New trial tests best timing for sepsis drug to save lives and kidneys
NCT ID NCT06464510
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether giving vasopressin early, along with norepinephrine, is better than waiting to use it as a rescue treatment for people with septic shock. About 2,800 critically ill adults will be randomly assigned to one of two strategies. The main goal is to see which approach reduces the chance of death or the need for kidney dialysis within 28 days.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 2,800 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2024
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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: * Patients with vasopressor dependent sepsis, defined by infection suspicion and antibiotic administration or laboratory confirmed viral infection, plus hypotension with the need of vasopressors for at least one hour; * Admitted or expected to be admitted to the ICU in the next 12 hours * Adequate volume resuscitation in the opinion of the attending physician * Use of norepinephrine \> 0.05μg/Kg/min and ≤ 0.25μg/Kg/min for at least 1 hour and at most 24 hours at the time of inclusion Exclusion Criteria: * Use of norepinephrine \> 0.25μg/Kg/min in the last 24 hours, except when administered transiently in the context of sedation for a procedure or the initial phase of volume resuscitation for a period of less than one hour * Dialysis-dependent chronic kidney disease or acute kidney injury that received renal replacement therapy during current hospitalization or are expected to receive renal replacement therapy in the next 24 hours * Use of other vasopressors (except norepinephrine) at the moment of inclusion * Use of vasopressors for sepsis in the last 7 days * Suspected or confirmed acute mesenteric ischemia * Anaphylaxis or known hypersensitivity to the study drug * Expect to die in the next 24 hours * Medical team not committed to full support at the time of inclusion * Previous inclusion in the study
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
8 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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BP-A Beneficiência Portuguesa de São Paulo
NOT_YET_RECRUITINGSão Paulo, São Paulo, Brazil
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Hospital Alemão Oswaldo Cruz
NOT_YET_RECRUITINGSão Paulo, São Paulo, Brazil
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Hospital Geral de Caxias do Sul
RECRUITINGCaxias do Sul, Rio Grande do Sul, Brazil
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Hospital Nereu Ramos
RECRUITINGFlorianópolis, Santa Catarina, Brazil
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Hospital SEPACO
NOT_YET_RECRUITINGSão Paulo, S, Brazil
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Hospital São Paulo - UNIFESP
RECRUITINGSão Paulo, São Paulo, Brazil
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Hospital de Amor - Unidade Barretos (Fundação PIO XII)
NOT_YET_RECRUITINGBarretos, São Paulo, Brazil
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Hospital do Coracao
RECRUITINGSão Paulo, São Paulo, 05435000, Brazil
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a blood filter strip away toxins in septic shock?
- Which ultrasound tool spots fluid overload sooner in septic shock?
- Can a drug rev up the immune system to fight sepsis?
- Can an antidepressant stabilize blood pressure in septic shock?
- Can a simple leg raise guide sepsis fluid treatment?
- A new blood marker may outperform lactate in predicting septic shock survival