Arterial Pressure and Stress-Dose Steroids in Cardiac Arrest.
NCT02785224 · Status: WITHDRAWN · Type: OBSERVATIONAL
Last updated 2025-03-30
Summary
Early stress-dose steroids are of uncertain efficacy in cardiac arrest. The current authors plan to conduct a pertinent mediation analysis using prospectively collected data from 2 prior randomized clinical trials of in-hospital cardiac arrest. These trials reported positive results on the vasopressin-steroids-epinephrine (VSE) combination. The current analysis is aimed at identifying mediators of the benefit associated with VSE, potentially attributable to its stress-dose steroid subcomponent. Tested mediators will include arterial pressure in the early postresuscitation period (primary), and arterial blood lactate in the early postresuscitation period and renal failure free days (secondary).
Conditions
- Cardiac Arrest
Interventions
- DRUG
-
Vasopressin Steroids Epinephrine
Vasopressin Steroids Epinephrine: Vasopressin (up to 5 doses of 20 IU) and methylprednisolone (single dose - 40 mg) in addition to epinephrine during cardiopulmonary resuscitation, and stress dose hydrocortisone (300 mg/day for 7 days maximum followed by gradual taper) for postresuscitation shock.
Sponsors & Collaborators
-
University of Thessaly
collaborator OTHER -
University of Athens
lead OTHER
Principal Investigators
-
Spyros D. Mentzelopoulos, MD, PhD · University of Athens
-
Spyros G. Zakynthinos, MD, PhD · University of Athens
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-31
- Primary Completion
- 2026-12-31
- Completion
- 2026-12-31
Countries
- Greece
Study Locations
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