Could letting fever run its course help brain injury patients?
NCT ID NCT07709325
First seen Jul 16, 2026 · Last updated Jul 17, 2026 · Updated 1 time
Summary
This pilot study explores whether it is safe and practical to allow body temperature to rise to 39.5°C (permissive hyperthermia) in critically ill patients with severe brain injury, instead of aggressively treating fever. Twenty patients on ventilators with brain monitoring will be placed in one of two groups: one where fever is kept below 37.5°C, and one where fever is allowed up to 39.5°C. The goal is to see if working with the body's natural fever response is feasible without raising brain pressure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Allowing body temperature up to 39.5°C (permissive hyperthermia) versus standard fever control below 37.5°C
- What this could lead to
- If safe, this approach could change how fever is managed in brain injury, potentially reducing the need for aggressive cooling.
- What could go wrong
- This is a very small pilot study (20 people) testing feasibility only, not effectiveness. Allowing higher temperature might increase brain pressure or cause harm.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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20 people
The number who actually took part.
- Started
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Apr 2026
- Expected to finish
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Feb 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 years and older
- 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: * Severe acute brain injury. * Requirement for: Mechanical ventilation Sedation Intracranial pressure (ICP) monitoring Exclusion Criteria: * Pregnancy * Moribund patients or patients in whom withdrawal of active treatment is anticipated
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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.
Contacts and locations
Locations
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Neurointensiv care
Odense C, 5000, Denmark
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