Shockable Out of Hospital Cardiac Arrest
Conditions
Keywords
Cardiac arrest, Shockable, Cyclosporine
Brief summary
Cardiac arrest (CA) is a public health problem in industrialized countries. The prognosis of these patients remains poor with significant mortality and severe neurological sequelae in survivors. The objective of the present study is to determine whether cyclosporine can improve patient clinical outcome after shockable CA. 520 patients with CA will be entered into a multicentre, randomized, placebo-controlled study. They will receive one single injection of cyclosporine (or placebo) prior to resuscitation. The incidence of the combined endpoint (mortality, irreversible brain damage informations such as bilateral abolition of N20 wave or absent motor response or extension to the nociceptive stimulation…) will be assessed 7 days after CA.
Interventions
cardio-pulmonary resuscitation usual care of cardiac arrest
cardio-pulmonary resuscitation usual care of cardiac arrest
Sponsors
Study design
Eligibility
Inclusion criteria
* Witnessed out-of-hospital cardiac arrest * Shockable cardiac rhythm at first medical contact (ventricular fibrillation, ventricular tachycardia)
Exclusion criteria
* Evidence of trauma * Evidence of pregnancy * Duration of no flow more than 30 minutes * Rapidly fatal underlying disease * Allergy to cyclosporin A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Combined incidence of all-cause mortality and irreversible brain damage status | 7 days | the presence of irreversible brain damage is defined by the bilateral abolition of the N20 wave on somatosensory evoked potentials recordings or the absence of motor response or extension to painful stimuli on the Glasgow Coma Scale. |
Countries
France