Acute cardiac care & resuscitationTrial design

Design and rationale of the TANGO2 trial: A randomized controlled non-inferiority trial of bystander compression-only cardiopulmonary resuscitation (CPR) versus standard CPR in out-of-hospital cardiac arrest

Am Heart JPublished

  • international, multicenter, randomized, open-label, non-inferior trial
  • 1:1 randomization by dispatchers via an integrated decision-support system
  • per-protocol analysis prespecified as primary, supported by modified intention-to-treat analysis
  • non-inferiority defined as an absolute risk difference above −1.0 percentage points

Study context

Population
Adults with out-of-hospital cardiac arrest of presumed medical etiology, dispatch-assisted bystander CPR; all Emergency Medical Dispatch Centers in Sweden and selected sites in Italyestimated enrollment, per-protocol EMS-treated OHCA patients, trial enrolling
Participants
3,260 adults
Planned comparison
Bystander Compression-only CPR (CO-CPR) vs standard CPR
Primary endpoint
30-day survival
Follow-up
30 days

No results yet. This paper sets out the design of a trial; its results are to come.

Further findings

Study conduct

Start date
2017
Estimated completion date
December 2027
Current status: Enrolling

Original publication

Design and rationale of the TANGO2 trial: A randomized controlled non-inferiority trial of bystander compression-only CPR versus standard CPR in out-of-hospital cardiac arrest. Am Heart J. Published 6 October 2026. doi:10.1016/j.ahj.2026.107623

Summarised from the published abstract; every number is checked against it