Status:

NOT_YET_RECRUITING

TNF-α Antagonists Mitigate Systemic Inflammatory Response After Cardiac Arrest.

Lead Sponsor:

Peking University Third Hospital

Collaborating Sponsors:

Peking University First Hospital

Peking University People's Hospital

Conditions:

Cardiac Arrest (CA)

Post Cardiac Arrest Syndrome

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The investigators assessed the effect of TNF-α antagonism within 6 hours of return of spontaneous circulation on 30-day mortality in patients who remained comatose after cardiopulmonary resuscitation ...

Eligibility Criteria

Inclusion

  • Patients aged ≥18 years;
  • Patients with suspected cardiogenic cardiac arrest;
  • Patients with comatose state after ROSC (Glasgow Coma Scale \[GCS\] score \<9);
  • Patients with Return of spontaneous circulation (ROSC) sustained for \>20 minutes;

Exclusion

  • Cardiac arrest due to trauma;
  • Suspected or confirmed hemorrhagic or ischemic stroke;
  • Pregnancy;
  • Cardiac arrest without witnessed collapse;
  • Admission body temperature \<30°C;
  • Persistent cardiogenic shock (defined as systolic blood pressure \<90 mmHg despite aggressive intervention during screening);
  • Any underlying disease with an expected survival of \<180 days;
  • Pre-existing severe neurological dysfunction before cardiac arrest (e.g., Cerebral Performance Category \[CPC\] 3-4);
  • Time from ROSC to randomization exceeding 4 hours;
  • Left ventricular ejection fraction (LVEF) \<35% after ROSC;
  • Known hypersensitivity to TNF-α antagonist components;
  • Known tuberculosis or other active infections;
  • Known poor prognosis (as determined by the investigator);
  • History of liver cirrhosis;
  • History of chronic heart failure with NYHA functional class III-IV.

Key Trial Info

Start Date :

October 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 31 2028

Estimated Enrollment :

208 Patients enrolled

Trial Details

Trial ID

NCT07176754

Start Date

October 1 2025

End Date

October 31 2028

Last Update

September 16 2025

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TNF-α Antagonists Mitigate Systemic Inflammatory Response After Cardiac Arrest. | DecenTrialz