Transnasal Induction of Normothermia for Neurogenic Fever
Study Details
Study Description
Brief Summary
The objective of this study is to evaluate the efficacy of the COOLSTAT® Transnasal Thermal Regulating Device in reducing temperature in a population of febrile subjects who meet the inclusion/exclusion criteria.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Transnasal Thermal Regulating Device Consented subjects who develop fever will undergo cooling via transnasal thermal regulating device for a period of 24 hours |
Device: Transnasal Thermal Regulating Device
Placement of transnasal thermal regulating device to reduce temperature in febrile patients for a period of 24 hours
Other Names:
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Outcome Measures
Primary Outcome Measures
- Time to achieve normothermia (≤37.5°C) [24 hours]
To evaluate the efficacy of the COOLSTAT® in reducing temperature in a population of febrile subjects who meet the inclusion/exclusion criteria.
Secondary Outcome Measures
- Temperature burden above 37.5°C (°C*hours) during the 24-hour cooling period [24 hours]
To evaluate the efficacy of the COOLSTAT® in maintaining normothermia over a 24-hour cooling period
- Incidence of shivering during cooling period [24 hours]
To assess the frequency of shivering incidents caused by the CoolStat device.
- Number of shivering interventions per patient [24 hours]
To assess the frequency shivering interventions caused by the CoolStat device.
- Incidence of adverse events. [24 hours]
To evaluate the safety of the CoolStat device.
Eligibility Criteria
Criteria
Inclusion Criteria:
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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.
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Ages 18-85 years, inclusive.
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Patient has fever ≥ 38.3°C and ≤ 38.9°C at the time of treatment initiation.
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Patient is orally intubated or has tracheostomy tube and is mechanically ventilated.
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Glasgow Coma Scale score of 3-11, inclusive.
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Must have informed consent from the patient or the legally authorized representative (LAR) making decisions for the patient.
Exclusion Criteria:
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Intubation is contraindicated.
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Weight of ≤ 100lb or ≥ 250lb.
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Active/ongoing epistaxis.
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Known or suspected pregnancy.
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Participation in another ongoing investigational study.
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Prisoners and/or patients for whom no LAR is available.
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Patient is in airborne/droplet disease isolation protocol.
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Patient is or suspected to be immunocompromised.
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Nasal septal deviations (per standard of care CT scan; any degree).
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Chronic rhinosinusitis.
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Traumatic brain injury.
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Prior skull-base surgery.
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Penetrating cranial trauma.
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Recent nasal trauma or anterior base skull fracture.
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Any condition for which transnasal air flow would be contraindicated.
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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).
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Refractory hypercarbia (partial pressure of carbon dioxide in arterial blood (paCO2) above 50 torr despite endotracheal intubation and conventional mechanical ventilation).
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of Maryland Medical Center | Baltimore | Maryland | United States | 21201 |
Sponsors and Collaborators
- CoolTech LLC
- Maryland Industrial Partnerships
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- COT-002