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This study investigates the efficacy of landiolol versus placebo in patients with out-of-hospital cardiac arrest (OHCA) and refractory ventricular fibrillation (electrical storm).
The use of beta-blockers in OHCA patients with refractory VF could potentially reverse the unwanted beta-1-mediated effects of endogenous and exogenous epinephrine (proarrhythmic effect), which could in turn lead to a shorter time until return of spontaneous circulation (ROSC).
This is a prospective, double-blind, randomized placebo-controlled pilot trial. The investigators consider this a pilot trial, as this is the first prospective trial evaluating the use of beta-blockade in cardiac arrest.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Landiolol | Experimental | initial dose: 20mg target dose: repeated dose (20mg) possible, max. 40mg (total) |
|
| Placebo | Placebo Comparator | Sodium Chlorid 0,9% |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Landiolol | Drug | patient receives landiolol in addition to standard-of-care |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to sustained return of spontaneous circulation (sROSC) | time from bolus infusion of landiolol OR placebo to sROSC | Time of sROSC or termination of resuscitation efforts |
| Measure | Description | Time Frame |
|---|---|---|
| rate of sustained ROSC | number of sustained ROSC per included patients | Time of sROSC or termination of resuscitation efforts |
| number of shocks until sROSC | number of shocks until sROSC per included patients |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Georg Gelbenegger, MD | Contact | +43140400 | 29810 | georg.gelbenegger@meduniwien.ac.at |
| Michael Holzer, MD | Contact | +43140400 | 19640 | michael.holzer@meduniwien.ac.at |
| Name | Affiliation | Role |
|---|---|---|
| Michael M Holzer, MD | Medical University of Vienna | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University of Vienna | Recruiting | Vienna | Austria |
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| Label | URL |
|---|---|
| Department of Clinical Pharmacology | View source |
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if requested, please address Georg Gelbenegger and Bernd Jilma
2 years after primary publication for 5 years
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| Type | Date | Date Unknown |
|---|---|---|
| Release | May 6, 2025 | |
| Reset | May 21, 2025 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| May 6, 2025 | May 21, 2025 |
| ID | Term |
|---|---|
| D006323 | Heart Arrest |
| D014693 | Ventricular Fibrillation |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D001145 | Arrhythmias, Cardiac |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| C077049 | landiolol |
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
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randomized, double-blind, placebo-controlled pilot trial
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study drug preparation by a person not involved in patient recruitment and treatment
| Sodium Chloride (NaCl) 0.9% | Drug | Placebo |
|
|
| Time of sROSC or termination of resuscitation efforts |
| rate of temporary ROSC (any ROSC) | number of temporary ROSC per included patients | Time of sROSC or termination of resuscitation efforts |
| survival to ICU admission | how many patients survived to ICU admission | Time of ICU admission or termination of resuscitation efforts |
| mean/median length of stay in ICU | in days | Time of transfer to open ward or death |
| mean/median length of hospital stay | in days | Time of hospital discharge or death |
| survival until hospital admission | how many patients were admitted alive to the hospital | Time of hospital admission or death |
| survival until hospital discharge | how many patients survived to hospital discharge | Time of hospital discharge or death |
| favorable neurologic outcome at hospital discharge, day 28, month 3, 6, 12 (CPC and mRS) | measured by CPC and mRS | at hospital discharge, day 28, month 3, 6, 12 |
| survival at hospital discharge, day 28, month 3, 6, 12 | how many patients survived to day 28, month 3, 6, 12 | at hospital discharge, day 28, month 3, 6, 12 |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D017670 |
| Sodium Compounds |