Evaluating IM Epinephrine for Pediatric Cardiac Arrest
Official title: Pediatric Out-of-Hospital Cardiac Arrest Resuscitation: Evaluation of IM Epinephrine (The PRIME Trial)
Run by London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's · NCT05166343 · Data updated 2026-11-12
This study is testing if giving epinephrine through a shot in the muscle can help children who have a cardiac arrest outside of the hospital recover faster and have better outcomes compared to the usual methods.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 1 Day to 17 Years |
| Sex | All |
| Enrollment | 284 (estimated) |
| Sponsor | London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's Academic / other |
| Locations | 1 site (London, Ontario) |
| Status | Recruiting |
| Started | January 8, 2024 |
| Main results expected | January 2028 |
| Study ends | January 2029 |
| Registry record updated | March 11, 2025 |
| Trial ID | NCT05166343 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are children aged 1 day to 17 years who are experiencing an out-of-hospital cardiac arrest and have received CPR from trained responders.
✕Probably not a fit
Patients who have suffered cardiac arrest due to obvious traumatic events will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial evaluates the use of intramuscular (IM) epinephrine in children experiencing out-of-hospital cardiac arrest (POHCA) through a pragmatic, two-arm, open-label design. It aims to determine if IM administration can provide a quicker and safer initial dose of epinephrine compared to traditional intravenous or intraosseous methods. The study will assess the impact of IM epinephrine on the time to return of spontaneous circulation (ROSC) and overall patient outcomes. This is the first trial to investigate the use of IM epinephrine specifically in the context of pediatric cardiac arrest.
Why it matters
Potential benefit: If successful, this approach could lead to improved survival rates and outcomes for children experiencing cardiac arrest outside of a hospital setting.
How similar studies have gone: While there is extensive literature on IM epinephrine use in other contexts, this specific application in pediatric cardiac arrest is novel and has not been previously tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Children aged 1 day to and including 17 years experiencing an out-of-hospital cardiac arrest (OHCA) * Must be receiving at least 1 minute of CPR by trained first responders (police, fire, or paramedic services) Exclusion Criteria: \- Children who experience OHCA due to an obvious traumatic event.
Where it's running
-
Children's Hospital - London Health Sciences Centre
London, Ontario, Canada Recruiting
Study contacts
- Principal investigator: Janice Tijssen, MD MSc — London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
- Study coordinator: Maysaa Assaf
- Email: maysaa.assaf@lhsc.on.ca
- Phone: 519-685-8500
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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.