Treatment of ELectroencephalographic STatus Epilepticus After Cardiopulmonary Resuscitation-2 (TELSTAR-2)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Twente

About this trial

The goal of this comparative effectiveness trial is to study electrographic status epilepticus (ESE) treatment in comatose patients after cardiac arrest. The main questions the trial aims to answer are:

* Does ESE treatment improve outcome? * What is the impact of ESE treatment on healthcare costs?

Participants in the the intervention group will receive standard care completed with anti-seizure treatment. The control group will receive standard care without anti-seizure treatment.

Eligibility criteria

Qualifiers

Coma (Glasgow Coma Scale score ≤ 8) after out of hospital cardiac arrest and resuscitation

Age ≥ 18 years

Continuous EEG with at least eight electrodes started < 24h after return of spontaneous circulation (ROSC)

ESE or possible ESE according to the Salzburg and ACNS criteria

Disqualifiers

Known history of another medical condition with limited life expectancy (< six months)

Any progressive brain illness, such as a brain tumor or neurodegenerative disease

Pre-admission Glasgow Outcome Scale score of 3 or lower

Reason other than the neurological condition to withdraw treatment

Trial design

Treatments tested in this trial

  • anti-seizure medication + sedative agent(s)

Treatment groups

150 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of Twente

Lead sponsor

Erasme University Hospital

Collaborator

ZonMw: The Netherlands Organisation for Health Research and Development

Collaborator

Belgium Health Care Knowledge Centre

Collaborator