UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003203
Receipt number R000003881
Scientific Title Effectiveness of therapeutic hypothermia for unconscious adult patients with return of spontaneous circulation (ROSC) after out-of-hospital cardiac arrest
Date of disclosure of the study information 2010/03/01
Last modified on 2012/09/04 08:42:29

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Basic information

Public title

Effectiveness of therapeutic hypothermia for unconscious adult
patients with return of spontaneous circulation (ROSC) after
out-of-hospital cardiac arrest

Acronym

Hypothermia first

Scientific Title

Effectiveness of therapeutic hypothermia for unconscious adult
patients with return of spontaneous circulation (ROSC) after
out-of-hospital cardiac arrest

Scientific Title:Acronym

Hypothermia first

Region

Japan


Condition

Condition

cardiac arrest

Classification by specialty

Cardiology Emergency medicine Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

By the spread of cardiopulmonary resuscitation, the survival rate after cardiac arrest was improved. However, post cardiac arrest brain injury are not rare present. Only cardiopulmonary resuscitation was insufficient, cardio-pilmonary-cerebral resuscitation is important for cardiac arrest. In 2002, 2 randomized studies of mild therapeutic hypothermia after out-of-hospital cardiac arrest showed a neurological benefit with a low risk of complications, however, the optimal candidates, the procedure of cooling, the timing of initiation, target temperature, the therapeutic duration and the rate for rewarming have not been clearly defined and should be established. The purpose of this study was to evaluate the effect, limit of therapeutic hypothermia on the outcomes of patients with coma after resuscitation from out-of-hospital cardiac arrest.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

a favorable neurological outcome at hospital discharge
(CPC: Cerebral Performance Categories)

Key secondary outcomes

survival to hospital discharge or death


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) aged 18 years and older, (2) a presumed cardiac origin of the arrest according to the Utstein Style reporting guidelines, (3) ROSC by standard CPR or/and ACLS, and (4) persistent coma after ROSC(GCS 3,4,5).

Key exclusion criteria

(1) not cardiac origin, (2) tympanic-membrane temperature below 30degree on arrival at the emergency room, (3) cardiogenic shock after ROSC, (4) pregnancy, (5) the Glasgow-Pittsburgh overall performance category of 2 (moderate overall disability), 3 (severe overall disability), or 4 (vegetative state) before cardiac arrest, and (6) their families refused to give informed consent to participate in the study.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ken Nagao

Organization

Surugadai Nihon University Hospital

Division name

Department of resuscitation and emergency cardio-vascular unit

Zip code


Address

1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo

TEL

0332931711

Email



Public contact

Name of contact person

1st name
Middle name
Last name Taketomo Soga

Organization

Surugadai Nihon University Hospital

Division name

Department of emergency medicine

Zip code


Address

1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo

TEL

0332931711

Homepage URL


Email



Sponsor or person

Institute

Surugadai Nihon University Hospital

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2010 Year 03 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2010 Year 01 Month 01 Day

Date of IRB


Anticipated trial start date

2010 Year 01 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

cohort study


Management information

Registered date

2010 Year 02 Month 17 Day

Last modified on

2012 Year 09 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003881


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name