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Administration of Vasopressin and Methylprednisolone to Improve Survival Following In-Hospital Cardiac Arrest

Phase 1
Conditions
The study will include patients with in-hospital cardiac arrest (IHCA). The study will test whether treatment with methylprednisolone and vasopressin added to standard care will improve survival following IHCA. The study is a multicenter, double-blind, placebo-controlled trial.
MedDRA version: 20.0Level: PTClassification code 10007515Term: Cardiac arrestSystem Organ Class: 10007541 - Cardiac disorders
Therapeutic area: Diseases [C] - Cardiovascular Diseases [C14]
Registration Number
EUCTR2017-004773-13-DK
Lead Sponsor
Research Center for Emergency Medicine Department of Clinical Medicine Aarhus University
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
501
Inclusion Criteria

1) In-hosptial cardiac arrest
2) Age = 18 years
3) Received at least one dose of adrenaline during CPR

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 170
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 322

Exclusion Criteria

1) Clearly documented do-not-resuscitate” order prior to the cardiac arrest
2) Prior enrollment in the trial
3) Invasive mechanical circulatory support at the time of the cardiac arrest
4) Known or suspected pregnancy at the time of the In-hosptial cardiac arrest

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: The primary objective of the study is to determine whether the combination of vasopressin and methylprednisolone, as compared to placebo, when administered during IHCA, will increase return of spontaneous circulation. ;Secondary Objective: To determine whether the combination of vasopressin and methylprednisolone, as compared to placebo, administered during IHCA will increase survival at 30 days and survival at 30 days with a favorable neurological outcome (cerebral performance category score 1 or 2) ;Primary end point(s): The primary outcome will be ROSC. ROSC will be defined as spontaneous circulation with no further need for chest compressions sustained for at least 20 minutes. ;Timepoint(s) of evaluation of this end point: The endpoint is evaluated during ongoing cardiopulmonary resuscitation
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): The key secondary outcomes will be survival at 30 days and survival at 30 days with a favorable neurological outcome. A favorable neurological outcome will be defined as a CPC score of 1 or 2. ;Timepoint(s) of evaluation of this end point: 30 days after the cardiac arrest
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