Should vasopressor dosing be based on weight? new study investigates
NCT ID NCT04153578
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This completed study looked at 945 patients with septic shock to compare two ways of dosing vasopressors (medicines that raise blood pressure): one based on the patient's weight, and one not. The goal was to see which approach leads to better outcomes and fewer side effects, especially in obese patients. The study measured total vasopressor exposure over 48 hours and tracked complications like death, arrhythmia, and blood clots.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- vasopressors (norepinephrine, epinephrine, phenylephrine, dopamine)
- What this could lead to
- If this study shows a clear benefit of one dosing strategy, it could help hospitals adopt safer, more effective vasopressor dosing for septic shock patients, especially those who are obese.
- What could go wrong
- This is an observational comparison, not a randomized trial, so it cannot prove cause and effect. Results may not apply to all hospitals or patient groups.
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
-
945 people
The number who actually took part.
- Started
-
Nov 2019
- Finished
-
Jun 2020
- 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.
Who is studied
Patients admitted to MDMC and MCMC from 4/1/2017-8/31/2019 will be identified through the electronic medical record utilizing ICD codes for sepsis and septic shock.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
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: * ICU admission * Medical admission type * Received NE, epinephrine (EPI), phenylephrine (PE), or dopamine (DA) for septic shock * Received NE/EPI/PE/DA for \> 24 hours * Age ≥ 18 years Exclusion Criteria: * Non-sepsis indication for vasopressors * Surgical or trauma admission type * ICU length of stay \< 24 hours * Pregnant
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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
-
Methodist Dallas Medical Center
Dallas, Texas, 75203, United States
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?