Which IV fluid is safer for kids with sepsis? major trial gives answers

NCT ID NCT04102371

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This large study tested whether a 'balanced' fluid (Lactated Ringer) is better than normal saline for children with septic shock. Over 9,000 kids participated across multiple hospitals. The goal was to see which fluid reduces the risk of serious kidney problems or death within 30 days.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Lactated Ringer (balanced fluid) and normal saline (unbalanced fluid)

What this could lead to

If balanced fluids prove better, this could guide hospitals to use them routinely for children with sepsis, reducing kidney damage and improving survival.

What could go wrong

This is a large, completed Phase 3 trial, but the difference between fluids may be small, and results might not apply to all settings or age groups.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

Sepsis Shock toxic shock syndrome

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Boston Children's Hospital

    Boston, Massachusetts, 02115, United States

  • CHLA: Children's Hospital Los Angeles

    Los Angeles, California, 90027, United States

  • CS Mott Children's Hospital

    Ann Arbor, Michigan, 48109, United States

  • Children's Colorado: University of Colorado

    Denver, Colorado, 80204, United States

  • Children's Hospital of Atlanta

    Emory, Georgia, 30322, United States

  • Children's Hospital of Pittsburgh

    Pittsburgh, Pennsylvania, 15224, United States

  • Children's Hospital of Richmond at VCU

    Richmond, Virginia, 23284, United States

  • Children's National Medical Center

    Columbia, Washington, 20010, United States

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229, United States

  • Columbia: New York-Presbyterian Hospital

    New York, New York, 10065-4870, United States

  • Dallas Children's: Children's Medical Center Dallas/UT southwestern

    Dallas, Texas, 75235, United States

  • Hasbro Children's Hospital

    Providence, Rhode Island, 02903, United States

  • Lurie Children's: Ann & Robert H. Lurie Children's Hospital of Chicago

    Chicago, Illinois, 60611, United States

  • Milwaukee (MCW): Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226, United States

  • Nationwide Children's Hospital

    Columbus, Ohio, 43205, United States

  • Primary Children's: University of Utah

    Salt Lake City, Utah, 84113, United States

  • Seattle Children's Hospital

    Seattle, Washington, 98105, United States

  • Texas Children's Hospital

    Houston, Texas, 77030, United States

  • The Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104, United States

  • UC Davis: University of California, Davis

    Davis, California, 95616, United States

  • UCSF Benioff Children's Hospital

    San Francisco, California, 94143, United States

  • Washington University

    St Louis, Missouri, 63130, United States