Pediatric Influence of Cooling Duration on Efficacy in Cardiac Arrest Patients (P-ICECAP)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age2-17
SponsorUniversity of Michigan

About this trial

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.

Eligibility criteria

Qualifiers

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

Disqualifiers

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)

Trial design

Treatments tested in this trial

  • Therapeutic Hypothermia

Treatment groups

900 Participants
are divided into 10 treatment groups

10

Treatment groups

See each treatment group below.

Sponsors and collaborators

University of Michigan

Lead sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator

Kennedy Krieger Institute, Baltimore, MD

Collaborator