Hypothermia and Hemostasis After Cardiac Arrest

NCT ID: NCT02258360

Last Updated: 2016-03-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

82 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-28

Study Completion Date

2017-06-30

Brief Summary

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This is a sub-study to the Time-differentiated Therapeutic Hypothermia (TTH48, ClinicalTrials.gov Identifier: NCT01689077). TTH48 compares 24 with 48 hours of therapeutic hypothermia at a target temperature of 32-34°C in survivors of out-of-hospital cardiac arrest.

The overall aim of this sub-study is to examine the hemostasis in patients resuscitated after cardiac arrest and treated with 24 and 48 hours of therapeutic hypothermia

Our specific aims are:

* To investigate the whole blood coagulation using the rotational thromboelastometry.
* To investigate the function of platelets

Detailed Description

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Conditions

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Hypothermia Heart Arrest Hemostasis Coagulants

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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24 hours hypothermia

Therapeutic hypothermia for 24 hours after reaching target temperature

Group Type ACTIVE_COMPARATOR

Therapeutic hypothermia

Intervention Type OTHER

Therapeutic hypothermia with a target temperature between 32-34°C.

48 hours hypothermia

Therapeutic hypothermia for 48 hours after reaching target temperature

Group Type EXPERIMENTAL

Therapeutic hypothermia

Intervention Type OTHER

Therapeutic hypothermia with a target temperature between 32-34°C.

Interventions

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Therapeutic hypothermia

Therapeutic hypothermia with a target temperature between 32-34°C.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Out of hospital cardiac arrest of presumed cardiac cause
* Return of spontaneous circulation (ROSC)
* Glasgow Coma Score \< 8
* Age \> 18 years and \< 80 years

Exclusion Criteria

* \> 60 minutes from the circulatory collapse to ROSC
* Time interval \> 4 hours from cardiac arrest to initiation of therapeutic hypothermia
* Terminal illness
* Coagulation disorder
* Unwitnessed asystolia
* Cerebral performance category 3-4 before the cardiac arrest
* Severe persistent cardiogenic shock
* Pregnancy
* Persistent cardiogenic shock (systolic blood pressure \< 80 despite inotropic treatment)
* New apoplexy or intracerebral hemorrhage
* Lack of consent from the relatives
* Lack of consent from the GP
* Lack of consent from the patient if he/she wakes up and is relevant
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anni Norgaard Jeppesen, MD

Role: PRINCIPAL_INVESTIGATOR

Research Center of Emergency Medicine and Department of Anesthesiology and Intensive Care Medicine

Locations

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Dept of Anesthesiology and Intensive Care and Dept of Clinical Biochemistry, Aarhus University Hospital, Skejby

Aarhus, Aarhus N, Denmark

Site Status

Countries

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Denmark

References

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Jeppesen AN, Duez C, Kirkegaard H, Grejs AM, Hvas AM. Fibrinolysis in Cardiac Arrest Patients Treated with Hypothermia. Ther Hypothermia Temp Manag. 2023 Sep;13(3):112-119. doi: 10.1089/ther.2022.0037. Epub 2022 Dec 6.

Reference Type DERIVED
PMID: 36473198 (View on PubMed)

Jeppesen AN, Hvas AM, Duez CHV, Grejs AM, Ilkjaer S, Kirkegaard H. Prolonged targeted temperature management compromises thrombin generation: A randomised clinical trial. Resuscitation. 2017 Sep;118:126-132. doi: 10.1016/j.resuscitation.2017.06.004. Epub 2017 Jun 7.

Reference Type DERIVED
PMID: 28602694 (View on PubMed)

Other Identifiers

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PROID7005

Identifier Type: -

Identifier Source: org_study_id

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