Could a single dose of valproic acid help heal the brain after injury?
NCT ID NCT07166393
First seen Jun 26, 2026 · Last updated Aug 14, 2026 · Updated 2 times
Summary
This study tests whether a single dose of valproic acid, given soon after a moderate to severe traumatic brain injury, can improve patients' recovery and reduce disability. About 432 adults aged 18 to 65 will be randomly assigned to receive either valproic acid (at a low or high dose) or a placebo, alongside standard care. The main goal is to see if the drug leads to better outcomes on a scale that measures recovery from death to full independence.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- valproic acid
- What this could lead to
- If it works, this could point toward a simple, one-dose treatment to improve recovery and reduce disability after a traumatic brain injury.
- What could go wrong
- This is an early-to-mid stage trial, so the drug may not prove effective. Valproic acid also has known side effects, including liver problems and bleeding risk, which could limit its use.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 432 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2027
An estimate. Start dates often move.
- Expected to finish
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Dec 2031
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. Male or female between the ages of 18 and 65 years. 2. Body Mass Index between 18 kg/m2 and 35 kg/m2. 3. Females must be surgically sterilized, postmenopausal, or have a negative urine pregnancy test. 4. Moderate to severe TBI: Glasgow Coma Scale (GCS) 3-12. 5. Cerebral trauma confirmed on the initial CT scan with radiographic findings consistent with Brain Injury Guidelines category 3 (BIG 3) criteria Exclusion Criteria: 1. Persons with known history of adverse reactions to VPA 2. Persons with known history of hepatitis B or C or clinical history of hepatic dysfunction, pancreatitis, or renal insufficiency. 3. Persons with a known history of thrombocytopenia. 4. Persons with platelet count less than 100,000 per microliter of blood. 5. Persons with 2nd or 3rd degree burns of any size and location. 6. Female subjects who are pregnant or lactating. 7. Persons who are currently incarcerated or are in police custody. 8. Persons with inadequate venous access. 9. Treatment cannot start within 120 minutes from the onset of injury 10. Non-survivable injuries in the estimation of the attending trauma surgeon. 11. Interfacility transfers 12. The time of injury is unknown 13. Patients in hemorrhagic shock with a systolic blood pressure of \<90 mmHg on initial evaluation. 14. Persons with a known "do not resuscitate" order prior to randomization 15. Persons with a research "opt out" bracelet 16. Persons who are currently enrolled in another clinical trial. 17. Greater than 90 minutes between the onset of injury and arrival to the hospital
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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 places running it
8 sites. The list below names each one and where it is.
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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.
Contacts and locations
Locations
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Oregon Health & Science University
Portland, Oregon, 97239, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35294, United States
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University of Arizona
Tucson, Arizona, 85719-4824, United States
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University of California, Davis
Sacramento, California, 95817, United States
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University of Southern California
Los Angeles, California, 90089-0701, United States
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University of Texas Southwestern
Dallas, Texas, 75390, United States
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Vanderbilt University Medical Center
Nashville, Tennessee, 37232, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can brainwave and blood flow data forecast who wakes after a severe brain injury?
- Ear-Clip nerve zaps may wake hidden awareness after brain injury
- Gut-Brain link after severe head injury: a new clue to preventing further damage
- Could a 'robotic cough' stop deadly pneumonia in ICU patients?
- Can keeping fluid levels neutral help brain injury patients?
- Brain scans reveal dopamine disruption in coma patients