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CompletedNCT01573117iCOOL 1Updated Apr 26, 2012

A Randomized Trial Comparing 2 Methods for Rapid Induction of Cooling in Stroke Patients, Cold Infusions vs. RhinoChill (iCOOL 1)

A Phase 2 interventional study of RhinoChill and Cold crystalloid infusions, 0.9%NaCl or Ringer's solution in Ischemic Stroke and Hemorrhagic Stroke, sponsored by University Hospital Heidelberg. Completed at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-04-26.

Sponsored by University Hospital Heidelberg · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Mild hypothermia improves outcome in patients with global cerebral ischemia after cardiac arrest. Hypothermia seems promising also in other acute hypoxic-ischemic or in brain swelling associated cerebrovascular disease. The narrow-time-frame is a major issue ("time is brain"). To provide immediate cooling without delay, easy to use, mobile and effective methods are needed. Cold infusions (4 °C) are an accepted standard worldwide. The RhinoChill (BeneChill, USA) is a new device. A comparison of these two induction methods has never been done before. Neither was the effect of cold infusions on brain-temperature measured. For the first time iCOOL 1 compares feasibility, safety and efficacy of the two methods.

02

Conditions studied

  • Ischemic Stroke
  • Hemorrhagic Stroke

Keywords

  • hypothermia
  • induction of hypothermia
  • cold infusion
  • nasopharyngeal cooling
  • stroke
  • intracranial hemorrhage
  • cerebrovascular disease
  • neuro intensive care
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In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.

This study's enrollment of 20 is below the median of 50 across 5,369 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

University Hospital Heidelberg is the lead sponsor of 175 studies on the registry; 48 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Sedation, intubation and mechanical ventilation
  • Combined ICP-temperature-probe
  • Indication to lower body temperature
  • Age ≥ 18 years

Exclusion criteria

Exclusion Criteria:

  • Body weight > 120 kg
  • Fever > 38.5°C
  • Chronic sinusitis
  • Current or past fracture or surgery of the paranasal sinuses
  • Severe infection with bacteremia or sepsis ≤ 72 h
  • Severe renal insufficiency
  • Severe liver insufficiency
  • Acute pulmonary embolism
  • Acute myocardial infarction
  • Severe cardiac insufficiency (NYHA ≥ III)
  • Threatening ventricular dysrhythmia
  • Cardiac dysrhythmia with bradycardia (heart rate \< 50 /min, QTc > 450 ms, sick sinus syndrome, AV-block II-III°).
  • Known hematologic disease with increased risk of thrombosis (e.g. cryoglobulinemia, cold agglutinins, sickle cell anemia)
  • Known vasospastic vascular disorder (e.g. Raynaud's phenomenon or thromboangiitis obliterans)
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Active comparator
    Cold infusions

    Infusion of 2L cold crystalloid solution (4°C) over 30 minutes

    Drug: Cold crystalloid infusions, 0.9%NaCl or Ringer's solution

  • Active comparator
    RhinoChill

    Nasopharyngeal cooling with the RhinoChill device (BeneChill, USA)

    Device: RhinoChill

Interventions

  • DeviceRhinoChill

    Nasopharyngeal cooling with the RhinoChill device

    Also known as: BeneChill, USA

  • DrugCold crystalloid infusions, 0.9%NaCl or Ringer's solution

    Infusion of 2L cold crystalloid solution (4°C) over 30 minutes

06

What researchers measure

Primary outcomes

  1. Brain temperature

    Primary endpoint: Change of brain temperature during one hour after start of cooling. Repeated measurement ANOVA for within subject contrasts (phase 1 (0 to 15min), 2 (15 to 30min), 3 (30 to 45min) and 4 (45 to 60min)) vs. baseline (-15 to 0min)

    Time frame: -15 to +60min

Secondary outcomes

  1. (Neuro-)vital parameters

    Effects on (neuro-)vital parameters (e.g. HR, AP, ICP, CPP) are registered.

    Time frame: -15 to +60 min

  2. Cerebral autoregulation

    Cerebral auto-regulation parameters (e.g. PRx) are calculated on the basis of the (neuro-)vital parameters monitored.

    Time frame: -15 to +60 min

  3. Safety

    Various safety parameters, such as bleeding complications, cardiac decompensation, or local irritations in the nasopharynx are assessed.

    Time frame: 0-6 months

07

Study locations

1 site
  • Neuro Intensive Care Unit 2, Dept. of Neurology, University Hospital Heidelberg
    Heidelberg, 69120, Germany
08

References and documents

Publications

  • Poli S, Purrucker J, Priglinger M, Ebner M, Sykora M, Diedler J, Bulut C, Popp E, Rupp A, Hametner C. Rapid Induction of COOLing in Stroke Patients (iCOOL1): a randomised pilot study comparing cold infusions with nasopharyngeal cooling. Crit Care. 2014 Oct 27;18(5):582. doi: 10.1186/s13054-014-0582-1. PubMed 25346332 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 26, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01573117
Lead sponsor
University Hospital Heidelberg
Responsible party
Dr. Sven Poli (Consultant Neurologist, Principal Investigator, University Hospital Heidelberg) — Principal investigator
First posted
Apr 6, 2012
Start date
Sep 2010
Primary completion
Nov 2011
Last update
Apr 26, 2012

Study contacts

Sven Poli, Dr. med.
principal investigator · University Hospital Heidelberg

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2012. You cannot join it, but the record below documents what was studied.

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