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 type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Brigham and Women's Hospital Academic / other |
| Locations | 2 sites (Boston, Massachusetts and 1 other locations) |
| Status | Recruiting |
| Started | May 16, 2024 |
| Main results expected | June 1, 2027 |
| Study ends | December 1, 2027 |
| Registry record updated | June 22, 2026 |
| Trial ID | NCT06423768 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
- Study coordinator: Samuel B Snider, MD
- Email: ssnider@bwh.harvard.edu
- Phone: 857-307-2391
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.