E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
chronic subdural hematoma |
hématome sous-dural chronique |
|
E.1.1.1 | Medical condition in easily understood language |
chronic subdural hematoma |
hématome sous-dural chronique |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 18.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10049163 |
E.1.2 | Term | Chronic subdural hematoma |
E.1.2 | System Organ Class | 100000004863 |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
show that a treatment with methylprednisolone can decrease the need for surgical treatment in patients with chronic subdural hematoma without clinical or radiological signs of severity |
évaluer l’efficacité du traitement par corticoïdes chez des patients ayant un hématome sous-dural chronique sans facteurs de gravité cliniques ou radiologiques |
|
E.2.2 | Secondary objectives of the trial |
assess the effect of methylprednisolone on :
-quality of life evolution
-morbidity and mortality
-radiological evolution of the lesions
|
évaluer l’effet du traitement par corticoïdes sur :
-la qualité de vie
-la morbi-mortalité
-l’efficacité radiologique |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
-Age ≥ 18 years old
-With chronic or subacute, uni- or bilateral subdural hematoma
-Confirmed by cerebral CT scan without contrast enhancement
-Without clinical and radiological signs of severity
-Written informed consent from patients or thier next of kin |
-Age > 18 ans
-Avec un hématome sous-dural chronique ou subaigu, uni ou bilatéral
-Confirmé par un scanner cérébral sans prise de contraste
-Sans signes cliniques et radiologiques de gravité
-Consentement libre et éclairé par écrit par le patient ou par un membre de la famille / une personne de confiance |
|
E.4 | Principal exclusion criteria |
-Contraindication for methylprednisolone
-Previous surgery for chronic subdural hematoma during the past 6 months
-Pre-existing severe dementia
-Existing neurological pathology that can be associated with dementia
-Patients treated with corticosteroids
-Adults legally protected (under judicial protection, guardianship or supervision), persons deprived of their liberty |
-Contre-indication à la méthylprednisolone
-Chirurgie pour un hématome sous-dural chronique au cours des 6 derniers mois
-Démence sévère
-Pathologie neurologique existante pouvant être associée à la démence
-Traitement par corticoïdes
-Personne majeure faisant l’objet d’une protection légale (sauvegarde de justice, curatelle, tutelle), personne privée de liberté |
|
E.5 End points |
E.5.1 | Primary end point(s) |
rate of surgical treatment of the chronic subdural hematoma |
taux de recours à la chirurgie de l’hématome sous-dural chronique |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
-Quality of life assessed by the SF 12 scale
-Time to surgical treatment
-Functional scales : daily living, cognitive and modified Rankin Scale
-Plasma sodium, potassium and fasting glucose
-Occurrence of adverse events potentially related to methylprednisolone
-Survival
-Radiological improvement defined by reduction of maximal thickness of hematoma and reduction of midline shift evaluated |
-Qualité de vie évaluée par l'échelle SF 12
-Temps de traitement chirurgical
-Échelles fonctionnelles : vie quotidienne (AIJD), cognitives (MMSE) et échelle de Rankin modifiée
-Sodium, potassium et glycémie à jeun
-Survenue d'événements indésirables potentiellement liés à la méthylprednisolone
-Survie
-Amélioration radiologique définie par la réduction de l'épaisseur maximale de l'hématome et la réduction de la ligne médiane |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
-Quality of life assessed by the SF 12 scale at 1, 3 and 6 months
-Time to surgical treatment at 6 months
-Functional scales at 1, 3 and 6 months
-Plasma sodium, potassium and fasting glucose at day 0, 7, 14, and 21 and at 1 month
-Occurrence of adverse events potentially related to methylprednisolone at 6 months
-Survival at 6 months
-Radiological improvement at 1, 3 and 6 months |
-Qualité de vie évaluée par l'échelle SF 12 à 1, 3 et 6 mois
-Temps pour recourir à un traitement chirurgical au cours des 6 premiers mois
-Échelles fonctionnelles : vie quotidienne (AIJD), cognitives (MMSE) et échelle de Rankin modifiée à 1, 3 et 6 mois
-Sodium, potassium et glycémie à jeun aux jours 0, 7, 14, et 21 et à 1 mois
-Survenue d'événements indésirables potentiellement liés à la méthylprednisolone à 6 mois
-Survie à 6 mois
-Amélioration radiologique à 1, 3 et 6 mois |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 19 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
LVLS |
dernière visite du dernier patient |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |