Acute cardiac care & resuscitationRandomised controlled trial

Serum biomarkers of postanoxic encephalopathy in relation to ghrelin treatment. A secondary analysis of the Ghrelin in Coma (GRECO) trial

ResuscitationPublished

  • phase 2, double-blind, randomised, placebo-controlled trial
  • secondary analysis

Authors' conclusion

Acyl-ghrelin treatment during the first week after cardiac arrest was associated with less GFAP elevation in the first three days, suggesting reduced astroglial activation and/or damage. No other significant effects were found, except for S100, pTau181, and UCH-L1 on day 0, possibly indicating baseline imbalances.

Study context

Population
Comatose patients after cardiac arrestof 160 participants with serum samples (65 intervention)
Participants
125 patients
Comparison
acyl-ghrelin or placebo
  • acyl-ghrelinn = 65

Primary result

As reported in the abstract

GFAP (treatment-interaction effect, linear mixed-effect models) · days 1 and 3

day 1 estimate

0.855

day 1 p

p = 0.015

day 3 estimate

1.017

day 3 p

p = 0.0037

Further findings

Other neuro-biomarkers (neuron-specific enolase (NSE), ubiquitin carboxyl hydrolase L1 (UCH-L1), S100, neurofilament light (NfL), pTau181)

No significant effect of acyl-ghrelin on other timepoints, except on day 0 for S100, pTau181, and UCH-L1

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Serum biomarkers of postanoxic encephalopathy in relation to ghrelin treatment. A secondary analysis of the GRECO trial. Resuscitation. Published 20 January 2026. doi:10.1016/j.resuscitation.2026.110980

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