling blanket)
Keywords
subarachnoid hemorrhage, intracerebral hemorrhage, fever
Medical subject headings
Fever, Intracranial Hemorrhages, Subarachnoid Hemorrhage, Cerebral Hemorrhage

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Gaymar Rapr-Round (external cooling blanket)Device

    Application of the device per its approved labeling

Study groups in NCT00751634
Study groupRoleWhat they receive
AExperimentalApplication of the Gaymar Rapr-Round device per approved use
Receives: Device: Gaymar Rapr-Round (external cooling blanket)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Core Temperature as Measured With an Approved Device (Urinary Catheter) in Place for Usual Clinical Care

    Core temperature (in degrees Fahrenheit, F) throughout the study period. The cooling blanket was in place throughout the study period unless severe shivering led to termination per protocol.

    Measured: baseline, one, two and six hours after application.

Secondary outcomes (4)
  1. Time From Start of Cooling Device to Core Temperature < 100.4F

    For all patients, the time until the core temperature (measured with a urinary catheter in place for usual clinical care) was <100.4F

    Measured: Six hours

  2. Number of Participants With Severe Shivering

    Severe shivering as measured by the bedside shivering assessment scale: 0 None: no shivering noted on palpation of the masseter, neck, or chest wall

    1. Mild: shivering localized to the neck and/or thorax only
    2. Moderate: shivering involves gross movement of the upper extremities (in addition to neck and thorax)
    3. Severe: shivering involves gross movements of the trunk and upper and lower extremities

    Measured: six hours

  3. Number of Participants With Hypotension

    New systolic blood pressure < 100 mm Hg, or new vasopressor use during study period

    Measured: six hours

  4. Number of Participants With Arrhythmia

    New ventricular tachycardia, ventricular fibrillation, atrial fibrillation or other unstable cardiac rhythm

    Measured: Six hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Sep 2008 (estimated)
  2. Study startJan 2009
  3. Primary completionJan 2011
  4. Study completionJan 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00751634
Sponsor's protocol ID
1507-009
Status last verified
Apr 2013
First submitted
10 Sep 2008
Last updated
6 May 2013
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Gaymar Rapr-Round (external cooling blanket) in people with Fever and Brain Hemorrhage, run by Northwestern University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 May 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Apr 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Core Temperature as Measured With an Approved Device (Urinary Catheter) in Place for Usual Clinical Care (time frame: baseline, one, two and six hours after application.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 May 2013.

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