Unique ID issued by UMIN | UMIN000046914 |
---|---|
Receipt number | R000053527 |
Scientific Title | Early Restricted Oxygen Therapy after Resuscitation from Cardiac Arrest trial |
Date of disclosure of the study information | 2022/02/14 |
Last modified on | 2023/07/27 15:05:48 |
Early Restricted Oxygen Therapy after Resuscitation from Cardiac Arrest trial
ER-OXYTRAC trial
Early Restricted Oxygen Therapy after Resuscitation from Cardiac Arrest trial
ER-OXYTRAC trial
Japan |
Post cardiac arrest syndrome
Emergency medicine | Intensive care medicine |
Others
NO
The aim of this study is to elucidate whether early restricted oxygen administration with lower target for peripheral oxygen saturation (SpO2) is associated with better neurological outcomes in patients with post cardiac arrest syndrome. The hypothesis is that restricted oxygen administration with a target SpO2 of 94-95% within 12 hours after return of spontaneous circulation is associated with better neurological outcomes, compared with oxygen administration with target SpO2 equal to or higher than 98%.
Efficacy
Confirmatory
Pragmatic
Phase III
Cerebral Performance Category (CPC) at 90 days after the study intervention
30-day mortality, 90-day mortality, hospital-, ICU-, ventilator-, RRT-, and oxygen-free days to day 90, clinical frailty scale at 90 days, hyperoxemia equal to or higher than 300 mmHg in arterial blood within 12 hours, and hypoxia less than 60 mmHg in arterial blood within 12 hours.
Interventional
Cross-over
Randomized
Cluster
Open -but assessor(s) are blinded
Active
Central registration
2
Treatment
Medicine |
Restricted oxygen administration (Intervention): Titration of FiO2 with target SpO2 of 94-95% within 12 hours after return of spontaneous circulation
Regular oxygen administration (Control): Titration of FiO2 with target SpO2 equal to or higher than 98% within 12 hours after return of spontaneous circulation
20 | years-old | <= |
120 | years-old | >= |
Male and Female
Non-traumatic out-of- and in-hospital cardiac arrest
Return of spontaneous circulation in hospital
Spontaneous circulation on hospital arrival
No ventilator use for oxygen administration after return of spontaneous circulation (ROSC)
GCS equal to or higher than 8 at the time of ROSC
ECMO use at the time of ROSC
Survival longer than 24 hours after ROSC is not expected
Cardiac arrest due to intracranial diseases
Poor neurological function before cardiac arrest (Cerebral Performance Category =3 or 4)
COVID-19 requiring medications designated for COVID-19
Withholding or withdrawing critical care at the time of ROSC
Severe comorbidity that requires strict titration of oxygen, such as chronic lung diseases and congenital diseases
Cardiac arrest due to intoxication is suspected
Patients in whom SpO2 cannot be measured correctly
Patients who participated in other clinical trials that require a therapeutic intervention
Patients who need to be arrested, detained, or put in custody by law enforcement or legal agencies
Patients who refuse to participate in the trial
Patients deemed by a clinical physician to be ineligible to participate
1000
1st name | Ryo |
Middle name | |
Last name | Yamamoto |
Keio University School of Medicine
Department of Emergency and Critical Care Medicine
160-8582
35 Shinanomachi, Shinjuku, Tokyo
03-3225-1323
ryoyamamoto@keio.jp
1st name | Ryo |
Middle name | |
Last name | Yamamoto |
Keio University School of Medicine
Department of Emergency and Critical Care Medicine
160-8582
35 Shinanomachi, Shinjuku, Tokyo
03-3225-1323
https://www.jaam.jp/jaamer-oxytrac_trial/index.html
ryoyamamoto@keio.jp
Japanese Association for Acute Medicine
Japanese Association for Acute Medicine
Other
Keio University School of Medicine, Institutional Review Board
35 Shinanomachi, Shinjuku, Tokyo
03-3353-1211
med-rinri-jimu@adst.keio.ac.jp
NO
慶應義塾大学病院(東京都)
大阪医科薬科大学附属病院(大阪府)
東京医科歯科大学医学部附属病院(東京都)
北海道大学病院(北海道)
2022 | Year | 02 | Month | 14 | Day |
Unpublished
The datasets analyzed during the current study and statistical code will be available.
After all the ancillary analyses by the trial group, the datasets analyzed during the current study and statistical code are available from the corresponding author on reasonable request.
Enrolling by invitation
2022 | Year | 02 | Month | 03 | Day |
2022 | Year | 02 | Month | 10 | Day |
2022 | Year | 06 | Month | 01 | Day |
2025 | Year | 08 | Month | 31 | Day |
2022 | Year | 02 | Month | 14 | Day |
2023 | Year | 07 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053527