No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
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Review the details below, then apply to join this clinical trial.
At a Glance
Age
2 Days – 17
Sex
Any
Study type
Interventional
Purpose
Treatment
Participants needed
900 (estimated)
Sponsor
University of Michigan · Other
Who this trial is looking for
This trial is looking for children aged 2 days to under 18 years who have undergone cardiac arrest outside of a hospital. Participants will receive a cooling treatment for a specific period to see if it helps improve their recovery after the event.
Are You a Good Fit for This Trial?
Rules you outSickle cell anemiaSevere neurodevelopmental deficitsTerminal illnessChronic hypothermiaPregnancy
You may be able to join if
I am aged 2 days to under 18 years.
I have had chest compressions for at least 2 minutes.
I am in a coma or have brain dysfunction after cardiac arrest.
I need to be on a breathing machine.
I have a cooling device started.
I can join the trial within 6 hours after my heart starts beating again.
My family has given consent to keep life support for 120 hours.
You may not be able to join if
I have a Glasgow Coma Motor Score of 6.
My family does not speak English or Spanish.
I received CPR for more than 60 minutes.
I have serious heart or blood pressure problems requiring specific medications.
I have major brain injuries or diseases before my cardiac arrest.
I have an illness that will not allow me to live for more than a year.
I had a major injury during the cardiac arrest.
I have severe bleeding that won't stop before the trial begins.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer three quick questions written from this study's own rules to see if you may qualify. No account needed to find out.
This is a multicenter trial to establish the efficacy of cooling and the optimal duration of induced hypothermia for neuroprotection in pediatric comatose survivors of cardiac arrest.
The study team hypothesizes that longer durations of cooling may improve either the proportion of children that attain a good neurobehavioral recovery or may result in better recovery among the proportion already ca…
This is a multicenter trial to establish the efficacy of cooling and the optimal duration of induced hypothermia for neuroprotection in pediatric comatose survivors of cardiac arrest.
The study team hypothesizes that longer durations of cooling may improve either the proportion of children that attain a good neurobehavioral recovery or may result in better recovery among the proportion already categorized as having a good outcome.
Trial Locations
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Status
Eligibility Criteria
Inclusion criteria:
* Age 2 days to \< 18 years with corrected gestational age of at least 38 weeks
* Chest compressions for at least 2 minutes
* Coma or encephalopathy after resuscitation from Out-of-Hospital Cardiac Arrest (OHCA)
* Requires continuous mechanical ventilation through endotracheal t…
Inclusion criteria:
* Age 2 days to \< 18 years with corrected gestational age of at least 38 weeks
* Chest compressions for at least 2 minutes
* Coma or encephalopathy after resuscitation from Out-of-Hospital Cardiac Arrest (OHCA)
* Requires continuous mechanical ventilation through endotracheal tube or tracheostomy
* Definitive temperature control device initiated
* Randomization within 6 hours of Return of Spontaneous Circulation (ROSC)
* Informed consent from Legally Authorized Representative (LAR) including intent to maintain life support for 120 hours
Exclusion criteria:
* Glasgow Coma Motor Score (GCMS) = 6
* LAR does not speak English or Spanish
* Duration of Cardiopulmonary Resuscitation (CPR) \> 60 minutes
* Severe hemodynamic instability with continuous infusion of epinephrine or norepinephrine of 2 micrograms per kilogram per minute (μg/kg/minute) or initiation of Extracorporeal membrane oxygenation (ECMO)
* Pre-existing severe neurodevelopmental deficits with Pediatric Cerebral Performance Category (PCPC) =5 or progressive degenerative encephalopathy
* Pre-existing terminal illness, unlikely to survive to one year
* Cardiac arrest associated with brain, thoracic, or abdominal trauma
* Active and refractory severe bleeding prior to randomization
* Extensive burns or skin lesions incompatible with surface cooling
* Planned early withdrawal of life support before 120 hours
* Sickle cell anemia
* Pre-existing cryoglobulinemia
* Non-fatal drowning in ice covered water
* Central nervous system tumor with ongoing chemotherapy
* Previous enrollment in P-ICECAP trial
* Prisoner
* Chronic hypothermia
* New post-cardiac arrest diabetes insipidus
* Pregnancy
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