Could custom blood pressure goals save more hearts?
NCT ID NCT07345559
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
Cardiogenic shock is a life-threatening condition where the heart can't pump enough blood. This study tests whether setting a personalized blood pressure target based on central venous pressure improves survival and reduces organ damage compared to the standard fixed target. About 400 adults in cardiogenic shock will be randomly assigned to either personalized or standard blood pressure management.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- personalized blood pressure management
- What this could lead to
- If successful, this could lead to a new standard for managing blood pressure in cardiogenic shock, potentially reducing deaths and organ failure.
- What could go wrong
- This is a mid-sized trial testing a strategy, not a new drug. The benefit may be small or not apply to all patients, and the approach requires invasive monitoring.
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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About 406 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2026
- Expected to finish
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Jul 2029
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.
- 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: * Aged ≥18 years * Cardiogenic shock state, according to the consensus definition, * SCAI (Society for Cardiovascular Angiography and Interventions) classification ≥ C * Consent from the patient or close relative / trusted person or emergency inclusion procedure * Benefiting fromciary of a social security scheme Exclusion Criteria: * Catecholamine infusion for more than 24 consecutive hours; * CVP \< 5 mm Hg at inclusion; * MAP \> 70 mmHg at inclusion; * Chronic kidney disease stage G4 (defined by an eGFR between 15-29 ml/min/1.73 m²) or G5 (defined by an eGFR less than 15 ml/min/1.73 m²) according to the KDIGO CKD classification at inclusion; * Chronic dialysis or presence of renal replacement therapy criteria at inclusion ; * Recovered cardiopulmonary arrest within 7 days prior to inclusion; * Patient already on mechanical circulatory support at inclusion before enrollment (patients who receive support after inclusion will not be excluded); * Primary diagnosis of tamponade, pulmonary embolism, or septic shock; * Hypersensitivity to norepinephrine tartrate or to any of the following excipients: sodium chloride, hydrochloric acid or sodium hydroxide water for injectable preparations; * Absence of central venous access; * Known pregnancy or current breastfeeding; * Under legal guardianship, curatorship, or judicial protection.
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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
11 sites. 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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CHRU de Strasbourg
NOT_YET_RECRUITINGStrasbourg, 67000, France
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CHU d'Amiens-Picardie
NOT_YET_RECRUITINGAmiens, 80000, France
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CHU d'Orléans
NOT_YET_RECRUITINGOrléans, 45100, France
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CHU de Toulouse
NOT_YET_RECRUITINGToulouse, 31000, France
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CMC Ambroise Paré - Hartmann
RECRUITINGNeuilly-sur-Seine, 92200, France
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Centre Cardiologique du Nord
NOT_YET_RECRUITINGSaint-Denis, 93200, France
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Clinique NCT + /Saint-Gatien
NOT_YET_RECRUITINGSaint-Cyr-sur-Loire, 37540, France
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Hôpital Cochin
NOT_YET_RECRUITINGParis, 75014, France
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Hôpital Henri Mondor
NOT_YET_RECRUITINGCréteil, 94010, France
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Hôpital Lariboisière
NOT_YET_RECRUITINGParis, 75010, France
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Hôpital Privé Jacques Cartier
NOT_YET_RECRUITINGMassy, 91300, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Stick-On patch aims to catch dangerous heart decline sooner
- Heart pump timing put to the test in deadly heart attack shock
- A second chance for the heart: can rehab rewrite the story after shock?
- Blood filter may calm the deadly inflammation of cardiogenic shock
- Microscopic blood vessel health may hold key to cardiogenic shock survival
- Can a machine support a failing heart without overworking it?