Double shock may save more cardiac arrest victims
NCT ID NCT07174986
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This trial tests whether using two defibrillators in sequence, instead of the standard single defibrillator, can improve survival in people whose hearts are in a shockable rhythm but don't respond to the first shock. About 916 adults with out-of-hospital cardiac arrest will be randomly assigned to either the double-shock approach or standard care. The main goal is to see if more patients are alive at 30 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Double sequential defibrillation (using two defibrillators)
- What this could lead to
- If it works, this could become a new standard emergency procedure to save more lives in cardiac arrest.
- What could go wrong
- This is an early combined Phase 2/3 trial, so results are uncertain. The benefit seen in a prior study may not hold in this broader group.
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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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 916 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2025
- Expected to finish
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Dec 2029
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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18 years and older
- 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: * OHCA patients with VT/VF at first rhythm analysis and at least one defibrillation performed in standard (A-L) position Exclusion Criteria: * Age \< 18 years * Obvious pregnancy * Known preexisting Do Not Attempt Resuscitation order
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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
14 sites in 3 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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ARREST (AmsteRdam REsuscitation STudies)
NOT_YET_RECRUITINGAmsterdam, Netherlands
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Ambulanshelikoptern (HEMS) Västra Götalandsregionen
RECRUITINGKungälv, Västra Götaland County, 442 83, Sweden
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Ambulanssjukvården Region Värmland
RECRUITINGKarlstad, Värmland County, 65230, Sweden
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Ambulanssjukvården Skaraborgs Sjukhus, Västra Götalandsregionen (SKAS)
RECRUITINGSkövde, Sweden
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Ambulanssjukvården, Region Halland
RECRUITINGHalmstad, Halland County, Sweden
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Centro de Emergencias 061 Andalucía
NOT_YET_RECRUITINGMálaga, Andalusia, 29560, Spain
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Emergency medical services NU-Sjukvården, Region Västra Götaland
RECRUITINGTrollhättan, 461 85, Sweden
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Emergency medical services, Södra Älvsborgs Sjukhus, Region Västra Götaland
RECRUITINGBorås, 501 82, Sweden
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Médico Emergencias Osakidetza EMERGENTZIAK
NOT_YET_RECRUITINGBilbao, Baque Country, 48004, Spain
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Prehospital Intensive Care Unit (PIV) AnOPIVA Östra Sjukhuset/SU
RECRUITINGGothenburg, Sweden
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SUMMA 112 Emergency medical services
NOT_YET_RECRUITINGMadrid, Madrid, 28045, Spain
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Shalgrenska University Hospital
RECRUITINGGothenburg, Sweden
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Sistema de Emergencias Medicas de Catalunya
NOT_YET_RECRUITINGBarcelona, Catalonia, 08908, Spain
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Sjukvården i väster
RECRUITINGAlingsås, Sweden
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- The heart rhythm threat hiding in heart attack wards
- AI may spot deadly heart rhythms before they strike
- Wearable ECG patch could unlock hidden heart risks
- Could better phone training save more cardiac arrest victims?
- A needle in the neck to shock the heart back to life?
- Can tracking body heat during cardiac arrest improve survival?