UMIN-CTR Clinical Trial

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

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Basic information

Public title

Early Restricted Oxygen Therapy after Resuscitation from Cardiac Arrest trial

Acronym

ER-OXYTRAC trial

Scientific Title

Early Restricted Oxygen Therapy after Resuscitation from Cardiac Arrest trial

Scientific Title:Acronym

ER-OXYTRAC trial

Region

Japan


Condition

Condition

Post cardiac arrest syndrome

Classification by specialty

Emergency medicine Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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%.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

Cerebral Performance Category (CPC) at 90 days after the study intervention

Key secondary outcomes

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.


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Restricted oxygen administration (Intervention): Titration of FiO2 with target SpO2 of 94-95% within 12 hours after return of spontaneous circulation

Interventions/Control_2

Regular oxygen administration (Control): Titration of FiO2 with target SpO2 equal to or higher than 98% within 12 hours after return of spontaneous circulation

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

120 years-old >=

Gender

Male and Female

Key inclusion criteria

Non-traumatic out-of- and in-hospital cardiac arrest
Return of spontaneous circulation in hospital

Key exclusion criteria

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

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name Ryo
Middle name
Last name Yamamoto

Organization

Keio University School of Medicine

Division name

Department of Emergency and Critical Care Medicine

Zip code

160-8582

Address

35 Shinanomachi, Shinjuku, Tokyo

TEL

03-3225-1323

Email

ryoyamamoto@keio.jp


Public contact

Name of contact person

1st name Ryo
Middle name
Last name Yamamoto

Organization

Keio University School of Medicine

Division name

Department of Emergency and Critical Care Medicine

Zip code

160-8582

Address

35 Shinanomachi, Shinjuku, Tokyo

TEL

03-3225-1323

Homepage URL

https://www.jaam.jp/jaamer-oxytrac_trial/index.html

Email

ryoyamamoto@keio.jp


Sponsor or person

Institute

Japanese Association for Acute Medicine

Institute

Department

Personal name



Funding Source

Organization

Japanese Association for Acute Medicine

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Keio University School of Medicine, Institutional Review Board

Address

35 Shinanomachi, Shinjuku, Tokyo

Tel

03-3353-1211

Email

med-rinri-jimu@adst.keio.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

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)


Other administrative information

Date of disclosure of the study information

2022 Year 02 Month 14 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD

The datasets analyzed during the current study and statistical code will be available.

IPD sharing Plan description

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.


Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2022 Year 02 Month 03 Day

Date of IRB

2022 Year 02 Month 10 Day

Anticipated trial start date

2022 Year 06 Month 01 Day

Last follow-up date

2025 Year 08 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 02 Month 14 Day

Last modified on

2023 Year 07 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053527