Heart surgery shock drug trial stalls after just two patients
NCT ID NCT04904562
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested angiotensin II (Giapreza) as a first-line treatment for distributive shock in patients who had a heart transplant or LVAD implant. The goal was to see if it could reduce the need for other blood pressure medications. However, the trial was terminated early after enrolling only 2 out of 40 planned participants, so no meaningful conclusions can be drawn.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Angiotensin II (Giapreza)
- What this could lead to
- If successful, this could point toward a new first-line treatment for shock after heart surgery, potentially reducing the need for other strong medications.
- What could go wrong
- This was a very small pilot study that ended early with only 2 participants, so results are not reliable. The drug may not work better than standard care, and side effects are possible.
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
-
2 people
The number who actually took part.
- Started
-
Jun 2022
- Finished
-
Jul 2024
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patients (18 years of age or older) 2. Onset of distributive shock within 48 hours after heart transplantation or VAD placement. Distributive shock defined as MAP less than 55mmHg on CPB, MAP less than 70mmHg before or after CPB, or systemic vascular resistance (SVR) less than 800 dynes/cm/sec5 with cardiac index (CI) greater than 2.0L/min/m2 and clinically determined euvolemia. Exclusion Criteria: 1. Patients without distributive shock, 2. Women who are pregnant or breastfeeding. 3. Patients who do not receive the study drug as a first line agent for distributive shock 4. Allergy to angiotensin II, angiotensin II or another vasopressor being used at the time of presentation to the operating room 5. Preexisting distributive shock 6. Preexisting thromboembolic disease 7. Patients who are unwilling to provide consent
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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
-
Northwestern University
Chicago, Illinois, 60611, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.