- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT02826057
The Complement Lectin Pathway After Cardiac Arrest
The Complement Lectin Pathway in Patients Resuscitated After Cardiac Arrest
This study includes comatose survivors of out-of-hospital cardiac arrest treated with 24 hours or 48 hours of targeted temperature management.
The overall aim is to evaluate the importance of plasma complement protein concentrations in patients resuscitated after out-of-hospital cardiac arrest and treated with 24 hours or 48 hours of targeted temperature management.
The specific aim is to evaluate:
- the concentration of plasma lectin pathway proteins the first, second and third day after cardiac arrest
- the relation between concentration of plasma lectin pathway proteins and mortality
- if prolonged targeted temperature management influences the concentration of plasma lectin pathway proteins
This study is a sub-study to the trial entitled: "Time-differentiated targeted temperature management (TTH48) (ClinicalTrials.gov Identifier: NCT01689077)"
The following Complement Lectin Pathway proteins will be measured: Mannan-Binding-Lectin, M-ficolin, H-ficolin, CL-L1, MASP-1, MASP-2, MASP-3, MAp19 and MAp44.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
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-
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Aarhus, Danemark, 8000
- Department of Biomedicine, Aarhus University
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Aarhus, Danemark, 8200
- Department of Anesthesiology and Intensive Care, Aarhus University Hospital
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Aarhus, Danemark, 8200
- Department of Clinical Biochemistry, Aarhus University Hospital
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Out-of-Hospital Cardiac Arrest of presumed cardiac cause
- Return of spontaneous circulation (ROSC)
- Glasgow Coma Score < 8
- Age > 18 years and < 80 years
Exclusion Criteria:
- > 60 minutes from the circulatory collapse to ROSC
- Time interval > 4 hours from cardiac arrest to initiation of targeted temperature management
- Terminal illness
- Coagulation disorder
- Unwitnessed asystolia
- Cerebral performance category 3-4 before the cardiac arrest
- Severe persistent cardiogenic shock
- Pregnancy
- Persistent cardiogenic shock (systolic bloodpressure < 80 despite inotropic treatment)
- New apoplexy or cerebral hemorrhage
- Lack of consent from the relatives
- Lack of consent from the general practitioner
- Lack of consent from the patient
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Science basique
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Comparateur actif: 24 hour of targeted temperature management
Patients resuscitated after cardiac arrest and treated with 24 hours of targeted temperature management (33 degree Celsius)
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|
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Expérimental: 48 hour of targeted temperature management
Patients resuscitated after cardiac arrest and treated with 48 hours of targeted temperature management (33 degree Celsius)
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
|---|---|
|
MASP-2 concentration in plasma
Délai: 48 hours
|
48 hours
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
MASP-2 concentration in plasma
Délai: 24 hours, 48 hours and 72 hours
|
24 hours, 48 hours and 72 hours
|
|
|
MASP-2 concentration in plasma
Délai: 24 hours, 48 hours, 72 hours
|
MASP-2 concentration in plasma compared with 30-day mortality
|
24 hours, 48 hours, 72 hours
|
|
MASP-2 concentration in plasma
Délai: 24 hours to 72 hours
|
24 hours to 72 hours
|
|
|
MASP-1 concentration in plasma
Délai: 24 hours, 48 hours and 72 hours
|
24 hours, 48 hours and 72 hours
|
|
|
MASP-1 concentration in plasma
Délai: 24 hours to 72 hours
|
24 hours to 72 hours
|
|
|
MASP-1 concentration in plasma
Délai: 24 hours, 48 hours, 72 hours
|
MASP-1 concentration in plasma compared with 30-day mortality
|
24 hours, 48 hours, 72 hours
|
|
MASP-3 concentration in plasma
Délai: 24 hours, 48 hours and 72 hours
|
24 hours, 48 hours and 72 hours
|
|
|
MASP-3 concentration in plasma
Délai: 24 hours to 72 hours
|
24 hours to 72 hours
|
|
|
MASP-3 concentration in plasma
Délai: 24 hours, 48 hours, 72 hours
|
MASP-3 concentration in plasma compared with 30-day mortality
|
24 hours, 48 hours, 72 hours
|
|
Mannan-Binding-Lectin concentration in plasma
Délai: 24 hours, 48 hours and 72 hours
|
24 hours, 48 hours and 72 hours
|
|
|
Mannan-Binding-Lectin concentration in plasma
Délai: 24 hours to 72 hours
|
24 hours to 72 hours
|
|
|
Mannan-Binding-Lectin concentration in plasma
Délai: 24 hours, 48 hours, 72 hours
|
Mannan-Binding-Lectin concentration in plasma compared to 30-day mortality
|
24 hours, 48 hours, 72 hours
|
|
MAp44 concentration in plasma
Délai: 24 hours, 48 hours and 72 hours
|
24 hours, 48 hours and 72 hours
|
|
|
Map44 concentration in plasma
Délai: 24 hours to 72 hours
|
24 hours to 72 hours
|
|
|
MAp44 concentration in plasma
Délai: 24 hours, 48 hours, 72 hours
|
MAp44 concentration in plasma compared with 30-day mortality
|
24 hours, 48 hours, 72 hours
|
|
MAp19 concentration in plasma
Délai: 24 hours, 48 hours and 72 hours
|
24 hours, 48 hours and 72 hours
|
|
|
MAp19 concentration in plasma
Délai: 24 hours to 72 hours
|
24 hours to 72 hours
|
|
|
MAp19 concentration in plasma
Délai: 24 hours, 48 hours, 72 hours
|
MAp19 concentration in plasma compared with 30-day mortality
|
24 hours, 48 hours, 72 hours
|
|
H-ficolin concentration in plasma
Délai: 24 hours, 48 hours and 72 hours
|
24 hours, 48 hours and 72 hours
|
|
|
H-ficolin concentration in plasma
Délai: 24 hours to 72 hours
|
24 hours to 72 hours
|
|
|
H-ficolin concentration in plasma
Délai: 24 hours, 48 hours, 72 hours
|
H-ficolin concentration in plasma compared with 30-day mortality
|
24 hours, 48 hours, 72 hours
|
|
M-ficolin concentration in plasma
Délai: 24 hours, 48 hours and 72 hours
|
24 hours, 48 hours and 72 hours
|
|
|
M-ficolin concentration in plasma
Délai: 24 hours to 72 hours
|
24 hours to 72 hours
|
|
|
M-ficolin concentration in plasma
Délai: 24 hours, 48 hours, 72 hours
|
M-ficolin concentration in plasma compared with 30-day mortality
|
24 hours, 48 hours, 72 hours
|
|
CL-L1 concentration in plasma
Délai: 24 hours, 48 hours and 72 hours
|
24 hours, 48 hours and 72 hours
|
|
|
CL-L1 concentration in plasma
Délai: 24 hours to 72 hours
|
24 hours to 72 hours
|
|
|
CL-L1 concentration in plasma
Délai: 24 hours, 48 hours, 72 hours
|
CL-L1 concentration in plasma compared with 30-day mortality
|
24 hours, 48 hours, 72 hours
|
Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Anticipé)
Achèvement de l'étude (Anticipé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Processus pathologiques
- Maladies cardiaques
- Maladies cardiovasculaires
- Maladies vasculaires
- Maladies du cerveau
- Maladies du système nerveux central
- Maladies du système nerveux
- Complications postopératoires
- Lésions cérébrales
- Lésion de reperfusion
- Arrêt cardiaque
- Arrêt cardiaque hors hôpital
- Syndrome post-arrêt cardiaque
Autres numéros d'identification d'étude
- 12345 (Autre subvention/numéro de financement: Reasons for Hope Fund in Prevention and Early Detection of Mental Illness)
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