Can a steroid save kids from septic shock?

NCT ID NCT03401398

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

Summary

This study tests whether giving the steroid hydrocortisone to children with septic shock can prevent new or worsening organ failure. About 500 children in intensive care will receive either hydrocortisone or a placebo for up to seven days. The goal is to see if this treatment improves survival and quality of life at 28 days.

What this could mean

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

Active substance
Hydrocortisone (a steroid drug)
What this could lead to
If it works, this could provide a standard treatment to reduce organ damage and death in children with septic shock.
What could go wrong
This is a large Phase 3 trial, but steroids can have side effects like infection risk. The benefit is not yet proven, and results may not apply to all children.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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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

  • Aga Khan University Hospital

    RECRUITING

    Karachi, Pakistan

  • Aichi Children's Health and Medical Center

    RECRUITING

    Nagoya, Japan

  • Alberta Children's Hospital

    RECRUITING

    Calgary, Alberta, T3B 6A8, Canada

  • BC Children's Hospital

    TERMINATED

    Vancouver, British Columbia, V6H 3N1, Canada

  • Boston Children's Hospital

    RECRUITING

    Boston, Massachusetts, 02115, United States

  • Centre hospitalier de l'Université Laval

    RECRUITING

    Québec, Quebec, G1V 4G2, Canada

  • Centre hospitalier universitaire Sainte-Justine

    RECRUITING

    Montreal, Quebec, H3T 1C5, Canada

  • Children's Hospital of Eastern Ontario

    RECRUITING

    Ottawa, Ontario, K1H 8L1, Canada

  • Children's Hospital of Los Angeles

    RECRUITING

    Los Angeles, California, 90027, United States

  • Children's Hospital of Orange County

    RECRUITING

    Orange, California, 92868, United States

  • Cincinnati Children's Hospital Medical Center

    RECRUITING

    Cincinnati, Ohio, 45229, United States

  • City Children's Hospital

    NOT_YET_RECRUITING

    Ho Chi Minh City, Vietnam

  • Hadassah University Medical Center, Ein Kerem

    NOT_YET_RECRUITING

    Jerusalem, Israel

  • Hospital Jutta Batista - Rio de Janeiro

    RECRUITING

    Rio de Janeiro, Brazil

  • IWK Health Centre

    RECRUITING

    Halifax, Nova Scotia, B3K 6R8, Canada

  • KK Women's and Children's Hospital

    RECRUITING

    Singapore, Singapore

  • King Abdullah Specialist Children's Hospital

    RECRUITING

    Riyadh, Saudi Arabia

  • Kobe Children's Hospital

    RECRUITING

    Kobe, Japan

  • Le Bonheur Children's Hospital

    NOT_YET_RECRUITING

    Memphis, Tennessee, 38163, United States

  • London Health Sciences Centre

    RECRUITING

    London, Ontario, N6A 5W9, Canada

  • McMaster Children's Hospital

    RECRUITING

    Hamilton, Ontario, L8N 3Z5, Canada

  • Montreal Children's Hospital

    TERMINATED

    Montreal, Quebec, H4A 3J1, Canada

  • Nemours Children's Health

    RECRUITING

    Wilmington, Delaware, 19803, United States

  • Penn State Milton S. Hershey Children's Hospital

    RECRUITING

    Hershey, Pennsylvania, 17033, United States

  • Primary Children's Hospital

    RECRUITING

    Salt Lake City, Utah, 84108, United States

  • Rambam Health Care Campus

    NOT_YET_RECRUITING

    Haifa, Israel

  • Royal University Hospital

    TERMINATED

    Saskatoon, Saskatchewan, S7K 1M6, Canada

  • Saint Barnabas Medical Center

    RECRUITING

    Livingston, New Jersey, 07039, United States

  • Santa Casa de Misericordia Da Bahia

    RECRUITING

    Bahia, Brazil

  • Sarawak General Hospital

    NOT_YET_RECRUITING

    Kuching, Malaysia

  • Schneider Children's Medical Center of Israel

    NOT_YET_RECRUITING

    Petah Tikva, Israel

  • Seattle Children's Hospital

    RECRUITING

    Seattle, Washington, 98105, United States

  • Shifa International Hospital

    RECRUITING

    Islamabad, Pakistan

  • The Children's Hospital at Oklahoma University Medical Center

    RECRUITING

    Oklahoma City, Oklahoma, 73104, United States

  • The University of Illinois at Chicago/OSF Children's Hospital of Illinois

    RECRUITING

    Peoria, Illinois, 61603, United States

  • UCSF Benioff Children's Hospital - Oakland

    RECRUITING

    Oakland, California, 94609, United States

  • UCSF Benioff Children's Hospital - San Francisco

    RECRUITING

    San Francisco, California, 94143, United States

  • UKM Specialist Children's Hospital

    NOT_YET_RECRUITING

    Kuala Lumpur, Malaysia

  • University Malaya Medical Centre

    RECRUITING

    Kuala Lumpur, Malaysia

  • University of Arizona Medical Centre

    RECRUITING

    Tucson, Arizona, 85724, United States

  • University of Chicago, Comer Children's Hospital

    RECRUITING

    Chicago, Illinois, 60637, United States

  • University of Louisville, Norton Children's Hospital

    RECRUITING

    Louisville, Kentucky, 40202, United States

  • University of Wisconsin Health/American Family Children's Hospital

    RECRUITING

    Madison, Wisconsin, 53792, United States

  • Vietnam National Children's Hospital

    RECRUITING

    Hanoi, Vietnam

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