Can a common sedative shield the brain after injury?
NCT ID NCT07807579
First seen Sep 08, 2026 · Last updated Sep 09, 2026 · Updated 1 time
Summary
This trial tests whether dexmedetomidine or propofol, two sedatives used in intensive care, better controls pressure inside the skull after a traumatic brain injury. Researchers will measure pressure indirectly using ultrasound of the optic nerve sheath and check blood levels of a marker of oxidative stress. The study includes adults aged 18 to 65 with moderate to severe brain injury who need breathing support and sedation for more than a day. The goal is to see which drug offers stronger neuroprotection, not just sedation.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dexmedetomidine and propofol
- What this could lead to
- If one drug proves better at controlling brain pressure and reducing oxidative damage, it could become the preferred sedative for traumatic brain injury patients, potentially improving recovery outcomes.
- What could go wrong
- This is a single-center trial with 80 participants, so results may not apply broadly. The study measures indirect markers like optic nerve sheath diameter and blood MDA levels, which may not fully reflect actual brain protection.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 80 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patients aged between 18 and 65 years. 2. Both genders. 3. Moderate to severe traumatic brain injury with Glasgow coma scale scores between 4 and 12 on admission, with no need for surgical operations. 4. Requiring mechanical ventilation and continuous sedation for more than 24 hours. Exclusion Criteria: 1. History of severe hepatic or renal failure. 2. Known hypersensitivity to propofol or dexmedetomidine. 3. Pre-existing severe bradycardia (heart rate less than 50 bpm) or advanced heart block. 4. Confirmed brain death or moribund patients. 5. Pregnancy or lactation. 6. Preexisting neurological disease affecting GCS interpretation. 7. General anesthesia 24 hours prior to or planned after the start of study drug infusion. 8. Serious central nervous system pathology (acute stroke, severe dementia, uncontrolled seizures). 9. Patients with compromised cardiac diseases or heart block. 10. Any patients with ocular trauma, orbital fractures, glaucoma, or history of optic nerve disease.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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