Clinical trial • Phase IV • Cardiology

ISOPRENALINE HYDROCHLORIDE for Cardiac arrest

Phase IV trial of ISOPRENALINE HYDROCHLORIDE for Cardiac arrest.

Overview

Trial Therapeutic Area
Cardiology
Trial Disease
Cardiac arrest
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
13-05-2025
First CTIS Authorization Date
11-08-2025

Trial design

Epinephrine alone (standard care); dose and schedule not specified in provided record.-controlled Phase IV trial across 2 sites in Denmark.

Comparator
Epinephrine alone (standard care); dose and schedule not specified in provided record.
Target Sample Size
1178
Trial Duration For Participant
90

Eligibility

Recruits 1178 isVulnerablePopulationSelected = true. Consent/assent handled using subject information and informed consent forms for patients and multiple surrogate consent pathways: closest relative consent forms, independent doctor and legally designated representative consent form, 'closest relative to deceased' form, and biobank consent forms (as indicated by available L1 SIS and ICF documents)..

Pregnancy Exclusion
Known or apparent pregnancy.
Vulnerable Population
isVulnerablePopulationSelected = true. Consent/assent handled using subject information and informed consent forms for patients and multiple surrogate consent pathways: closest relative consent forms, independent doctor and legally designated representative consent form, 'closest relative to deceased' form, and biobank consent forms (as indicated by available L1 SIS and ICF documents).

Inclusion criteria

  • {"criterion_text":"- Men and women with bystander and/or emergency medical service personnel witnessed out-of-hospital cardiac arrest.\n- Age ≥18 years.\n- Initial rhythm non-shockable rhythm (PEA or asystole).\n- Advanced life support initiated or continued by EMS personnel."}

Exclusion criteria

  • {"criterion_text":"- Cardiac arrest caused by or suspected to be caused by blunt trauma, penetrating trauma, or burn injury.\n- Cardiac arrest caused by or suspected to be caused by drowning, hanging, strangulation, and foreign body airway obstruction.\n- IV epinephrine already administered prior to EMS arrival.\n- Prior enrollment in the trial.\n- Patient with cardiac arrest at nursing homes.\n- Known or apparent pregnancy."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Sustained return of spontaneous circulation of at least 20 minutes.","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Conversion from non-shockable to shockable rhythm\n- Favorable neurological outcome at hospital discharge\n- ROSC at hospital arrival\n- Thirty-day survival\n- Favorable neurological outcome at 90 days.","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
1178
Recruitment Window Months
38
Consent Approach
For incapacitated patients and emergency settings, consent pathways include closest relative consent forms, independent doctor and legally designated representative consent form, closest relative to deceased forms, and patient consent forms / biobank consent forms where applicable. Language(s) of documents not specified in the provided record. Age-specific documents not indicated beyond adult inclusion (Age ≥18 years).

Methods

  • Recruitment occurs via emergency medical services (EMS) encountering out-of-hospital cardiac arrest patients (advanced life support initiated or continued by EMS); inclusion requires bystander and/or EMS witnessed out-of-hospital cardiac arrest. Country context: Denmark (trial sites and Part II authorization in Denmark).

Geography

Total Number Of Sites
2
Total Number Of Participants
1178

Denmark

Earliest CTIS Part Ii Submission Date
24-07-2025
Latest Decision Or Authorization Date
11-08-2025
Processing Time Days
18
Number Of Sites
2
Number Of Participants
1178

Sites

Site Name
Rigshospitalet
Department Name
Hjertecentret
Principal Investigator Name
Christian Hassager
Principal Investigator Email
christian.hassager@regionh.dk
Contact Person Name
Christian Hassager
Contact Person Email
christian.hassager@regionh.dk
Site Name
Odense University Hospital
Department Name
Kardiologisk Forskningsenhed
Principal Investigator Name
Laura Sarkisian
Principal Investigator Email
Laura.Sarkisian2@rsyd.dk
Contact Person Name
Laura Sarkisian
Contact Person Email
Laura.Sarkisian2@rsyd.dk

Sponsor

Primary sponsor

Full Name
Odense University Hospital
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"Region Hovedstadens Apotek Herlev Hospital","duties_or_roles":"sponsorDuties codes: 14","organisation_type":"Pharmaceutical company"}
  • {"country":"Denmark","full_name":"Odense University Hospital","duties_or_roles":"sponsorDuties codes: 1, 7, 8","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
ISOPRENALINE
Active Substance
ISOPRENALINE HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
INTRAVENOUS BOLUS USE
Route
INTRAVENOUS BOLUS USE
Authorisation Status
prodAuthStatus: 2; marketingAuthNumber: -
Maximum Dose
1600 µg (maxTotalDoseAmount / maxDailyDoseAmount from record)
Investigational Product Name
SODIUM CHLORIDE
Active Substance
POTASSIUM CHLORIDE PH. EUR., SODIUM CHLORIDE PH. EUR.
Modality
Small molecule
Routes Of Administration
INTRAVENOUS BOLUS USE
Route
INTRAVENOUS BOLUS USE
Authorisation Status
prodAuthStatus: 2; marketingAuthNumber: -; product produced by Pharmacy in the Capital Region in Denmark (productChangeDescription present)
Maximum Dose
0 mg
Combination Treatment
Yes

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