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CTRI Number  CTRI/2019/01/017223 [Registered on: 24/01/2019] Trial Registered Prospectively
Last Modified On: 12/12/2019
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   Prediction of prognosis by GCS-Pupils score. 
Scientific Title of Study   Evaluation of the GCS-Pupils Score for prOgnosis in trauMatic brAin injury – The COMA Study  
Trial Acronym  COMA study 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Charu Mahajan 
Designation  Assistant Professor 
Affiliation  Dept. of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences (AIIMS) 
Address  Dept. of Neuroanaesthesiology and Critical Care, Neurosciences centre, All India Institute of Medical Sciences, New Delhi, India.

New Delhi
DELHI
110029
India 
Phone  91-7042132730  
Fax    
Email  charushrikul@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Charu Mahajan 
Designation  Assistant Professor 
Affiliation  Dept. of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New delhi. 
Address  Dept. of Neuroanaesthesiology and Critical Care, Neurosciences centre, All India Institute of Medical Sciences (AIIMS), New Delhi

New Delhi
DELHI
110029
India 
Phone  91-7042132730  
Fax    
Email  charushrikul@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Charu Mahajan 
Designation  Assistant Professor 
Affiliation  Dept. of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi. 
Address  Dept. of Neuroanaesthesiology and Critical Care, Neurosciences Centre, AIIMS, New Delhi, India.

New Delhi
DELHI
110029
India 
Phone  91-7042132730  
Fax    
Email  charushrikul@gmail.com  
 
Source of Monetary or Material Support  
AIIMS, New Delhi, INDIA 
 
Primary Sponsor  
Name  All India Institute of Medical Sciences  
Address  Dept of Neuroanaesthesiology and Critical Care, Neurosciences Centre, AIIMS, New Delhi, India. 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Charu Mahajan  All India Institute of Medical Sciences (AIIMS), New Delhi  Dept of Neuroanaesthesiology and Critical Care.
New Delhi
DELHI 
91-7042132730

charushrikul@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 8  
Name of Committee  Approval Status 
AIIMS Ethics Committee  Approved 
AIIMS, Rishikesh, Institute Ethics Committee  Approved 
Institute Ethics Committee, Lokmanya Tilak Muncipal Medical College and General Hospital  Approved 
NIMHANS ethics commitee  Approved 
PGIMER, Chandigarh, Institute Ethics Committee  Approved 
Sanjay Gandhi Postgraduate Institute of medical Sciences,Institutional Ethics Committee  Approved 
Sher-I-Kashmir Institute of Medical Sciences, Institutional Ethics Committee, Srinagar.   Approved 
SMS Medical College and attached Hospitals,Ethics Committee,Jaipur.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S062||Diffuse traumatic brain injury, (2) ICD-10 Condition: S063||Focal traumatic brain injury,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Adult patients (> 18 years) admitted to NICU within 12 hours of injury, following acute traumatic brain injury, penetrating or non-penetrating.  
 
ExclusionCriteria 
Details  Age <18 years, non-traumatic acute brain injury such as stroke and subarachnoid hemorrhage, patients having eye/orbital injury in whom pupillary response cannot be assessed and patients not admitted to NICU.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Glasgow outcome scale – extended (GOS-E) [at time of discharge from hospital and at 6 months post-injury]   Glasgow outcome scale – extended (GOS-E) [at time of discharge from hospital and at 6 months post-injury]  
 
Secondary Outcome  
Outcome  TimePoints 
None  none 
 
Target Sample Size   Total Sample Size="1650"
Sample Size from India="1650" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/02/2019 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   As the GCS-pupils score retains the simplicity of original GCS while expanding the information about the severity of patient’s clinical status, we aim to assess and evaluate the role of this score in prognostication of patients having traumatic head injury. Our objectives of this study are to 1. to assess in patients with traumatic head injury, the relationship between GCS-P and outcome at 6 months and 2. to assess in patients with traumatic head injury, the relationship between GCS and outcome at 6 months. All patients above 18 years of age, admitted to neurointensive care unit within 12 hours of traumatic brain injury,will be included in the study. GCS and GCS-P score at admission will be noted along with demographics, surgical and intensive care management data. At 6 months, Outcome as assessed by GOS-E will be correlated with GCS and GCS-P. 
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