Inflammatory Response After Muscle and Skeleton Trauma (IRAMST)

This study is currently recruiting participants. (see Contacts and Locations)
Verified December 2014 by University of Ulm
German Research Foundation
Information provided by (Responsible Party):
Manfred Weiss, University of Ulm Identifier:
First received: July 2, 2008
Last updated: December 22, 2014
Last verified: December 2014

The purpose of this study is to determine the inflammatory response after multiple trauma in humans.

Multiple Trauma

Study Type: Observational
Study Design: Observational Model: Case Control
Time Perspective: Prospective
Official Title: Inflammatory Response in Polytraumatized Patients

Resource links provided by NLM:

Further study details as provided by University of Ulm:

Primary Outcome Measures:
  • Inflammatory pattern of complement activation, biomarkers and complement-regulating proteins (CRegs)on leukocytes [ Time Frame: 0, 1, 4, 12, 24, 48, 96, 120 und 240 h after trauma ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • inflammatory biomarkers, cell surface markers, apoptosis, functional polymorphisms, mesenchymal stem cells, severity of injury (ISS), infections, SIRS, sepsis, shock, organ dysfunctions, severity of disease, ICU length of stay, wound healing, mortality [ Time Frame: 0, 1, 4, 12, 24, 48, 96, 120 und 240 h after trauma for biochemical and immunological parameters; ISS on admission; scores on a daily basis; ICU and hospital death on discharge ] [ Designated as safety issue: No ]

Biospecimen Retention:   Samples With DNA

Whole blood, serum, white cells, and tissues will be retained.

Estimated Enrollment: 90
Study Start Date: April 2009
Estimated Study Completion Date: December 2015
Estimated Primary Completion Date: October 2015 (Final data collection date for primary outcome measure)
A, 2
Polytraumatized patients with ISS > 18 and healthy controls

Detailed Description:

Polytraumatized patients are via a systemic inflammatory response syndrome at high risk for an uneventful outcome in the posttraumatic phase. One of the main functions of the inflammatory response is the recognition and elimination of damaged tissues and microorganisms. In polytraumatized patients, a huge amount of damaged cells occurs which has to be eliminated by programmed cell death (apoptosis)without damaging surrounding tissues. It remains unclear whether, when and how an interplay of complement system, NF-kB, danger and pattern recognition receptors, apoptosis, mesenchymal stem cells and their regulation may be beneficial and harmful. Differing activation of the complement system, pro-inflammatory biomarkers and predisposing polymorphisms of response and receptor genes are expected to lead to varying outcome. Therefore, this prospective observational study will enroll n=60 polytraumatized patients with an ISS>18 to monitor longitudinally their inflammatory response after trauma and to find out whether there is a discriminating pattern of the cross talk between complement system, biomarkers and apoptosis in patients with beneficial or harmful outcome.


Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population

Polytraumatized patients with an ISS > 18 Controls: healthy volunteers


Inclusion Criteria:

  • multiple trauma injury, injury severity score (ISS) > 18 with

    1. isolated fractures of the extremities
    2. fractures of the extremities combined with blunt/penetrating visceral trauma
    3. fractures of the extremities combined with blunt/penetrating thoracic trauma
    4. isolated head injury with morphological changes in CCT
    5. combination of points 1 - 4

      Exclusion Criteria:

  • life expectancy < 24 hours
  • participation in other trials
  • ISS < 18
  • cardiopulmonary reanimation on the accident scene or dying immediately after hospital admission
  • age < 18 years
  • known or suspected pregnancy
  • patients with ray-treatment or chemotherapy within the last three months
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00710411

Contact: Manfred M Weiss, MD, MBA +49 - (0)731-500-60226
Contact: Markus M Huber-Lang, MD +49 - (0)731-500-54569

Clinic of Anesthesiology and Clinic of Traumatology, Hand-, Plastic-, and Reconstructive Surgery Recruiting
Ulm, Germany, 89070
Contact: Manfred M Weiss, MD, MBA    +49-(0)731-500-60226   
Contact: Markus M Huber-Lang, MD    +49-(0)731-500-54569   
Principal Investigator: Markus M Huber-Lang, MD         
Sub-Investigator: Marion M Schneider, PhD         
Sub-Investigator: Florian F Gebhard, MD         
Sub-Investigator: Michael M Georgieff, MD         
Sub-Investigator: Heidemarie H Suger-Wiedeck, MD         
Sub-Investigator: Karl K Traeger, MD         
Sub-Investigator: Uwe U Senftleben, MD         
Sub-Investigator: Florian F Wagner, MD         
Sub-Investigator: Miriam M Kalbitz, MD         
Sub-Investigator: Mario M Perl, MD         
Sub-Investigator: Doris D Henne-Bruns, MD         
Principal Investigator: Ludger L Sunder-Plassmann, MD         
Sub-Investigator: Dieter D Woischnek, MD         
Sub-Investigator: Heiko H Reichel, MD         
Sub-Investigator: Rolf R Brenner, MD         
Sub-Investigator: Joerg J Fiedler, MD         
Sub-Investigator: Barbara B Acker         
Sponsors and Collaborators
University of Ulm
German Research Foundation
Principal Investigator: Manfred M Weiss, MD, MBA Clinic of Anesthesiology, University Hospital Medical School, Steinhoevelstrasse 9, 89070 Ulm, Germany
  More Information

No publications provided

Responsible Party: Manfred Weiss, Professor, MD, MBA, University of Ulm Identifier: NCT00710411     History of Changes
Other Study ID Numbers: DFG KFO-200
Study First Received: July 2, 2008
Last Updated: December 22, 2014
Health Authority: Germany: Federal Ministry of Education and Research

Keywords provided by University of Ulm:
inflammatory response
cell surface markers
functional polymorphisms
mesenchymal stem cell
severity of injury
systemic inflammatory response syndrome
severe sepsis
organ dysfunctions
severity of disease
length of stay
wound healing

Additional relevant MeSH terms:
Multiple Trauma
Wounds and Injuries processed this record on October 08, 2015