Cooling time trial for kids after heart stopping: could longer be better?
NCT ID NCT05376267
First seen Jun 27, 2026 · Last updated Sep 09, 2026 · Updated 7 times
Summary
This study tests different lengths of body cooling in children who remain unconscious after a cardiac arrest outside the hospital. The goal is to see if longer cooling helps protect the brain and improve recovery. The trial will enroll 900 children and follow them for one year.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Therapeutic hypothermia (controlled body cooling)
- What this could lead to
- If it works, this could identify the optimal cooling duration to improve brain function and survival in children after cardiac arrest.
- What could go wrong
- This is an early-phase trial with no definitive results yet. The optimal duration may not improve outcomes, and longer cooling could carry risks like infection or bleeding.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 900 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2022
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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2 days to 17 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria: * Age 2 days to \< 18 years with corrected gestational age of at least 38 weeks * Chest compressions for at least 2 minutes * Coma or encephalopathy after resuscitation from Out-of-Hospital Cardiac Arrest (OHCA) * Requires continuous mechanical ventilation through endotracheal tube or tracheostomy * Definitive temperature control device initiated * Randomization within 6 hours of Return of Spontaneous Circulation (ROSC) * Informed consent from Legally Authorized Representative (LAR) including intent to maintain life support for 120 hours Exclusion criteria: * Glasgow Coma Motor Score (GCMS) = 6 * LAR does not speak English or Spanish * Duration of Cardiopulmonary Resuscitation (CPR) \> 60 minutes * Severe hemodynamic instability with continuous infusion of epinephrine or norepinephrine of 2 micrograms per kilogram per minute (μg/kg/minute) or initiation of Extracorporeal membrane oxygenation (ECMO) * Pre-existing severe neurodevelopmental deficits with Pediatric Cerebral Performance Category (PCPC) =5 or progressive degenerative encephalopathy * Pre-existing terminal illness, unlikely to survive to one year * Cardiac arrest associated with brain, thoracic, or abdominal trauma * Active and refractory severe bleeding prior to randomization * Extensive burns or skin lesions incompatible with surface cooling * Planned early withdrawal of life support before 120 hours * Sickle cell anemia * Pre-existing cryoglobulinemia * Non-fatal drowning in ice covered water * Central nervous system tumor with ongoing chemotherapy * Previous enrollment in P-ICECAP trial * Prisoner * Chronic hypothermia * New post-cardiac arrest diabetes insipidus * Pregnancy
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Get notified about this study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
61 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Albany Medical Center
RECRUITINGAlbany, New York, 12208, United States
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American Family Children's Hospital
RECRUITINGMadison, Wisconsin, 53705, United States
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Ann & Robert Lurie Children's Hospital of Chicago
RECRUITINGChicago, Illinois, 60611, United States
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Banner University Medical Center - Tucson
COMPLETEDTucson, Arizona, 85719, United States
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Birmingham Children's Hospital, United Kingdom
RECRUITINGBirmingham, United Kingdom
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Bristol Royal Hospital for Children
RECRUITINGBristol, Bristol, BS2 8BJ, United Kingdom
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Children's Hospital Medical Center of Akron
RECRUITINGAkron, Ohio, 44308, United States
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Children's Hospital of Illinois
RECRUITINGPeoria, Illinois, 61637, United States
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Children's Hospital of Los Angeles
RECRUITINGLos Angeles, California, 90027, United States
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Children's Hospital of Michigan
RECRUITINGDetroit, Michigan, 48201, United States
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Children's Hospital of Orange County
RECRUITINGOrange, California, 92868-4203, United States
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Children's Hospital of Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Children's Hospital of Pittsburgh (UPMC)
RECRUITINGPittsburgh, Pennsylvania, 15224, United States
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Children's Medical Center of Dallas
RECRUITINGDallas, Texas, 75235, United States
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Children's Memorial Hermann Hospital
RECRUITINGHouston, Texas, 77030, United States
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Children's Wisconsin
RECRUITINGMilwaukee, Wisconsin, 53226, United States
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Cincinnati Children's Hospital
RECRUITINGCincinnati, Ohio, 45229, United States
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Cohen Children's Medical Center of NY / Northwell Health
RECRUITINGNew Hyde Park, New York, 11040, United States
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Comer Children's Hospital, University of Chicago
RECRUITINGChicago, Illinois, 60637, United States
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Dayton Children's Hospital
RECRUITINGDayton, Ohio, 45404, United States
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Evelina London Children's Hospital
RECRUITINGLondon, London, SE17EH, United Kingdom
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Gold Coast University Hospital
RECRUITINGSouthport, Queensland, Australia
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J.W. Ruby Memorial Hospital
RECRUITINGMorgantown, West Virginia, 26506, United States
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Johns Hopkins All Children's Hospital
RECRUITINGSt. Petersburg, Florida, 33701, United States
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Johns Hopkins Medicine Children's Center
RECRUITINGBaltimore, Maryland, 21287, United States
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MassGeneral Hospital for Children
RECRUITINGBoston, Massachusetts, 02114, United States
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Medical City Children's Hospital
RECRUITINGDallas, Texas, 75230, United States
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Memorial Health - Miller Children's and Women's Hospital of Long Beach
RECRUITINGLong Beach, California, 90806-1701, United States
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Monash Medical Centre
RECRUITINGClayton, Victoria, 3168, Australia
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Montefiore Einstein Hospital Moses Campus
RECRUITINGThe Bronx, New York, 10467, United States
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Mount Sinai Icahn / Kravis Children's Hospital
RECRUITINGNew York, New York, 10029, United States
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Ohio State University / Nationwide Children's Hospital
RECRUITINGColumbus, Ohio, 43205, United States
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Oregon Health & Science University Doernbecher Children's Hospital
RECRUITINGPortland, Oregon, 97239, United States
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Penn State University / Penn State Children's Hospital
RECRUITINGHershey, Pennsylvania, 17033, United States
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Perth Children's Hospital
RECRUITINGNedlands, Western Australia, Australia
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Phoenix Children's Hospital
RECRUITINGPhoenix, Arizona, 85016, United States
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Primary Children's Hospital, University of Utah School of Medicine
WITHDRAWNSalt Lake City, Utah, 84108, United States
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Queensland Children's Hospital
RECRUITINGBrisbane, Queensland, 4101, Australia
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Riley Children's Health
RECRUITINGIndianapolis, Indiana, 46202, United States
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Royal Children's Hospital
RECRUITINGParkville, Victoria, 3052, Australia
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Stanford
RECRUITINGSanta Clara, California, 95050, United States
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Starship Children's Hospital
RECRUITINGGrafton, Auckland, 1142, New Zealand
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Texas Children's Hospital, Baylor
RECRUITINGHouston, Texas, 77030, United States
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The Hospital for Sick Children
RECRUITINGToronto, Ontario, Canada
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The University of North Carolina at Chapel Hill
RECRUITINGChapel Hill, North Carolina, 27599-7220, United States
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The University of Texas Health Science Center at San Antonio
RECRUITINGSan Antonio, Texas, 78229, United States
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Townsville University Hospital
RECRUITINGDouglas, Queensland, Australia
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University of Alabama at Birmingham / Children's of Alabama
RECRUITINGBirmingham, Alabama, 35233, United States
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University of Buffalo / Oishei Children's Hospital
RECRUITINGBuffalo, New York, 14203, United States
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University of California - Oakland / UCSF Benoiff Children's Hospital Oakland
RECRUITINGOakland, California, 94609, United States
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University of California - San Francisco (UCSF) Benioff Children's Hospital San Francisco
RECRUITINGSan Francisco, California, 94158, United States
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University of California Los Angeles (UCLA) Mattel Children's Hospital
RECRUITINGLos Angeles, California, 90095, United States
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University of California, Davis
RECRUITINGSacramento, California, 95817, United States
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University of Florida (UF) Health Shands Children's Hospital
RECRUITINGGainesville, Florida, 32610-0296, United States
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University of Iowa, Carver College of Medicine
RECRUITINGIowa City, Iowa, 52242, United States
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University of Maryland Children's Hospital
RECRUITINGBaltimore, Maryland, 21201, United States
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University of Miami
RECRUITINGMiami, Florida, 33124, United States
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University of Michigan CS Mott Children's Hospital
RECRUITINGAnn Arbor, Michigan, 48109, United States
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University of Minnesota Fairview Masonic Children's Hospital
WITHDRAWNMinneapolis, Minnesota, 55454, United States
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University of Nebraska Medical Center
RECRUITINGOmaha, Nebraska, 68114, United States
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University of Rochester Medical Center
RECRUITINGRochester, New York, 14642-8667, United States
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University of Tennesses Health Center / Le Bonheur Children's
RECRUITINGMemphis, Tennessee, 38104, United States
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Washington University / St. Louis Children's Hospital
RECRUITINGSt Louis, Missouri, 63110, United States
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Women's and Children's Hospital
RECRUITINGNorth Adelaide, South Australia, 5006, Australia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Zapping the spine while wearing a robotic ankle: a new way to help kids walk?
- Can a web program rebuild memory after brain injury?
- Can blood markers reveal recovery after cardiac arrest?
- Radiation-Free brain imaging for kids? ultrasound may offer a safer path
- AI brain scans may forecast learning challenges in children who had birth oxygen deprivation
- Brain-Wave algorithm may flag newborns needing urgent cooling