Can adding albumin improve burn resuscitation?
NCT ID NCT04356859
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether adding albumin (a protein) to standard IV fluids helps adults with severe burns covering at least 25% of their body. 101 participants were randomly assigned to receive either standard fluids alone or standard fluids plus albumin during the first 24-48 hours after injury. The goal was to see if albumin reduces the total fluid needed and improves urine output and other outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Albumin (human)
- What this could lead to
- If adding albumin works, it could reduce the amount of fluid needed during burn resuscitation, potentially lowering complications like swelling and organ damage.
- What could go wrong
- This is a small, completed trial with 101 participants, so results may not apply to all burn patients. Albumin is expensive and may not improve survival or other key outcomes.
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
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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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101 people
The number who actually took part.
- Started
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Apr 2021
- Finished
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Sep 2025
- 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: * Age ≥ 18 years * Total burn size (second and third degree) is ≥ 25% of the TBSA * Burn center admission within 12 hours of injury. * There is a plan for formal fluid resuscitation. Exclusion Criteria: * Significant associated trauma * High voltage (≥ 1000 volts) electrical burns * Burn wound excision surgery within 48 hours from injury * Fresh frozen plasma (FFP) given at any time ≤ 48 hours from injury * Hypertonic saline (HTS) given at any time ≤ 48 hours from injury * Hydroxyethyl starch (HES) given at any time ≤ 48 hours from injury * High dose Vitamin C infusion given at any time ≤ 48 hours from injury * Administration of human albumin prior to randomization * Palliative comfort measures are instituted ≤ 48 hours from injury * Pregnancy * Pre-injury chronic renal insufficiency equal to or greater than stage 3 * Pre-injury chronic hepatic disease (Child-Pugh B or C) * Pre-injury left ventricular (LV) dysfunction (echocardiography LV grade II-IV or ejection fraction ≤ 35%)
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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
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Arizona Burn Center Valleywise Health
Phoenix, Arizona, 85008, United States
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Ascension Via Christi St. Francis
Wichita, Kansas, 67214, United States
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Atrium Health Wake Forest Baptist Medical Center
Winston-Salem, North Carolina, 27157, United States
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Cooperman Barnabas Medical Center
Livingston, New Jersey, 07039, United States
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Erie County Medical Center
Buffalo, New York, 14215, United States
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Hennepin Healthcare
Minneapolis, Minnesota, 55404, United States
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Legacy Health
Portland, Oregon, 97227, United States
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Loyola Medicine
Maywood, Illinois, 60153, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Metrohealth Medical Center
Cleveland, Ohio, 44109, United States
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Regional Burn Center at Harborview
Seattle, Washington, 98014, United States
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Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N3M5, Canada
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The University of Tennessee Health Science Center
Memphis, Tennessee, 38163, United States
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Torrance Memorial
Torrance, California, 90505, United States
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University of Alberta
Edmonton, Alberta, AB T6G 1Z1, Canada
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University of California Davis, Regional Burn Center
Sacramento, California, 95817, United States
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University of Cincinnati College of Medicine
Cincinnati, Ohio, 45267, United States
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University of Florida Health
Gainesville, Florida, 32608, United States
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University of Iowa Healthcare
Iowa City, Iowa, 52242, United States
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University of Kansas Health System
Kansas City, Kansas, 66160, United States
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University of Miami Health System
Miami, Florida, 33136, United States
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University of South Florida
Tampa, Florida, 33606, United States
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University of Utah Health
Salt Lake City, Utah, 84132, United States
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University of Wisconsin Health
Madison, Wisconsin, 53792, United States
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West Penn Hospital
Pittsburgh, Pennsylvania, 15224, United States
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Westchester Medical Center Health Network
Valhalla, New York, 10595, United States
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