Evidence map›Paper›PMID 34223347›Full record

ArticleResuscitation plus2021

Vasopressin and methylprednisolone for in-hospital cardiac arrest - Protocol for a randomized, double-blind, placebo-controlled trial.

Lars W Andersen, Birthe Sindberg, Mathias Holmberg, Dan Isbye, Jesper Kjærgaard, Stine T Zwisler, Søren Darling, Jacob Moesgaard Larsen, Bodil S Rasmussen, Bo Løfgren and 15 more

Registry-linked trialAbstract read
In one paragraph

Article in Resuscitation plus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03640949 (Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrest - A Randomized, Double-Blind, Placebo-Controlled Trial), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03640949 phase2 / phase3completednot on this map

Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrest - A Randomized, Double-Blind, Placebo-Controlled Trial

TypeinterventionalSponsorLars Wiuff AndersenRan2018 to 2022Enrolled501ConditionsHeart ArrestArmsVasopressin, Arginine, Methylprednisolone, NaCl
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Lars W AndersenResearch Centre for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Denmark.
Birthe SindbergResearch Centre for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Denmark.
Mathias HolmbergResearch Centre for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Denmark.
Dan IsbyeDepartment of Anaesthesia 6011, Rigshospitalet - University of Copenhagen, Denmark.
Jesper KjærgaardDepartment of Cardiology, The Heart Centre, Rigshospitalet - University of Copenhagen, Denmark.
Stine T ZwislerDepartment of Anesthesiology and Intensive Care, Odense University Hospital, Odense, Denmark.
Søren DarlingDepartment of Anesthesiology and Intensive Care, Odense University Hospital, Odense, Denmark.
Jacob Moesgaard LarsenDepartment of Cardiology, Aalborg University Hospital, Denmark.
Bodil S RasmussenDepartment of Clinical Medicine, Aalborg University, Denmark.
Bo LøfgrenResearch Centre for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Denmark.
Kasper Glerup LauridsenResearch Centre for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Denmark.
Kim B PælestikDepartment of Anesthesiology and Intensive Care, Viborg Regional Hospital, Viborg, Denmark.
Christoffer SøllingDepartment of Anesthesiology and Intensive Care, Viborg Regional Hospital, Viborg, Denmark.
Anders G KjærgaardDepartment of Anesthesiology and Intensive Care, Horsens Regional Hospital, Horsens, Denmark.
Dorte Due-RasmussenDepartment of Anesthesiology and Intensive Care, Horsens Regional Hospital, Horsens, Denmark.
Fredrik FolkeCopenhagen Emergency Medical Services, University of Copenhagen, Denmark.
Mette Gitz CharlotDepartment of Cardiology, Herlev and Gentofte University Hospital, Copenhagen, Denmark.
Kasper IversenDepartment of Emergency Medicine, Herlev and Gentofte University Hospital, Copenhagen, Denmark.
Martin SchultzDepartment of Internal Medicine, Herlev and Gentofte University Hospital, Copenhagen, Denmark.
Sebastian WibergDepartment of Anesthesiology and Intensive Care, University Hospital Zealand, Køge, Denmark.
Rikke Malene H G JepsenDepartment of Anesthesiology and Intensive Care, University Hospital Zealand, Køge, Denmark.
Tobias KurthInstitute of Public Health, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Michael DonninoCenter for Resuscitation Science, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Hans KirkegaardResearch Centre for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Denmark.
Asger GranfeldtDepartment of Anesthesiology and Intensive Care, Aarhus University Hospital, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the clinical trial "Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrest" (VAM-IHCA).

methodsThe VAM-IHCA trial is an investigator-initiated, multicenter, randomized, placebo-controlled, parallel group, double-blind, superiority trial of vasopressin and methylprednisolone during adult in-hospital cardiac arrest. The study drugs consist of 40 mg methylprednisolone and 20 IU of vasopressin given as soon as possible after the first dose of adrenaline. Additional doses of vasopressin (20 IU) will be administered after each adrenaline dose for a maximum of four doses (80 IU).The primary outcome is return of spontaneous circulation and key secondary outcomes include survival and survival with a favorable neurological outcome at 30 days. 492 patients will be enrolled. The trial was registered at the EU Clinical Trials Register (EudraCT Number: 2017-004773-13) on Jan. 25, 2018 and ClinicalTrials.gov (Identifier: NCT03640949) on Aug. 21, 2018.

resultsThe trial started in October 2018 and the last patient is anticipated to be included in January 2021. The primary results will be reported after 3-months follow-up and are, therefore, anticipated in mid-2021.

conclusionThe current article describes the design of the VAM-IHCA trial. The results from this trial will help clarify whether the combination of vasopressin and methylprednisolone when administered during in-hospital cardiac arrest improves outcomes.

Indexed as

In-hospital cardiac arrestMethylprednisoloneRandomized trialVasopressin

Identifiers

PMID34223347
PMCPMC8244400

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.