Clinical trial Recruiting at 1 site Observational Ages 18 and up

Brain MRI markers after cardiac arrest to see if they predict good recovery

Official title: The fMRI in CardiaC arrEst With Uncertain Prognosis (FACE-UP) Study

Run by Brigham and Women's Hospital · NCT06423768 · Data updated 2026-11-12

This observational study tests whether advanced brain MRI measures can help predict who will recover brain function after a comatose cardiac arrest.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment50 (estimated)
SponsorBrigham and Women's Hospital
Academic / other
Locations2 sites (Boston, Massachusetts and 1 other locations)
StatusRecruiting
StartedMay 16, 2024
Main results expectedJune 1, 2027
Study endsDecember 1, 2027
Registry record updatedJune 22, 2026
Trial IDNCT06423768 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults who survive in- or out-of-hospital cardiac arrest and remain comatose, without exclusions that would preclude MRI or follow-up.

Probably not a fit

Patients with conditions that prevent MRI or render prognosis unrelated to brain MRI findings may not benefit from this approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study uses advanced MRI techniques, including stimulus-based fMRI, resting-state fMRI, and diffusion tensor imaging, to explore associations with favorable neurological outcomes at 6 months in comatose survivors of cardiac arrest. Analyses will adjust for age, initial GCS, and the presence of anoxic brain injury on standard diffusion MRI. The goal is to determine if these MRI measures add prognostic information beyond conventional imaging. Participants undergo MRI during the acute phase and are followed for six months to assess outcomes.

Why it matters

Potential benefit: If successful, MRI biomarkers could improve prognostic precision for recovery after cardiac arrest and guide care decisions.

How similar studies have gone: Previous research has shown that functional and diffusion MRI markers can relate to outcomes in brain injury, but this study evaluates their incremental prognostic value specifically after cardiac arrest.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* survive of an in or out of hospital cardiac arrest

Exclusion Criteria:

* Drug overdose
* Opinion of medical team patient unlikely to survive more than 24 hours (severe concurrent medical illness, dilated and unreactive pupils, etc..)
* Following verbal commands (MD or RN note) once TTM is complete and normothermia is achieved (Day 2 or 3; Day of admission is Hospital Day 0). If no TTM is administered, this can be assessed on Hospital Day 2.
* Following verbal commands (study team assessment) at time of MRI
* Family planning to WLST at time of enrollment
* Non English speaker (okay if English not primary language, as long as they can understand it)
* Permanent Contraindication to MRI (some kind of implanted metal)
* Pregnant

Where it's running

  • Brigham and Women's Hospital
    Brookline, Massachusetts, United States
    Recruiting
  • Brigham and Women's Hospital
    Boston, Massachusetts, United States
    Active not recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.