Actively Recruiting

Age: 18Years +
All Genders
ID06471972

Biomarkers After Out-of-hospital Cardiac Arrest- a STEPCARE Substudy

Led by Region Skane · Updated on 2024-09-19

1000

Participants Needed

4

Research Sites

104 weeks

Total Duration

On this page

Sponsors

R

Region Skane

Lead Sponsor

U

University of Helsinki

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating biomarkers in adult patients who have been treated in intensive care units after experiencing out-of-hospital cardiac arrest. This study is part of the Sedation, Temperature and Pressure After Cardiac Arrest and Resuscitation (STEPCARE) trial, which is a randomized trial exploring different sedation, temperature, and blood pressure targets in comatose patients after cardiac arrest. The substudy focuses on collecting and analyzing blood samples to understand outcomes better. Blood samples are collected at 12, 24, 48, and 72 hours after randomization at selected sites that participate in the biomarker substudy. These samples, including serum, plasma, and PAX-RNA vials, are processed and frozen on-site before being sent to a central biobank for batch analysis after the trial ends. Patients in this substudy have already been randomized in the main STEPCARE trial to different sedation, temperature, and blood pressure intervention groups. Participants will have their functional outcome assessed at 30 days and 6 months after cardiac arrest, with the primary outcome being poor functional outcome measured by the modified Rankin Scale at six months. Survival at 6 months and functional outcomes at 30 days are also measured. The study involves intensive care treatment and monitoring, with data collected during the hospital stay and follow-up assessments to evaluate recovery and survival over time.

CONDITIONS

Brief Title

Biomarkers After Out-of-hospital Cardiac Arrest- a STEPCARE Substudy

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient is from a site participating in the STEPCARE biomarker substudy with out-of-hospital cardiac arrest
  • Sustained return of spontaneous circulation (ROSC) for at least 20 minutes without chest compressions
  • Unconsciousness defined as inability to obey verbal commands or intubated and sedated due to agitation after ROSC
  • Eligible for intensive care without restrictions or limitations
  • Inclusion within 4 hours of ROSC
Not Eligible

You will not qualify if you...

  • On extracorporeal membrane oxygenation (ECMO) before randomization
  • Pregnancy
  • Suspected or confirmed intracranial hemorrhage
  • Previously randomized in the STEPCARE trial

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - Up to 4 hours after return of spontaneous circulation (ROSC)

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit (in-person)

Monitoring

Duration - 72 hours after randomization

Participants are monitored with blood sample collections to study biomarkers after cardiac arrest.

4 blood sample collections at 12, 24, 48, and 72 hours (in-person)

Long-term Monitoring

Duration - 6 months after randomization

Participants' functional outcomes and survival are assessed after the initial monitoring period.

2 follow-up assessments at 30 days and 6 months (in-person or remote)

Trial Site Locations

Total: 4 locations

1

Helsinki Hospital

Helsinki, Finland

Actively Recruiting

2

Helsingborgs Hospital

Helsingborg, Sweden

Actively Recruiting

3

Skåne university hospital

Lund, Sweden

Actively Recruiting

4

Skåne University Hospital

Malmö, Sweden

Actively Recruiting

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Research Team

M

Marion Moseby-Knappe, MD, PhD

N

Niklas Nielsen, Prof, Principal Investigator

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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