Could cutting back on IV fluids save lives in septic shock?
NCT ID NCT06140147
First seen Jun 25, 2026 · Last updated Sep 18, 2026 · Updated 2 times
Summary
This study is testing whether giving fewer non-essential fluids to adults with septic shock can improve outcomes. The trial will enroll 1,850 patients in intensive care, comparing a restrictive fluid strategy to usual care. The main goal is to see if this approach reduces deaths and serious complications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- protocolized reduction of non-resuscitation fluids (intravenous fluids, enteral water, nutrition, and glucose)
- What this could lead to
- If successful, this could establish a safer fluid management strategy for septic shock, potentially reducing deaths and complications in intensive care.
- What could go wrong
- This is a large but early-stage trial without a defined phase. The intervention is a change in clinical practice, not a new drug, so benefits may be modest. There is a risk of dehydration or electrolyte imbalances if fluids are overly restricted.
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 1,850 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2023
- Expected to finish
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Jul 2028
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: * Adult (≥ 18 years of age) * Septic shock according to the Sepsis 3 criteria at any time within 12 hours after ICU admission (suspected or confirmed infection, plasma lactate above 2 mmol/L, and infusion of vasopressor/inotrope to maintain mean arterial pressure of 65mmHg or above after receiving adequate fluid resuscitation \[\> 1L within 12 h of screening\]) and need for vasopressors at the time of screening. Exclusion Criteria: * Confirmed or suspected pregnancy * Previous inclusion in the trial * Screened more than 12 hours after ICU admission
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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
22 sites in 3 countries. 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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Danderyd Hospital
RECRUITINGDanderyd, Sweden
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Falun Hospital
RECRUITINGFalun, Sweden
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Halmstad Hospital
RECRUITINGHalmstad, Sweden
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Helsingborg Hospital
RECRUITINGHelsingborg, Sweden
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Helsinki University Hospital
RECRUITINGHelsinki, Finland
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Kuopio University Hospital
NOT_YET_RECRUITINGKuopio, Finland
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Malar Hospital
RECRUITINGEskilstuna, Sweden
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Norrtälje Hospital
RECRUITINGNorrtälje, Sweden
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Sahlgrenska University Hospital
RECRUITINGGothenburg, Sweden
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Skåne University Hospital, Lund
RECRUITINGLund, Sweden
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Skåne University Hospital, Malmö
RECRUITINGMalmö, Sweden
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Stockholm South General Hospital (SÖS)
RECRUITINGStockholm, Sweden
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Södertälje Hospital
RECRUITINGSödertälje, Sweden
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Tampere University Hospital
RECRUITINGTampere, Finland
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Turku University Hospital
NOT_YET_RECRUITINGTurku, Finland
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University Hospital of Umeå
RECRUITINGUmeå, Sweden
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University Hospital of Wales
NOT_YET_RECRUITINGCardiff, United Kingdom
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Uppsala University Hospital
RECRUITINGUppsala, Sweden
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Varberg Hospital
RECRUITINGVarberg, Sweden
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Örebro University Hospital
RECRUITINGÖrebro, Sweden
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Östersund Hospital
RECRUITINGÖstersund, Sweden
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Östra Hospital
RECRUITINGGothenburg, Sweden
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 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?
- A routine calcium reading could reveal how sick a sepsis patient really is