Early Targeted Brain Cooling in the Cath Lab Following Cardiac Arrest
COOLCATH
2 other identifiers
interventional
72
1 country
1
Brief Summary
The objective of the COOLCATH study is to compare the effect of the RhinoChill transnasal cooling system to current standard Blanketrol III cooling blanket in its ability to achieve therapeutic hypothermia (TH) induction for patients undergoing TH after cardiac arrest. The COOLCATH study will be a prospective, open-label randomized controlled trial comparing induction of TH efficacy and outcomes of patients following cardiac arrest. Any patient with return of spontaneous circulation (ROSC) following a cardiac arrest within the Essex Cardiothoracic Centre (CTC), or who is brought to the Essex CTC and is a candidate for TH will be considered for this study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2013
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2013
CompletedFirst Submitted
Initial submission to the registry
January 27, 2014
CompletedFirst Posted
Study publicly available on registry
February 26, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2015
CompletedDecember 22, 2020
December 1, 2020
2.5 years
January 27, 2014
December 21, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time to reduce tympanic temperature to < 34C
Day 1
Secondary Outcomes (2)
In hospital and 30 day mortality
Day 30
Length of Intensive Care Unit stay
Day 30
Study Arms (2)
Arm A - Blanketroll lll
ACTIVE COMPARATORCutaneous Cooling Blanket, Blanketroll lll, applied to cool patient to 32C. Standard care
Arm B - RhinoChill
ACTIVE COMPARATORIntra nasal cooling system, RhinoChill, to cool patient to 32C - Standard care
Interventions
Head to head, direct comparator of two standard care devices/treatments (RhinoChill versus Blanketroll lll) to assess time to induced therapeutic hypothermia
Eligibility Criteria
You may qualify if:
- ≥ 18 years old
- Post cardiac arrest with Return of Spontaneous Circulation
- Receiving therapeutic hypothermia as part of post-cardiac arrest care
You may not qualify if:
- Cardiac arrest caused by trauma, head injury, massive haemorrhage, drug overdose, cerebrovascular accident, drowning, electric shock or hanging
- Already hypothermic
- Nasal obstruction preventing the insertion of a nasal catheter
- Do Not Attempt to Resuscitate (DNAR) orders
- Known terminal illness (eg. malignancy in the end stages)
- Known or obvious pregnancy
- Known coagulation disorder (except those induced by medication eg. Thrombolytics)
- Known O2- dependency
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Essex Cardiothoracic Centre
Basildon, Essex, SS16 5NL, United Kingdom
Related Publications (1)
Islam S, Hampton-Till J, Watson N, Mannakkara NN, Hamarneh A, Webber T, Magee N, Abbey L, Jagathesan R, Kabir A, Sayer J, Robinson N, Aggarwal R, Clesham G, Kelly P, Gamma R, Tang K, Davies JR, Keeble TR. Early targeted brain COOLing in the cardiac CATHeterisation laboratory following cardiac arrest (COOLCATH). Resuscitation. 2015 Dec;97:61-7. doi: 10.1016/j.resuscitation.2015.09.386. Epub 2015 Sep 26.
PMID: 26410565BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
John R Davies, MBBS MRCP
BTUH
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 27, 2014
First Posted
February 26, 2014
Study Start
January 1, 2013
Primary Completion
July 1, 2015
Study Completion
July 1, 2015
Last Updated
December 22, 2020
Record last verified: 2020-12