RESTORE: Anesthesia for Refractory Status Epilepticus After Cardiac Arrest

This study, called RESTORE, is for people who have had a cardiac arrest (heart attack where the heart stops) and then develop refractory status epilepticus (ongoing seizures that don't stop with usual treatments). Researchers are comparing two ways to use intravenous anesthesia (medicine given through a vein) to stop these seizures. One method aims for 'burst suppression,' where the brain's electrical activity is mostly quieted. The other aims for 'seizure suppression,' stopping seizures without quieting the brain as much. The goal is to see which method is safer and more effective at controlling seizures within 48 hours. You might be able to join if you are 18 or older, had a non-traumatic cardiac arrest outside the hospital, are in a coma, and have these specific seizures.

Study design
This is a randomized study with 30 participants. Participants will be assigned by chance to receive either burst suppression or seizure suppression anesthesia, and the study team will know which treatment is given.
What's involved
Participants will receive intravenous anesthesia for 24 hours, which may be repeated for another 24 hours if seizures return. The anesthetic will then be slowly reduced while brain activity is monitored.
Compensation
Not stated in the trial record.
Follow-up
The main goal of the study is measured at 48 hours after treatment begins.

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NCT05851391

buRst-supprESsion TO Stop Refractory Status Epilepticus Post-cardiac Arrest

Recruiting
PHASE2Ages 18+InterventionalTreatment
University of California, San Francisco
~30 participants
Updated 2026-07-29 on ClinicalTrials.gov
What's tested:Burst Suppression EEG Target Intravenous AnesthesiaSeizure Suppression EEG Target Intravenous Anesthesia

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Post-cardiac arrest refractory status epilepticus control
Measured over 48 hours
Hypoxia-Ischemia, Brain
Heart Arrest
Status Epilepticus
Refractory Status Epilepticus
Seizures
Anoxic-Ischemic Encephalopathy
Anoxia-Ischemia, Cerebral
1 sites across 1 states
California1
  • Edilberto Amorim, MD · PRINCIPAL_INVESTIGATOR · Assistant Professor of Neurology

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  • Post-cardiac arrest refractory status epilepticus control48 hours

    Continuous EEG will be monitored to determine time to PCARSE recurrence during the anesthetic maintenance and anesthetic weaning phase (combined)