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Status unknownNCT01669408PreCOOLUpdated Jun 24, 2013

Prehospital COOLing 1 (PreCOOL 1)

A Phase 2 interventional study of Cold crystalloid infusions, 0.9%NaCl or Ringer's solution in Stroke, sponsored by University Hospital Heidelberg. Status unknown at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-06-24.

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

The sponsor has not verified this record recently (last verified Jun 2013), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Elevated body temperature was shown to be associated with worse outcome in acute stroke patients. PreCOOL 1 aims to investigate efficacy, feasibility and safety of prehospital cooling with cold infusions in stroke patients.

02

Conditions studied

  • Stroke

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Keywords

  • ischemic stroke
  • hemorrhagic stroke
  • prehospital cooling
  • induction of cooling
  • ambulance
  • emergency room
  • cold infusions
  • hypothermia
  • normothermia
03

In context

Stroke

7,283 studies on the registry are indexed under Stroke; 2,013 are open to participants now.

This study's planned enrollment of 40 is below the median of 50 across 5,366 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.

04

Who can participate

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

Inclusion criteria

  • Suspected stroke
  • Symptom onset ≤ 7 days
  • Tympanic temperature ≥ 36.7°C
  • Informed consent by the patient
  • Age ≥ 18 years

Exclusion criteria

Exclusion Criteria:

  • Severe cardiac insufficiency (NYHA ≥ III)
  • New anisocoria, severe nausea, vomiting or headache
  • High-grade heart valve stenosis or insufficiency
  • Acute pulmonary embolism
  • Acute myocardial infarction
  • Threatening ventricular dysrhythmia
  • 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)
  • Severe renal insufficiency with reduced diuresis
  • Pregnancy
05

Study design

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

Study arms

  • Active comparator
    Cold infusions

    Infusion of 1L cold crystalloid solution (4°C) over 15 minutes

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

  • No intervention
    Control group

    Best medical treatment following international stroke guidelines

Interventions

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

    Infusion of 1L cold crystalloid solution (4°C) over 15 minutes

06

What researchers measure

Primary outcomes

  1. Tympanic Temperature

    Primary endpoint: Change of tympanic temperature between measurements before prehospital start of cooling an at arrival in the emergency room.

    Time frame: from randomization (prehospital) until arrival in the ER, an expected average of 45min

Secondary outcomes

  1. Efficacy

    Secondary efficacy endpoint: Proportion of patients having a oral temperature between 36 and 37.1°C at arrival in the ER.

    Time frame: single measurement at arrival in the ER

  2. Vital parameters

    Effects on vital parameters (e.g. HR, ECG, BP, SpO2) are registered.

    Time frame: from randomization (prehospital) until arrival in the ER, an expected average of 45min

  3. Tolerability

    Tolerability outcome measures include the Bedside Shivering Assessment Scale (BSAS) and a 10 point visual analog scale to assess "feeling cold" and "shivering".

    Time frame: from randomization (prehospital) until arrival in the ER, an expected average of 45min

  4. Safety

    Safety outcome measures include the analysis of (severe) adverse events (e.g. bleeding complications, cardiac decompensation), dose of co-medication needed (e.g. antihypertensives, diuretics, anti-shivering medication), number of patients with oral temperature \< 36°C and safety laboratory (Na, K, creatinine, urea, GFR, CK, CK-MB, troponin T, glucose, blood count, INR, aPTT, TT, NT-ProBNP and D-dimer)

    Time frame: from randomization (prehospital) until first neuroimaging (ER), an expected average of 80min

07

Study locations

1 of 1 sites recruiting
  • Rescue service, Dept. of Anesthesiology, University Hospital Heidelberg
    Heidelberg, 69120, Germany
    • Sven Poli, Dr. med. · Contact · sven.poli@med.uni-heidelberg.de · 0049 6221 56
    • Erik Popp, PD Dr. med. · Contact · erik.popp@med.uni-heidelberg.de · 0049 6221 56
    • Sven Poli, Dr. med. · Principal investigator
    • Erik Popp, PD Dr. med. · Principal investigator
    • Christian Hametner, Dr. med. · Sub investigator
    • Jan Purrucker, Dr. med. · Sub investigator
    • Miriam Priglinger, Dr. med. · Sub investigator
    • Maxim Bartz · Sub investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 24, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01669408
Lead sponsor
University Hospital Heidelberg
Responsible party
Dr. Sven Poli (Dr. Sven Poli, Consultant Neurologist, Principical Investigator, University Hospital Heidelberg) — Principal investigator
First posted
Aug 21, 2012
Start date
Sep 2012
Primary completion
Sep 2013 (estimated)
Completion
Sep 2013 (estimated)
Last update
Jun 24, 2013

Study contacts

Sven Poli, Dr. med.
Contact
sven.poli@med.uni-heidelberg.de
0049 6221 56 ext. 0
Erik Popp, PD Dr. med.
Contact
erik.popp@med.uni-heidelberg.de
0049 6221 56 ext. 0
Sven Poli, Dr. med.
principal investigator · University Hospital Heidelberg
Erik Popp, PD Dr. med.
principal investigator · University Hospital Heidelberg

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Jun 2013. You cannot join it, but the record below documents what was studied.

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