Status:

RECRUITING

Treatment of ELectroencephalographic STatus Epilepticus After Cardiopulmonary Resuscitation-2 (TELSTAR-2)

Lead Sponsor:

University of Twente

Collaborating Sponsors:

Hôpital Universitaire de Bruxelles

ZonMw: The Netherlands Organisation for Health Research and Development

Conditions:

Coma

Electrographic Status Epilepticus

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The goal of this comparative effectiveness trial is to study electrographic status epilepticus (ESE) treatment in comatose patients after cardiac arrest. The main questions the trial aims to answer ar...

Detailed Description

Rationale: Around 7500 comatose patients after cardiac arrest and resuscitation are admitted to intensive care units (ICUs) in the Netherlands and Belgium, yearly. Approximately half eventually dies f...

Eligibility Criteria

Inclusion

  • Coma (Glasgow Coma Scale score ≤ 8) after out of hospital cardiac arrest and resuscitation
  • Age ≥ 18 years
  • Continuous EEG with at least eight electrodes started \< 24h after return of spontaneous circulation (ROSC)
  • ESE or possible ESE according to the Salzburg and ACNS criteria
  • Possibility to start treatment within three hours after detection of ESE

Exclusion

  • Known history of another medical condition with limited life expectancy (\< six months)
  • Any progressive brain illness, such as a brain tumor or neurodegenerative disease
  • Pre-admission Glasgow Outcome Scale score of 3 or lower
  • Reason other than the neurological condition to withdraw treatment
  • EEG background activity prior to the emergence of ESE indicative of extensive irreversible anoxic brain injury
  • Follow-up impossible due to logistic reasons, for example not living in the Netherlands or Belgium

Key Trial Info

Start Date :

April 10 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2030

Estimated Enrollment :

150 Patients enrolled

Trial Details

Trial ID

NCT06549426

Start Date

April 10 2025

End Date

December 1 2030

Last Update

May 16 2025

Active Locations (20)

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Page 1 of 5 (20 locations)

1

Centre Hospitalier Universitaire Saint-Pierre

Brussels, Belgium

2

Hôpital Universitaire de Bruxelles

Brussels, Belgium

3

Universitair Ziekenhuis Brussel

Brussels, Belgium

4

Centre Hospitalier Universitaire Marie Curie

Charleroi, Belgium

Treatment of ELectroencephalographic STatus Epilepticus After Cardiopulmonary Resuscitation-2 (TELSTAR-2) | DecenTrialz