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May 25, 2026
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Episode 63, “ICECAP: The Adaptive Design”

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In this episode of "In the Interim…", Dr. Scott Berry is joined by Dr. Will Meurer, professor of Emergency Medicine and Neurology at the University of Michigan, for an in-depth discussion of the ICECAP trial’s adaptive Bayesian design.

On the latest episode of "In the Interim…" Dr. Scott Berry and Dr. Will Meurer break down the ICECAP trial design, an innovative, Bayesian, adaptive trial in cardiac arrest research.

ICECAP studies therapeutic hypothermia duration across 10 different cooling periods (6-72 hours) in two patient populations using Bayesian duration-response modeling and response-adaptive randomization. The trial addresses a critical clinical question: how long should we cool patients after cardiac arrest to protect brain function?

Key design features:

● No zero-cooling arm (standard of care made this impossible)

● Weighted mRS outcome measure capturing full recovery spectrum

● Adaptive analyses every 50 patients

● Population-specific allocation for shockable vs. non-shockable rhythms

Results coming soon! This episode covers the design process, the clinical rationale, and the statistical innovation that made ICECAP possible. The results will be a future episode.

Hear about this fascinating design today: https://www.berryconsultants.com/resource/63-icecap-the-adaptive-design

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