Bicarbonate for In-Hospital Cardiac Arrest

• Status: Not yet recruiting
• Trial end date: 2026-02-01
• Target enrollment: 0
• Participant gender: All

Summary

This is an investigator-initiated, multicenter, randomized, placebo-controlled, parallel group, double-blind, superiority trial of sodium bicarbonate during adult in-hospital cardiac arrest. There will be 22 enrolling sites in Denmark. 778 adult patients with in-hospital cardiac arrest receiving at least one dose of adrenaline will be enrolled. The primary outcome is return of spontaneous circulation and key secondary outcomes include survival at 30 days and survival at 30 days with a favorable neurological outcome.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Lars Wiuff Andersen
• Collaborator: University of Aarhus

Criteria

Inclusion Criteria:

1. In-hospital cardiac arrest

2. Age ≥ 18 years

3. Received at least one dose of adrenaline during cardiopulmonary resuscitation (CPR)

Exclusion Criteria:

1. Clearly documented "do-not-resuscitate" order prior to the cardiac arrest

2. Prior enrollment in the trial

3. Invasive mechanical circulatory support at the time of the cardiac arrest

4. Known or suspected pregnancy at the time of the cardiac arrest

5. Known objection by the patient to participate in the trial

6. Clinical indication for bicarbonate administration