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RECRUITING
NCT06744361
PHASE2

Ketamine Sedation As Neuroprotective Agent Following Out-of-hospital Cardiac Arrest

Sponsor: Christian Hassager

View on ClinicalTrials.gov

Summary

OHCA is a critical medical emergency with significant mortality and morbidity primarily due to hypoxic-ischemic brain injury (HIBI). Despite advances in resuscitation techniques, the neurological outcomes for survivors remain poor. Current post-resuscitation practices lack specific neuroprotective strategies. Ketamine, an N-Methyl-D-Aspartate (NMDA) receptor antagonist, has shown potential neuroprotective properties in preclinical and clinical studies due to its ability to inhibit excitotoxicity and reduce neuronal apoptosis. This trial hypothesizes that ketamine, when used for sedation in OHCA patients, may offer superior neuroprotective benefits compared to the commonly used sedative propofol. By comparing the effects of ketamine and propofol on neuronal damage markers and long-term neurological outcomes, this study aims to identify a potentially effective intervention to improve the prognosis of OHCA patients.

Official title: KETamine Sedation As Neuroprotective Agent Following Out-of-hospital Cardiac Arrest (OHCA) - the KETOHCA Trial

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

282

Start Date

2024-12-12

Completion Date

2027-09-01

Last Updated

2024-12-20

Healthy Volunteers

No

Interventions

DRUG

esketamine hydrochloride

Prehospital intravenous or intraosseous bolus administration at a minimum of 0.5 mg/kg of esketamine

DRUG

propofol

Prehospital intravenous or intraosseous bolus administration at a minimum dose of 0.25 mg/kg propofol

Locations (2)

Department of Cardiology, Rigshospitalet

Copenhagen, Denmark

Odense University Hospital

Odense C, Denmark