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RecruitingNCT06025123

Prehospital Resuscitation Intranasal Cooling Effectiveness Survival Study 2

Prehospital Resuscitation Intranasal Cooling Effectiveness Survival Study 2 (PRINCESS2)

Status
Recruiting
Phase
N/A
Study type
Interventional
Enrollment
1,022 (estimated)
Sponsor
Karolinska Institutet · Academic / Other
Sex
All
Age
18 Years – 79 Years
Healthy volunteers
Not accepted

Summary

The aim of this clinical trial is to study the impact of ultra-early transnasal evaporative cooling after cardiac arrest and subsequent hypothermia at hospital, on survival with complete neurologic recovery, compared to currently recommended normothermia. The study population will consist of patients 18-79 years old, with out-of-hospital cardiac arrest with initial shockable rhythm. The main research question it aims to answer is whether there is a difference in survival with complete neurologic recovery at 90 days after cardiac arrest between the group of patients that received ultra-early cooling, compared to the group that was treated with normothermia. Participants will be randomized to two groups. One group (the intervention group) will receive ultra-early trans-nasal evaporative cooling initiated by EMS personnel at the scene of the cardiac arrest, and subsequent systemic hypothermia for 24 hours at hospital arrival. The other group (the control group), will receive standard of care (advanced cardiac life support and normal body temperature (normothermia)).

Conditions

Interventions

TypeNameDescription
DEVICEEarly transnasal evaporative cooling with the RhinoChill deviceEarly prehospital transnasal evaporative cooling followed by systemic hypothermia to 33 degrees Celsius for 24 hours and fever control for 72 hours

Timeline

Start date
2024-03-27
Primary completion
2028-02-01
Completion
2028-05-01
First posted
2023-09-06
Last updated
2025-09-25

Locations

11 sites across 7 countries: Austria, Belgium, Germany, Italy, Slovenia, Spain, Sweden

Source: ClinicalTrials.gov record NCT06025123. Inclusion in this directory is not an endorsement.