Infusion or bolus? study tests best steroid delivery for septic shock
NCT ID NCT07695337
First seen Jul 10, 2026 · Last updated Jul 10, 2026
Summary
This trial compares two methods of giving hydrocortisone to adults with septic shock—a life-threatening drop in blood pressure due to infection. One group receives the steroid as a continuous drip, the other as intermittent shots every six hours. Researchers track 28-day survival, shock reversal, and recovery times to see which approach works better.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Hydrocortisone
- What this could lead to
- If one method proves better, it could become the standard way to give hydrocortisone for septic shock, potentially saving more lives.
- What could go wrong
- This is a single-center trial with 110 participants, so results may not apply broadly. The two methods may turn out to be equally effective.
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.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
110 people
The number who actually took part.
- Started
-
Jan 2026
- Finished
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Jul 2026
- Lead sponsor
-
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
-
18 years and older
- 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: * Adults aged 18 years or older of either sex. * Diagnosis of septic shock according to Sepsis-3 criteria, defined as sepsis with persistent hypotension requiring vasopressor therapy to maintain a mean arterial pressure of at least 65 mmHg and a serum lactate level greater than 2 mmol/L despite adequate fluid resuscitation. * Admission to the intensive care unit at Benha University Hospitals. Exclusion Criteria: * Known allergy or contraindication to hydrocortisone. * Known adrenal insufficiency. * Chronic systemic corticosteroid therapy for more than 1 month before enrollment. * Pregnancy or lactation. * Active gastrointestinal bleeding. * Immunosuppression. * Expected survival of less than 24 hours or imminent death from a non-infectious cause. * Psychiatric disorder that could interfere with study participation. * Coagulation disorder.
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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.
Contacts and locations
Locations
-
Benha University Hospitals
Banhā, Qalyubia Governorate, 13511, Egypt
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