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RECRUITINGPhase 1 / Phase 2INTERVENTIONAL

Safety and Efficacy of Early Administration of Dexamethasone in High-risk Sepsis

A Randomized, Double-blind, Multi-center Clinical Trial to Evaluate the Safety and Efficacy of Early Administration of Dexamethasone in High-risk Sepsis

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

The purpose of this study is to investigate the safety and efficacy of early administration of two different doses of dexamethasone in high risk septic patients.

Who May Be Eligible (Plain English)

Who May Qualify: - Sepsis defined by Sepsis-3 definition - Initial systolic blood pressure \< 90mmHg or blood lactate level \>2mmol/L Who Should NOT Join This Trial: - advanced directive for "Do not resuscitation" - recent systemic administration of glucocorticoid (4 weeks) - recent systemic administration of chemotherapy (4 weeks) - recent systemic administration of immunosuppressant (4 weeks) - expected life less than 90 days - Transferred from other hospital - Sepsis diagnosed 24 hours after ED admission - Use of etomidate in ED - pregnant or on lactation - no willing to sign a consent form Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * Sepsis defined by Sepsis-3 definition * Initial systolic blood pressure \< 90mmHg or blood lactate level \>2mmol/L Exclusion Criteria: * advanced directive for "Do not resuscitation" * recent systemic administration of glucocorticoid (4 weeks) * recent systemic administration of chemotherapy (4 weeks) * recent systemic administration of immunosuppressant (4 weeks) * expected life less than 90 days * Transferred from other hospital * Sepsis diagnosed 24 hours after ED admission * Use of etomidate in ED * pregnant or on lactation * no informed consent

Treatments Being Tested

DRUG

Dexamethasone

Intervention drugs would be administered for 1 or 2 days.

Locations (2)

Bundang CHA hospital
Seongnam-si, Gyeonggi-do, South Korea
Samsung Hospital
Seoul, South Korea