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Cooling the brain through the nose: new device tested for ICU fever
NCT ID NCT06038513
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a device called CoolStat that is placed in the nose to cool down brain-injured patients with fever in the ICU. The goal was to see if it could safely and quickly bring their temperature to normal. Only 9 patients were enrolled before the study was stopped early, so we have very limited information on how well it works.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- transnasal thermal regulating device (CoolStat)
- What this could lead to
- If it works, this device could offer a new way to quickly lower fever in ICU patients with brain injuries, potentially reducing complications.
- What could go wrong
- The trial was terminated early with only 9 participants, so results are very limited. The device may cause shivering or not work better than standard cooling methods.
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
-
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
-
9 people
The number who actually took part.
- Started
-
Nov 2023
- Finished
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Nov 2025
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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 85 years
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Admitted to an Intensive Care Unit for a planned stay of at least 24 hours with a diagnosis of ischemic or hemorrhagic stroke, seizure, or metabolic encephalopathy. 2. Ages 18-85 years, inclusive. 3. Patient has fever ≥ 38.3°C and ≤ 38.9°C at the time of treatment initiation. 4. Patient is orally intubated or has tracheostomy tube and is mechanically ventilated. 5. Glasgow Coma Scale score of 3-11, inclusive. 6. Must have informed consent from the patient or the legally authorized representative (LAR) making decisions for the patient. Exclusion Criteria: 1. Intubation is contraindicated. 2. Weight of ≤ 100lb or ≥ 250lb. 3. Active/ongoing epistaxis. 4. Known or suspected pregnancy. 5. Participation in another ongoing investigational study. 6. Prisoners and/or patients for whom no LAR is available. 7. Patient is in airborne/droplet disease isolation protocol. 8. Patient is or suspected to be immunocompromised. 9. Nasal septal deviations (per standard of care CT scan; any degree). 10. Chronic rhinosinusitis. 11. Traumatic brain injury. 12. Prior skull-base surgery. 13. Penetrating cranial trauma. 14. Recent nasal trauma or anterior base skull fracture. 15. Any condition for which transnasal air flow would be contraindicated. 16. Refractory hypoxemia (partial pressure of oxygen in arterial blood (paO2) below 60 torr or oxyhemoglobin saturation below 90% despite endotracheal intubation, mechanical ventilation, and provision of supplemental oxygen of up to 0.60). 17. Refractory hypercarbia (partial pressure of carbon dioxide in arterial blood (paCO2) above 50 torr despite endotracheal intubation and conventional mechanical ventilation).
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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
-
University of Maryland Medical Center
Baltimore, Maryland, 21201, United States
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