Status:

SUSPENDED

CaffeinICU Study - A Study on Oral Caffeine in ICU Patients With Coma

Lead Sponsor:

Singapore General Hospital

Collaborating Sponsors:

Sengkang General Hospital

Conditions:

Depressed GCS

Eligibility:

All Genders

21-130 years

Phase:

PHASE2

Brief Summary

Background: Depressed Glasgow Coma Scale (GCS) is common among critically ill patient s in the intensive care unit (ICU). It is one of the main reasons that hampers liberation from mechanical ventila...

Detailed Description

Depressed Glasgow Coma Scale (GCS) is common among critically ill patients in the intensive care unit (ICU). It is one of the main reasons that hampers liberation from mechanical ventilation among ICU...

Eligibility Criteria

Inclusion

  • Adult patients (≥ 21 years old),
  • Patients with encephalopathy (GCS ≤ 8) limiting extubation, where encephalopathy is deemed by clinician to be unresponsive to treatment or not eligible for treatment to reverse the encephalopathy (eg. transplantation) or if no treatment exists, and
  • Patients who are not planned for any surgical procedures within 24 hours
  • Patients who are not on sedative agents for at least 24 hours (exception for low dose fentanyl of up to 30mcg/h and dexmedetomidine of up to 0.5mcg/kg/h for analgesia/sedation/tube tolerance)
  • For patients with primary CNS lesions, neurologist or neurosurgeon approval will be obtained prior to recruitment.

Exclusion

  • Known allergy or adverse reactions from caffeine,
  • Pregnant women,
  • Breast-feeding women,
  • Patients with uncontrolled cardiac arrhythmias,
  • Patients with uncontrolled hypertension,
  • Patients with hyperactive delirium,
  • Patients with chronic kidney disease (CKD, any stage) who received midazolam or morphine infusion during their ICU stay,
  • Patients who received barbiturate coma,
  • Patients who are on theophylline, aminophylline or psychotropic agents at the point of screening for recruitment,
  • Patients with feed intolerant, short bowel syndrome, or
  • Patients with active seizures

Key Trial Info

Start Date :

November 24 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 31 2025

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT05232734

Start Date

November 24 2022

End Date

December 31 2025

Last Update

June 27 2024

Active Locations (1)

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Singapore General Hospital

Singapore, Singapore, 169608