New drug may help children with shock by fixing tiny blood vessels
NCT ID NCT07519226
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether penehyclidine hydrochloride can improve microcirculation in critically ill children with shock better than the standard drug atropine. 98 children aged 28 days to 18 years who still had poor blood flow despite stable blood pressure took part. The main goal was to see how quickly capillary refill time improved.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- penehyclidine hydrochloride
- What this could lead to
- If it works, this could offer a better way to restore tiny blood vessel function in children with shock, potentially improving recovery.
- What could go wrong
- This is a small, single-center study with only 98 participants. Results may not apply to all children, and the drug may not prove better than standard care.
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
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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98 people
The number who actually took part.
- Started
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May 2024
- Finished
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Mar 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
-
28 days to 18 years
- Sex
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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: 1. pediatric patients (aged 28 days to 18 years) admitted with shock who exhibited persistent microcirculatory impairment despite achieving macrohemodynamic stability (normalized mean arterial pressure) through standardized initial resuscitation. 2. presence of at least one of the following clinical markers: (1) capillary refill time (CRT)≥ 3 seconds; (2) serum lactate \> 2 mmol/L; (3) cool extremities; or (4) a core-to-peripheral temperature gradient ≥ 2°C. Exclusion Criteria: 1. refusal of informed consent; 2. congenital cardiovascular malformations or known inherited metabolic disorders; 3. disease severity precluding reliable microcirculatory monitoring; 4. patients undergoing therapeutic hypothermia, which inherently alters vasomotor tone.
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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
-
Guangzhou Women and Children's Medical Center
Guangzhou, Guangdong, 510000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a smartphone app and smart blood pressure cuff save heart shock patients?