FFP In Traumatic BRAin INjury (FIT-BRAIN) Trial

FFP In Traumatic BRAin INjury (FIT-BRAIN) Trial

The goal of this clinical trial is to learn about treatment with fresh frozen plasma (FFP) in individuals with moderate to severe traumatic brain injury. The two main question[s] it aims to answer are:

  1. Is the FFP treatment safe?
  2. Does the FFP treatment impact the 24-hour, 3-month and 6-month outcomes, intensive-care free days, mortality, and hospital brain and physical function at discharge. Patients with moderate to severe TBI will randomly receive either:
    1. Standard of care treatment
    2. Standard of care treatment + 2 units of FFP. Researchers will compare participants receiving standard of care treatment to those receiving experimental fresh frozen plasma (FFP) treatment to see if the FFP is safe and beneficial to participant outcomes.

The two units of fresh frozen plasma will consist of 400-500 ml. The 24-hour, 3-month and 6-month outcome measures include hemorrhagic progression of contusion (HPC) measured on 24-hour follow-up CT scan, the Disability Rating Score (DRS), 24-hour Glasgow Coma Scale (GCS) and the 3-month and 6-month Extended Glasgow Outcome Score (GOS-E).

A third sub aim of the trial is to establish peripheral blood biomarkers, and radiographic features on the initial cross- sectional imaging, that could identify the optimal target population and predict the response to treatment.

Public Health Relevance:

Traumatic Brain Injury (TBI) affects > 2 million individuals in the US annually with a economic burden of >$80 billion. This study seeks to mitigate the effects of TBI-related hemorrhage through transfusion of fresh frozen plasma (FFP). The FFP In Traumatic BRAin INjury (FIT-BRAIN) Trial will determine the safety and efficacy of plasma transfusion in improving TBI outcomes.