The Effect of Vasopressor Therapy on Renal Perfusion in Septic Shock
NCT06234592 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 45
Last updated 2025-04-04
Summary
Acute kidney injury (AKI) is a common complication of septic shock and together these conditions carry a high mortality risk. In septic patients who develop severe AKI renal cortical perfusion is deficient despite normal macrovascular organ blood flow. This intra-renal perfusion abnormality may be amenable to pharmacological manipulation, which may offer mechanistic insight into the pathophysiology of septic AKI. The aim of the current study is to investigate the effects of vasopressin and angiotensin II on renal microcirculatory perfusion in a cohort of patients with septic shock.
Conditions
- Septic Shock
- Acute Kidney Injury
Interventions
- DRUG
-
Angiotensin II
Angiotensin II infusion
- DRUG
-
Vasopressin
Vasopressin infusion
- DRUG
-
Norepinephrine
Standard care vasopressor therapy, norepinephrine infusion
Sponsors & Collaborators
-
European Society of Intensive Care Medicine
collaborator OTHER -
Royal Centre for Defence Medicine
collaborator OTHER_GOV -
King's College Hospital NHS Trust
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-01-05
- Primary Completion
- 2026-01-31
- Completion
- 2026-07-31
Countries
- United Kingdom
Study Locations
More Related Trials
-
Systematic Adjunction of Vasopressine in Septic Shock
NCT07052084 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
The Effects of Blood Pressure on Renal Function and Oxygenation in Septic Shock
NCT02453425 ·Status: COMPLETED ·Phase: NA
-
Personalized Mean Arterial Pressure Management on Renal Function During Septic Shock
NCT01473498 ·Status: TERMINATED ·Phase: NA
-
Efficacy of Targeted Abdominal Perfusion Pressure in Septic Shock
NCT05358912 ·Status: COMPLETED ·Phase: PHASE4
-
Macro and Micro Haemodynamic Responses to Shock in the Renal and Systemic - MICROSHOCK - RENAL
NCT03713307 ·Status: UNKNOWN
-
Norepinephrine Exerts an Inotropic Effect at the Early Phase of Human Septic Shock
NCT02750683 ·Status: COMPLETED
-
Effects of Terlipressin on Renal Perfusion in Patients With Septic Shock
NCT04948372 ·Status: COMPLETED ·Phase: NA
-
Vasopressin Use in Septic Shock From Türkiye
NCT06953297 ·Status: COMPLETED
-
Mechanistic Assessment of Norepinephrine Therapy vs. Angiotensin-II in Septic Shock
NCT06746753 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Relation Between Mean Arterial Pressure and Renal Resistive Index in the Early Phase of Septic Shock
NCT04281277 ·Status: COMPLETED ·Phase: NA
-
Hemodynamic Measurements of Macrocirculatory and Perfusion Parameters in ICU
NCT05225402 ·Status: RECRUITING
-
Microcirculation After MAP Increase in Septic Shock Patients With Previous Hypertension
NCT02519699 ·Status: COMPLETED ·Phase: PHASE4
-
Terlipressin in Septic Shock: Effects on Microcirculation
NCT00995839 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Serum Rennin Kinetics Versus Serum Lactate Kinetics as Predictors of Mortality in Septic Shock Patients
NCT05327881 ·Status: UNKNOWN
-
Vasopressin Plasma Concentrations in Patients Receiving Exogenous Vasopressin Infusion for Septic Shock
NCT03014063 ·Status: COMPLETED
-
Evaluating the Effect of Chronic Antihypertensive Therapy on Vasopressor Dosing in Septic Shock
NCT02884011 ·Status: COMPLETED
-
The Construction and Application of Therapeutic System of Intelligent Decision-Oriented Hemodynamic Organized Therapy for Shock Patients
NCT05886192 ·Status: UNKNOWN ·Phase: PHASE4
-
Hypotension in the Weaning From Vasopressor Drugs
NCT05506319 ·Status: COMPLETED ·Phase: PHASE4
-
Use of Vassopresin in Septic Shock Prospective Multicenter Observational Study With Medication
NCT07255378 ·Status: RECRUITING
-
The Effect of Terlipressin on Intesitnal Function in Septic Shock Patients
NCT02306239 ·Status: UNKNOWN ·Phase: NA
-
Hemodynamic Effects of Vasopressin in Early Septic Shock Stage
NCT02053675 ·Status: COMPLETED ·Phase: NA
-
Early Vasopressors in Sepsis
NCT05179499 ·Status: RECRUITING ·Phase: PHASE3
-
Efficacy and Safety of Angiotensin II Use in Coronavirus Disease(COVID)-19 Patients With Acute Respiratory Distress Syndrome
NCT04408326 ·Status: UNKNOWN
-
NOrepinephrine and VasoprEssin Versus Norepinephrine aLone in Critically Ill Patients With Septic Shock
NCT02454348 ·Status: WITHDRAWN ·Phase: PHASE4
-
Observational Study About the Use of Perfusion Index to Use Vasopressor in Sepsis
NCT06860438 ·Status: RECRUITING