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ACTIVE NOT RECRUITING
NCT06217562
PHASE4

Vasopressin for Septic Shock Pragmatic Trial

Sponsor: Intermountain Health Care, Inc.

View on ClinicalTrials.gov

Summary

Life-threatening low blood pressure due to a serious infection is called "septic shock." Septic shock is treated with vasopressors, medications that raise blood pressure. Sometimes first-line vasopressors are inadequate, prompting addition of a second-line vasopressor called vasopressin. However, the threshold at which to start vasopressin remains unclear. This pragmatic, cluster-randomized, cluster-crossover trial will evaluate two different strategies for septic shock treatment commonly used in current practice, comparing a lower versus a higher threshold for adding vasopressin to first-line vasopressors.

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

2050

Start Date

2024-02-01

Completion Date

2027-12

Last Updated

2025-10-21

Healthy Volunteers

No

Conditions

Interventions

DRUG

Vasopressin

Intravenous vasopressin infusion added to first-line vasopressors. Recommended vasopressin dose is 1.8 units/hour (equivalent to 0.03 units/minute) at a fixed rate.

OTHER

Recommendation to use a lower initiation threshold for vasopressin

Recommended to initiate intravenous vasopressin infusion if the combined dose of other vasopressors reaches ≥0.1 mcg/kg/min of norepinephrine (or equivalent)

OTHER

Recommendation to use a higher initiation threshold for vasopressin

Recommended to initiate intravenous vasopressin infusion if the combined dose of other vasopressors reaches ≥0.4 mcg/kg/min of norepinephrine (or equivalent)

Locations (13)

Cassia Regional Hospital

Burley, Idaho, United States

American Fork Hospital

American Fork, Utah, United States

Cedar City Hospital

Cedar City, Utah, United States

Layton Hospital

Layton, Utah, United States

Logan Regional Hospital

Logan, Utah, United States

Intermountain Medical Center

Murray, Utah, United States

McKay-Dee Hospital

Ogden, Utah, United States

Park City Hospital

Park City, Utah, United States

Utah Valley Hospital

Provo, Utah, United States

Riverton Hospital

Riverton, Utah, United States

LDS Hospital

Salt Lake City, Utah, United States

Alta View Hospital

Sandy City, Utah, United States

St. George Regional Hospital

St. George, Utah, United States