Circulation Improving Resuscitation Care (CIRC)
CIRC
A Randomized Controlled Study Comparing Autopulse To Manual CPR In A CPR-First Protocol For Out-Of-Hospital Cardiac Arrest
1 other identifier
interventional
4,231
3 countries
5
Brief Summary
During resuscitation of out of hospital cardiac arrest patients the use of a mechanical chest compression device Autopulse will improve survival compared to manual compressions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2008
Longer than P75 for not_applicable
5 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
January 1, 2008
CompletedFirst Submitted
Initial submission to the registry
January 8, 2008
CompletedFirst Posted
Study publicly available on registry
January 17, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedResults Posted
Study results publicly available
April 14, 2014
CompletedJuly 24, 2018
June 1, 2018
3.1 years
January 8, 2008
March 8, 2014
June 25, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Hospital Discharge
Whether a subject was discharged alive from the hospital or alternatively died prior to discharge.
From time of first contact until hospital discharge, up to 90 days.
Study Arms (2)
1
EXPERIMENTALMechanical CPR with AutoPulse
2
OTHERManual CPR
Interventions
Eligibility Criteria
You may not qualify if:
- Traumatic arrest (blunt, penetrating, burns)
- Arrest due to exsanguinations, strangulation, smoke inhalation, drug overdose, electrocution, hanging, drowning.
- Known or clinically apparent pregnancy
- Do Not Attempt to Resuscitate (DNAR) orders
- Apparent patient weight more than 225 kg (500 lbs)
- Wards of the state
- Prisoner
- CPR device other than AutoPulse
- These criteria will be determined in the best estimation of the rescue personnel, or if the AutoPulse signals that the patient is outside the parameters for AutoPulse deployment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Zoll Medical Corporationlead
- Ullevaal University Hospitalcollaborator
Study Sites (5)
Hillsborough Fire Rescue
Tampa, Florida, 33610, United States
Houston Fire
Houston, Texas, 77002, United States
Gold Cross EMS
Menasha, Wisconsin, 54952, United States
Vienna EMS
Vienna, Austria
Nijmegen EMS
Nijmegen, Netherlands
Related Publications (5)
Olsen JA, Brunborg C, Steinberg M, Persse D, Sterz F, Lozano M Jr, Westfall M, van Grunsven PM, Lerner EB, Wik L. Survival to hospital discharge with biphasic fixed 360 joules versus 200 escalating to 360 joules defibrillation strategies in out-of-hospital cardiac arrest of presumed cardiac etiology. Resuscitation. 2019 Mar;136:112-118. doi: 10.1016/j.resuscitation.2019.01.020. Epub 2019 Jan 29.
PMID: 30708074DERIVEDWik L, Olsen JA, Persse D, Sterz F, Lozano M Jr, Brouwer MA, Westfall M, Souders CM, Travis DT, Herken UR, Lerner EB. Why do some studies find that CPR fraction is not a predictor of survival? Resuscitation. 2016 Jul;104:59-62. doi: 10.1016/j.resuscitation.2016.04.013. Epub 2016 May 4.
PMID: 27155547DERIVEDSteinberg MT, Olsen JA, Brunborg C, Persse D, Sterz F, Lozano M Jr, Brouwer MA, Westfall M, Souders CM, van Grunsven PM, Travis DT, Lerner EB, Wik L. Minimizing pre-shock chest compression pauses in a cardiopulmonary resuscitation cycle by performing an earlier rhythm analysis. Resuscitation. 2015 Feb;87:33-7. doi: 10.1016/j.resuscitation.2014.11.012. Epub 2014 Nov 21.
PMID: 25461493DERIVEDWik L, Olsen JA, Persse D, Sterz F, Lozano M Jr, Brouwer MA, Westfall M, Souders CM, Malzer R, van Grunsven PM, Travis DT, Whitehead A, Herken UR, Lerner EB. Manual vs. integrated automatic load-distributing band CPR with equal survival after out of hospital cardiac arrest. The randomized CIRC trial. Resuscitation. 2014 Jun;85(6):741-8. doi: 10.1016/j.resuscitation.2014.03.005. Epub 2014 Mar 15.
PMID: 24642406DERIVEDLerner EB, Persse D, Souders CM, Sterz F, Malzer R, Lozano M Jr, Westfall M, Brouwer MA, van Grunsven PM, Whitehead A, Olsen JA, Herken UR, Wik L. Design of the Circulation Improving Resuscitation Care (CIRC) Trial: a new state of the art design for out-of-hospital cardiac arrest research. Resuscitation. 2011 Mar;82(3):294-9. doi: 10.1016/j.resuscitation.2010.11.013. Epub 2010 Dec 31.
PMID: 21196070DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Sr. Director of Clinical Research
- Organization
- ZOLL Medical Corporation
Study Officials
- PRINCIPAL INVESTIGATOR
Lars Wik, MD
Ullevaal University Hospital
- PRINCIPAL INVESTIGATOR
David Persse, MD
Houston Fire
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- LTE60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 8, 2008
First Posted
January 17, 2008
Study Start
January 1, 2008
Primary Completion
February 1, 2011
Study Completion
December 1, 2013
Last Updated
July 24, 2018
Results First Posted
April 14, 2014
Record last verified: 2018-06