New fluid strategy aims to reduce organ failure in septic shock
NCT ID NCT03461900
First seen Jun 25, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This study tested a personalized approach to fluid management in 535 adults with septic shock. Doctors used a 'mini-fluid challenge'—a small amount of albumin given quickly—to check if more fluids would help, aiming to avoid fluid overload. The goal was to see if this tailored method could reduce organ failure compared to standard care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- mini-fluid challenge (100 ml of 4% human serum albumin)
- What this could lead to
- If successful, this approach could help doctors better manage fluid levels in septic shock patients, potentially reducing organ damage and improving recovery.
- What could go wrong
- This is a completed trial, but the intervention is a management strategy, not a new drug. Benefits may be modest and depend on how well it's implemented in different ICUs.
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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535 people
The number who actually took part.
- Started
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Jun 2019
- Finished
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Jan 2024
- 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: * Adult patient (Age \> 18 years) * Admitted in ICU for less than 3 days. * Abdominal (excepted urinary tract infection) or pulmonary related septic shock, defined by SEPSIS III criteria diagnosed within less than 12 hours. * Written consent or oral by the patient (and/or consent signed by the next of skin) * Patient has social security affiliation or who beneficiary of such social security Exclusion Criteria: * Patient with life expectancy inferior to 24 hours at the time of inclusion. * Cardiac arrest * Allergy to albumin * Pregnancy * Traumatic brain injury * Limitation of invasive therapeutics, palliative care * Patient under guardianship or curatorship
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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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Angers university hospital
Angers, France
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Besançon university hospital
Besançon, France
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Brest university hospital
Brest, 29200, France
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Brest university hospital
Brest, France
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Chartres Hospital
Chartres, 28000, France
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Clermont Ferrand university hospital
Clermont-Ferrand, France
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George Pompidou university hospital (APHP)
Paris, France
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Hôpital privé de l'ouest parisen
Trappes, 78190, France
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Kremlin Bicêtre university hospital (APHP)
Paris, France
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Le Mans hospital
Le Mans, France
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Marseille university horpital
Marseille, France
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Morlaix hospital
Morlaix, France
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Nantes university hospital
Nantes, France
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Nîmes university hospital
Nîmes, 30029, France
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Poitiers university hospital
Poitiers, France
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Rouen university hospital
Rouen, France
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Toulon hospital
Toulon, France
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Tours university hospital
Tours, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Chilling fever: can cooling septic shock patients save lives?
- Bedside eye scans may reveal hidden blood flow problems in septic shock
- Can two blood markers catch sepsis before it turns deadly?
- Two cheap blood ratios put to the test as sepsis death predictors
- Can a bedside ultrasound predict which septic shock patients will stop breathing on their own?
- Can a computer model speed up sepsis blood tests?