Trial Outcomes & Findings for Amantadine to Speed Awakening After Cardiac Arrest (NCT NCT02486211)

NCT ID: NCT02486211

Last Updated: 2019-12-04

Results Overview

Defined as the ability to follow commands (i.e. "wiggle your toes" "open your eyes" "squeeze my fingers". This corresponds to a Full Outline of Unresponsiveness motor score of 4. FOUR (full outline of unresponsiveness) measures the following: Eye Response, Motor Response, Brainstem Reflexes, and Respirations.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

14 participants

Primary outcome timeframe

up to 28 days

Results posted on

2019-12-04

Participant Flow

Participant milestones

Participant milestones
Measure
Amantadine
100mg Amantadine administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Amantadine: 100mg twice per day for 7 days at 0600 and 1200
Placebo
Placebo medication administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Placebo: Placebo comparator
Overall Study
STARTED
7
7
Overall Study
COMPLETED
6
7
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Amantadine to Speed Awakening After Cardiac Arrest

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=7 Participants
Placebo medication administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Placebo: Placebo comparator
Amantadine
n=7 Participants
100mg Amantadine administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Amantadine: 100mg BID for 7 days at 0600 and 1200
Total
n=14 Participants
Total of all reporting groups
Age, Continuous
55 years
STANDARD_DEVIATION 9 • n=5 Participants
54 years
STANDARD_DEVIATION 16 • n=7 Participants
55 years
STANDARD_DEVIATION 13 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
6 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
7 participants
n=5 Participants
7 participants
n=7 Participants
14 participants
n=5 Participants

PRIMARY outcome

Timeframe: up to 28 days

Defined as the ability to follow commands (i.e. "wiggle your toes" "open your eyes" "squeeze my fingers". This corresponds to a Full Outline of Unresponsiveness motor score of 4. FOUR (full outline of unresponsiveness) measures the following: Eye Response, Motor Response, Brainstem Reflexes, and Respirations.

Outcome measures

Outcome measures
Measure
Amantadine
n=7 Participants
100mg Amantadine administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Amantadine: 100mg twice per day for 7 days at 0600 and 1200
Placebo
n=7 Participants
Placebo medication administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Placebo: Placebo comparator
Rate of Awakening (Number of Patients Who Are Able to Follow Commands)
2 Participants
2 Participants

SECONDARY outcome

Timeframe: up to 28 days

Defined as the time from enrollment to awakening

Outcome measures

Outcome measures
Measure
Amantadine
n=2 Participants
100mg Amantadine administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Amantadine: 100mg twice per day for 7 days at 0600 and 1200
Placebo
n=2 Participants
Placebo medication administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Placebo: Placebo comparator
Time to Awakening
4 days
Interval 4.0 to 4.0
8 days
Interval 2.0 to 14.0

SECONDARY outcome

Timeframe: during study drug administration (7 days)

detected by EEG monitoring with or without clinical correlate

Outcome measures

Outcome measures
Measure
Amantadine
n=7 Participants
100mg Amantadine administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Amantadine: 100mg twice per day for 7 days at 0600 and 1200
Placebo
n=7 Participants
Placebo medication administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Placebo: Placebo comparator
Seizures (Number of Patients Who Experience Seizures as Detected by EEG Monitoring With or Without Clinical Correlate)
0 Participants
2 Participants

SECONDARY outcome

Timeframe: during study drug administration (7 days)

nausea requiring antiemetic medications or clinical vomiting

Outcome measures

Outcome measures
Measure
Amantadine
n=7 Participants
100mg Amantadine administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Amantadine: 100mg twice per day for 7 days at 0600 and 1200
Placebo
n=7 Participants
Placebo medication administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Placebo: Placebo comparator
Nausea or Vomiting
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 28 days

Bleeding that does not stop with direct pressure, requires transfusion, or occurs in the intracranial vault

Outcome measures

Outcome measures
Measure
Amantadine
n=7 Participants
100mg Amantadine administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Amantadine: 100mg twice per day for 7 days at 0600 and 1200
Placebo
n=7 Participants
Placebo medication administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Placebo: Placebo comparator
Number of Participants With Severe or Intracranial Bleeding
0 Participants
0 Participants

Adverse Events

Amantadine

Serious events: 0 serious events
Other events: 1 other events
Deaths: 4 deaths

Placebo

Serious events: 0 serious events
Other events: 2 other events
Deaths: 3 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Amantadine
n=7 participants at risk
100mg Amantadine administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Amantadine: 100mg BID for 7 days at 0600 and 1200
Placebo
n=7 participants at risk
Placebo medication administered at 0600 and 1200 via mouth, gastric tube or duo-tube. Placebo: Placebo comparator
Gastrointestinal disorders
Tongue swelling
14.3%
1/7 • Number of events 1 • 7 days
0.00%
0/7 • 7 days
Nervous system disorders
seizure
0.00%
0/7 • 7 days
28.6%
2/7 • Number of events 2 • 7 days

Additional Information

Dr. Jon Rittenberger

University of Pittsburgh

Phone: 4126479489

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place