- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02395276
Hypothermia Therapy in Pediatric Cardiac Intensive Care Unit for Suspected for Brain Injury (Coolheart)
Efficacy of Hypothermia Therapy in Pediatric Cardiac Intensive Care Unit in Children Suspected for Brain Injury
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Omer Bar Yosef, MD-PhD
- Phone Number: 972-52-6667344
- Email: omer.baryosef@sheba.health.gov.il
Study Contact Backup
- Name: Amir Vardi, MD
- Phone Number: 927-3-5308010
- Email: amir.vardi@sheba.health.gov.il
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Every child entering the PCICU, age < 7 years
- The child will enter arm 1 or 2 if he underwent the event described in section 3.
Hypoxic ischemic event that would render hypothermia treatment is defined as
- During the hospitalization in the PCICU before or after the surgery:
Resuscitation comprised of chest compressions for more than 2 minutes, and the first blood tests immediately after the resuscitation show a serum lactate level of more than 90 mg/dl OR Resuscitation comprised of chest compressions for more than 2 minutes, and the first blood tests immediately after the resuscitation shows a serum lactate level of more than 40 mg/dl and a blood pH level of less than 7.1
- During the surgery Near infra red spectroscopy lower than 40 for more than 5 minutes AND Serum lactate levels of more than 90 mg/dl during the event OR The patient is re-connected to cardio-pulmonary bypass machine as a result of the event
- Initiation of hypothermia treatment within 6 hours following the hypoxic ischemic event defined in section 3.
Exclusion criteria
- Suspected hypoxic ischemic event as described in the Inclusion Criteria in the 2 weeks prior to the PCICU admission
- Prolonged low cerebral perfusion before the PCICU admission, with 3 repeated tests in 1 hour of lactate level higher than 40 mg/dl and pH lower than 7.1
- Rejection criteria
- A second resuscitation after the hypoxic ischemic event and before a brain MRI is done
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Whole body hypothermia
Children that had an event suspected for hypoxic ischemic brain injury, according to the inclusion criteria, will be randomly allocated for whole body hypothermia therapy.
Treatment will be initiated within 6 hours of the event, the child will be dressed with a cooling suit and their temperature will be monitored.
Whole body hypothermia will be to 33 +/- 1 °C .
Treatment period will be 48 hours with 24 hours warming up period.
|
Treatment will be initiated within 6 hours of the event, the child will be dressed with a cooling suit and their temperature will be monitored.
Cooling will be to 33 +/- 1 °C .
Treatment period will be 48 hours with 24 hours warming up period.
Other Names:
|
Placebo Comparator: Whole body normothermia
Children that had an event suspected for hypoxic ischemic brain injury, according to the inclusion criteria, will be randomly allocated for normothermia therapy.
Treatment will be initiated within 6 hours of the event, the child will be dressed with a cooling suit and their temperature will be monitored.
Cooling will be to 36-37 °C .
Treatment period will be 72 hrs.
|
Treatment will be initiated within 6 hours of the event, the child will be dressed with a cooling suit and their temperature will be monitored.
Cooling will be to 33 +/- 1 °C .
Treatment period will be 48 hours with 24 hours warming up period.
Other Names:
|
No Intervention: Control
A group of children that underwent a cardiac surgery and was not suspected to have an hypoxic ischemic brain injury.
This group will be undergo the similar biomarkers collection as arm 1 and 2. The information will be used to measure the change in biomarkers between surgeries with no HII to those in arm 1+2.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Biomarkers
Time Frame: 48 hours after the surgery
|
Each child will have 4 blood samples for biomarkers including S100B, Glial Fibrillary Acidic Protein and Specific Neuronal Enolase at the following schedule: before the cardiac surgery, within 6 hr after the surgery, 24 and 48 hrs after the surgery
|
48 hours after the surgery
|
Magnetic Resonance Imaging
Time Frame: 10 days after
|
In arms 1 and 2 an MRI with the sequences of T1, T2, Diffusion Weighted Imaging, Diffuse Tensor Imaging and Magnetic Resonance Spectroscopy
|
10 days after
|
Neurological Evaluation
Time Frame: 1 week
|
Neurological assessment will be done prior to the cardiac surgery and and one week (or earlier if the child will be fully recovered and discharged before) using standard neurological evaluation, pediatric stroke outcome measure
|
1 week
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Short term neuro-developmental outcome
Time Frame: 2 months
|
Neurological assessment using standard neurological evaluation, pediatric stroke outcome measure and pediatric cerebral performance category
|
2 months
|
Short term neuro-developmental outcome
Time Frame: 5 yrs
|
At 2 and 5 yrs after the hypothermia treatment a c.
Vineland adaptive behavior scale (Vineland™-II) will be done
|
5 yrs
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Omer B Bar Yosef, MD-PhD, Chain Sheba Medical Ceneter
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Wounds and Injuries
- Congenital Abnormalities
- Craniocerebral Trauma
- Trauma, Nervous System
- Signs and Symptoms, Respiratory
- Cardiovascular Abnormalities
- Body Temperature Changes
- Brain Ischemia
- Ischemia
- Brain Injuries
- Heart Defects, Congenital
- Hypoxia
- Hypothermia
Other Study ID Numbers
- SMC-0616-13
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Brain Ischemia
-
Centre Hospitalier Universitaire, AmiensRecruitingNeonatal Encephalopathy | Anoxia-Ischemia, BrainFrance
-
Western University, CanadaUnknownBrain Hypoxia IschemiaCanada
-
Hospital Universitario Dr. Jose E. GonzalezCompleted
-
Nagoya UniversityLife Science Institute, Inc.CompletedHypoxia-Ischemia, BrainJapan
-
Second Affiliated Hospital, School of Medicine,...Not yet recruitingHypoxia-Ischemia, BrainChina
-
Washington University School of MedicineEnrolling by invitation
-
University of California, IrvineBeckman Laser Institute University of California IrvineCompletedHypoxia-Ischemia, Brain | Signs and SymptomsUnited States
-
Eunice Kennedy Shriver National Institute of Child...CompletedHypoxia, Brain | Hypoxia-Ischemia, BrainUnited States
-
Gachon University Gil Medical CenterWithdrawnCerebral Ischemia-HypoxiaKorea, Republic of
-
Sahlgrenska University Hospital, SwedenRecruitingExtracorporeal Membrane Oxygenation | Cardiac Arrest | Hypoxia-Ischemia, BrainSweden
Clinical Trials on Whole body hypothermia
-
Daping Hospital and the Research Institute of Surgery...Children's Hospital of Chongqing Medical University; Children's Hospital of... and other collaboratorsWithdrawnBrain Injury | Hypoxic- Ischemic Encephalopathy | Whole-Body HypothermiaChina
-
Imperial College LondonMedical Research CouncilCompletedHypoxia | Seizures | Asphyxia Neonatorum | EncephalopathyUnited Kingdom
-
University of Texas Southwestern Medical CenterChildren's Hospital of Philadelphia; Emory University; University of Washington; University of California, San Francisco and other collaboratorsRecruitingMild Hypoxic Ischemic Encephalopathy of NewbornUnited States
-
Medical University of South CarolinaNational Institute of Neurological Disorders and Stroke (NINDS)CompletedHypoxic Ischemic Encephalopathy | Neonatal Asphyxial Encephalopathy
-
Robertson, Nicola, M.D.Thayyil, SudhinUnknown
-
Thayyil, SudhinWayne State University; Government Medical College, Kozhikode; Institute for... and other collaboratorsCompletedNeonatal EncephalopathyIndia
-
Imperial College LondonNot yet recruiting
-
Gazi UniversityGulhane Training and Research HospitalRecruitingArthropathy of Knee | Whole-body Vibration | Swelling/ EdemaTurkey
-
Federal University of Health Science of Porto AlegreCompletedChronic Obstructive Pulmonary DiseaseBrazil
-
The Hong Kong Polytechnic UniversityUnknown