Scientists seek standard dose swap for septic shock drugs
NCT ID NCT06499467
First seen Oct 16, 2026 ยท Last updated Oct 16, 2026
Summary
Septic shock is a life-threatening condition where blood pressure drops dangerously low. Doctors often use norepinephrine as the first-choice drug to raise blood pressure, but they may add other drugs like vasopressin, phenylephrine, or epinephrine. This study aims to find out what dose of these other drugs equals a standard dose of norepinephrine. Researchers will carefully switch drugs in 120 adult patients on breathing machines and measure how much of the new drug is needed to keep blood pressure steady.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- vasopressin, phenylephrine, and epinephrine compared with norepinephrine
- What this could lead to
- If it works, this could give doctors a standard way to compare different blood pressure drugs, which may help them choose the right one for each patient.
- What could go wrong
- The study is small and only looks at one moment in treatment, so the results may not apply to all patients or all situations. Changing vasopressors can cause blood pressure to swing, which carries risks.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
120 people
The number who actually took part.
- Started
-
Jul 2024
- Finished
-
Jan 2026
- Lead sponsor
-
A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
All adult patients on mechanical ventilation who are in septic shock condition receiving norepinephrine as vasopressor
- Ages
-
18 to 80 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * All adult patients on mechanical ventilation in septic shock receiving norepinephrine in whom the treating clinical team plan to add another vasopressor, will be considered for inclusion if they meet these two condition (1) Patient is on Norepinephrine infusion at least 0.1 mcg/kg/min for the last 6 hours; and (2) There has been no dose alteration in the infusion of norepinephrine for the last 2 hours Exclusion Criteria: * There are concurrently other forms of shock like cardiogenic, obstructive, anaphylactic or hypovolemic. * The patient has arrhythmias during the current course of illness. * The patient has asynchrony on mechanical ventilator despite airway clearance with suctioning and adequate sedation at the time of study measurement. * The patient is hypovolemic with ongoing fluid resuscitation in the form of fluid boluses, blood or blood product transfusions at the time of study measurement. * The patient receives diuretic boluses or undergoes hemodialysis sessions at the time of study measurement. * Pregnancy * Patient who didn't consent for study or withdrew the consent at any point of the study.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Septic shock are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Sanjay Gandhi Postgraduate Institute of Medical Sciences
Lucknow, Uttar Pradesh, 226014, India
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Exploratory study on the efficacy and safety of methylene blue in treating severe septic shock patients: a prospective, randomized, controlled trial
- Two veins, one question: which ultrasound reading best predicts who needs IV fluids?
- Could a toe thermometer reveal hidden blood flow problems in septic shock?
- New blood test aims to spot deadly infections faster than cultures
- Could gut bacteria reveal which sepsis patients are most at risk?
- Can Real-Time heart monitoring save lives in sepsis?