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PEARLAugmented Reality Assisted Ventricular Drain Placement Clinical Trial

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Study Aim

This study uses augmented reality to assist with ventricular drain placement and evaluates the success of the procedure and rate of complications.

What is being tested

EVD placement - image-guidance assisted

+ EVD placement - AR assisted

Device
Who is being recruted

Brain Injuries, Traumatic+12

+ Brain Diseases

+ Brain Injuries

Over 18 Years
See all eligibility criteria
How is the trial designed

Treatment Study

Interventional
Study Start: July 2025
See protocol details

Summary

Principal SponsorThe Cooper Health System
Study ContactCorey Mossop, MD
Last updated: December 11, 2025
Sourced from a government-validated database.Claim as a partner

Study start date: July 1, 2025

Actual date on which the first participant was enrolled.

This clinical trial is exploring a new way to place medical tubes called external ventricular drains (EVDs) in adults who have had a serious brain injury or bleeding in the brain. Typically, EVDs are placed using imaging guidance to ensure they are positioned correctly, but this study is testing if using augmented reality technology can work just as well. This is important as augmented reality might make the procedure easier or quicker, which could improve patient care and outcomes. Participants in the study will undergo EVD placement using either standard image-guidance techniques or innovative augmented reality devices. The goal is to see if the augmented reality method matches the traditional method in terms of safety and effectiveness. By comparing the two methods, researchers hope to determine if augmented reality can be a reliable alternative, potentially offering a new option for medical professionals in treating brain injuries and bleeding.

Official TitlePlacing External Ventricular Drains Using Assistive Augmented Reality or Image-Based Localization: A Randomized Controlled Clinical Trial (PEARL) 
Principal SponsorThe Cooper Health System
Study ContactCorey Mossop, MD
Last updated: December 11, 2025
Sourced from a government-validated database.Claim as a partner

Protocol

This section provides details of the study plan, including how the study is designed and what the study is measuring.
Design Details

50 patients to be enrolled

Total number of participants that the clinical trial aims to recruit.

Treatment Study

These studies test new ways to treat a disease, condition, or health issue. The goal is to see if a new drug, therapy, or approach works better or has fewer side effects than existing options.



Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Conditions
Criteria

Any sex

Biological sex of participants that are eligible to enroll.

Over 18 Years

Range of ages for which participants are eligible to join.

Healthy volunteers not allowed

If individuals who are healthy and do not have the condition being studied can participate.

Conditions

Pathology

Brain Injuries, TraumaticBrain DiseasesBrain InjuriesCardiovascular DiseasesCentral Nervous System DiseasesCerebral HemorrhageCerebrovascular DisordersCraniocerebral TraumaHemorrhageNervous System DiseasesPathologic ProcessesVascular DiseasesWounds and InjuriesTrauma, Nervous SystemIntracranial Hemorrhages

Criteria

Inclusion Criteria: * adult patient at time of screening * diagnosis of spontaneous ICH with IVH with severe TBI * Meet one or more of the following clinical or radiographic criteria: Tissue swelling on imaging Dysmorphic ventricles on imaging Midline shift \>2mm on imaging Mass effect on imaging Evans Index \<0.3 on imaging Glasgow Coma Scale 3-8 * admitted to Cooper University Health * requires an EVD Exclusion Criteria: * Other concomitant intracranial pathology (e.g., tumor, tumor-related edema/hemorrhage, congenital condition, etc.) * Concurrent participation in another research protocol for investigation of an experimental therapy * Known or suspected inability to adhere to study protocol or protocol requirements, as per the discretion of the investigator

Study Plan

Find out more about all the medication administered in this study, their detailed description and what they involve.
Treatment Groups
Study Objectives

2 intervention groups are designated in this study

This study does not include a placebo group 

Treatment Groups

Group I

Active Comparator
Placement of EVDs using Stealth image-guidance

Group II

Experimental
Placement of EVDs using augmented reality device

Study Objectives

Primary Objectives

Secondary Objectives

Study Centers

These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.

This study has 1 location

Suspended

Cooper University Health

Camden, United StatesSee the location
Recruiting soonOne Study Center