Effect of Targeting Upper Normal Serum Magnesium Levels on Norepinephrine Requirements in Septic Shock Patients
NCT07716956 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2026-07-21
Summary
The goal of this clinical trial is to assess the effect of targeting upper normal serum magnesium levels on norepinephrine requirements in adult patients with septic shock.
The main questions it aims to answer are:
1. Does maintaining upper normal serum magnesium levels lower the total cumulative dose and duration of norepinephrine therapy?
2. Does this approach reduce the intensive care unit (ICU) length of stay, duration of mechanical ventilation and mortality?
This study will compare an intervention group to a control group to see the effect of targeting upper normal serum magnesium levels.
Participants will:
* Have their serum magnesium levels assessed at baseline (Day 0), at three-day intervals (Days 3, 6, 9) thereafter and on the day of norepinephrine discontinuation.
* Receive individualized intravenous magnesium sulfate infusions to achieve and maintain the target serum magnesium levels.
* Have their demographic data collected and be monitored closely for clinical data, vital signs, Mean Arterial Pressure (MAP), urine output and laboratory parameters.
Conditions
- Septic Shock
- Sepsis
Interventions
- DRUG
-
magnesium sulfate
Intravenous magnesium sulfate infusions will be individualized and administered to achieve and maintain the target serum magnesium levels.
- OTHER
-
standard care treatment
Patients will receive standard care required to maintain the target serum magnesium levels.
Sponsors & Collaborators
-
Alexandria University
lead OTHER
Principal Investigators
-
Noha A Hamdy, PhD · Faculty of Pharmacy, Alexandria University.
-
Marwan M ElBourini, PhD · University of Alexandria
-
Asmaa K Elharony, PharmD · Faculty of Pharmacy, Alexandria University.
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-31
- Primary Completion
- 2027-04-30
- Completion
- 2027-07-31
Countries
- Egypt
Study Locations
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