Induction of Mild Hypothermia in Resuscitated Cardiac Arrest Patients
Randomized Controlled Pilot Study: Induction of Mild Hypothermia in Resuscitated Cardiac Arrest Patients Using Traditional Surface Cooling Techniques vs. the Medivance® Arctic Sun® System
1 other identifier
interventional
64
1 country
6
Brief Summary
The primary objectives of this study are to determine the safety and feasibility of inducing mild hypothermia using a non-invasive thermoregulatory device, the Medivance Arctic Sun Temperature Management System, in patients resuscitated after cardiac arrest.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Nov 2004
Typical duration for phase_2
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2004
CompletedFirst Submitted
Initial submission to the registry
January 24, 2006
CompletedFirst Posted
Study publicly available on registry
January 26, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2007
CompletedSeptember 11, 2007
September 1, 2007
January 24, 2006
September 10, 2007
Conditions
Outcome Measures
Primary Outcomes (3)
Feasibility -patient temperature below 34C within 4 hours
Feasibility -maintain patient target temperature for 24 hrs
Safety - serious adverse events, mortality
Secondary Outcomes (1)
Effectiveness - neurological outcome measured by OPC/CPC
Interventions
Eligibility Criteria
You may qualify if:
- Male or female patients ≥ 18 years.
- Witnessed out-of-hospital cardiac arrest of presumed cardiac origin in which the initial rhythm is ventricular fibrillation, ventricular tachycardia, pulseless electrical activity (PEA) or asystole.
- First attempt at resuscitation (ACLS or CPR) by emergency medical personnel initiated within 15 minutes of collapse.
- Restoration of spontaneous circulation (ROSC) within 60 minutes of collapse.
- Time from restoration of spontaneous circulation to initiation of cooling is ≤ 6 hours.
- Informed consent provided by authorized representative/family member.
You may not qualify if:
- Temperature of less than 35C on admission.
- Comatose or vegetative state prior to cardiac arrest.
- Positive pregnancy test.
- Purposeful response to verbal commands after ROSC and prior to initiation of hypothermia.
- Evidence of hypotension (MAP\<60) for more than 30 minutes after ROSC and prior to initiation of hypothermia.
- Evidence of hypoxia (oxygen saturation\<85% despite supplemental oxygen) for more than 15 minutes after ROSC and prior to initiation of hypothermia.
- Terminal illness that preceded the arrest (life expenctancy \< 1 year).
- Patients experiencing cardiogenic shock.
- Patients continuing to experience refractory ventricular arrhythmias at the time of enrollment.
- Patients receiving 2 or more high dose vasopressors.
- Active bleeding or known preexisting coagulapathy.
- Patient history of cold agglutinin disease.
- Patient history of Raynaud's Disease.
- Patient history of Sickle Cell disease.
- Evidence of compromised skin integrity or irregularities (such as urticaria, rash, lacerations, burns, abrasions.
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Medivance, Inc.lead
Study Sites (6)
University of Arizona Medical Center
Tucson, Arizona, 85724, United States
University of Colorado Health Science Center
Denver, Colorado, 80262, United States
Johns Hopkins - Bayview Medical Center
Baltimore, Maryland, 21224, United States
William Beaumont Hospital
Royal Oak, Michigan, 48073, United States
Ohio State University Medical Center
Columbus, Ohio, 43210, United States
Virginia Commonwealth University Medical Center
Richmond, Virginia, 23298, United States
Related Publications (1)
Heard KJ, Peberdy MA, Sayre MR, Sanders A, Geocadin RG, Dixon SR, Larabee TM, Hiller K, Fiorello A, Paradis NA, O'Neil BJ. A randomized controlled trial comparing the Arctic Sun to standard cooling for induction of hypothermia after cardiac arrest. Resuscitation. 2010 Jan;81(1):9-14. doi: 10.1016/j.resuscitation.2009.09.015. Epub 2009 Oct 24.
PMID: 19854555DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kennon Heard, M.D.
University of Colorado, Denver
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
January 24, 2006
First Posted
January 26, 2006
Study Start
November 1, 2004
Study Completion
September 1, 2007
Last Updated
September 11, 2007
Record last verified: 2007-09