New study reveals hidden blood flow dynamics when reducing shock medications
NCT ID NCT07653659
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study observes 30 adults with distributive shock who are on a ventilator and receiving norepinephrine to maintain blood pressure. Researchers measure critical closing pressure—the pressure at which small blood vessels collapse—before and 30 minutes after doctors reduce the norepinephrine dose. The goal is to understand how these changes affect tissue perfusion and guide safer medication management in intensive care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help doctors better understand how to safely reduce blood pressure medications in shock patients, potentially improving recovery.
- What could go wrong
- This is a small observational study with only 30 participants, so results may not apply to all patients. It does not test a new treatment, only measures existing 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.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2025
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- 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.
Who is studied
Adult distributive shock patients receiving invasive mechanical ventilation and norepinephrine treatment
- 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: 1. Adult distributive shock patients aged ≥18 years; 2. Receiving norepinephrine infusion with MAP in the 75-85 mmHg range; 3. PiCCO catheter in situ; 4. Under mechanical ventilation; 5. Clinically indicated norepinephrine dose reduction per attending physician judgment. Exclusion Criteria: 1. Significant cardiac arrhythmia affecting CO measurement reliability; 2. Contraindication to airway plateau pressure maneuver; 3. Active titration of other vasoactive agents within 30 minutes prior to measurement; 4. Hemodynamic instability making it impossible to reduce norepinephrine dose.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Peking Union Medical College Hospital
RECRUITINGBeijing, Beijing Municipality, 100730, China
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