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RECRUITINGPhase 4INTERVENTIONAL

Renal Outcomes in the Early Use of Vasopressin in the Treatment of Septic Shock

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

About This Trial

The aim of the present study is to verify whether the earlier association of vasopressin and norepinephrine, in patients in septic shock, determines variations in terms of use of renal function replacement techniques in the first 7 days of hospitalization in Intensive Care, compared to patients in whom vasopressin is added only when norepinephrine reaches a higher dose.

Who May Be Eligible (Plain English)

Who May Qualify: - patients suffering from septic shock hospitalized in an intensive setting - patients over 18 years and under 80 years of age - patients within 24 hours of clinical diagnosis, and requiring, in this time window, a norepinephrine dosage equal to or greater than 0.25 mcg/kg/min according to the patient's ideal weight (IBW) - patients capable of expressing willing to sign a consent form to treatment. Who Should NOT Join This Trial: - patients in the absence of consent to participate in the study and to the processing of personal and particular data; - patients under 18 years of age or over 80 years of age; - patients who died within the first 24 hours of admission to the ICU; - patients requiring a norepinephrine dosage lower than 0.25 mcg/kg/min in the first 24 hours of hospitalization in the ICU; - patients with recent acute coronary syndrome (within the previous 7 days); - patients with allergy/intolerance to the drugs used in the study or to any component of the study drug including excipients; - pregnant patients; - breastfeeding individuals; - patients who need to start renal replacement treatment within 24 hours of admission to the ICU for dialysis emergencies that cannot be deferred; - patients with a history of end-stage renal failure or already undergoing dialysis treatment (CKD stages 4 and 5, with glomerular filtration \< 30 ml/min); - single kidney patients; - patients with bilateral renal hypoplasia; - patients undergoing kidney transplant; - patients undergoing haemoperfusion with an adsorbent cartridge for bacterial endotoxin. Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * patients suffering from septic shock hospitalized in an intensive setting * patients over 18 years and under 80 years of age * patients within 24 hours of clinical diagnosis, and requiring, in this time window, a norepinephrine dosage equal to or greater than 0.25 mcg/kg/min according to the patient's ideal weight (IBW) * patients capable of expressing informed consent to treatment. Exclusion Criteria: * patients in the absence of consent to participate in the study and to the processing of personal and particular data; * patients under 18 years of age or over 80 years of age; * patients who died within the first 24 hours of admission to the ICU; * patients requiring a norepinephrine dosage lower than 0.25 mcg/kg/min in the first 24 hours of hospitalization in the ICU; * patients with recent acute coronary syndrome (within the previous 7 days); * patients with allergy/intolerance to the drugs used in the study or to any component of the study drug including excipients; * pregnant patients; * breastfeeding individuals; * patients who need to start renal replacement treatment within 24 hours of admission to the ICU for dialysis emergencies that cannot be deferred; * patients with a history of end-stage renal failure or already undergoing dialysis treatment (CKD stages 4 and 5, with glomerular filtration \< 30 ml/min); * single kidney patients; * patients with bilateral renal hypoplasia; * patients undergoing kidney transplant; * patients undergoing haemoperfusion with an adsorbent cartridge for bacterial endotoxin.

Treatments Being Tested

DRUG

vasopressin infusion when the norepinephrine dosage is equal to or greater than 0.25 mcg/kg/min

when the norepinephrine dosage is equal to or greater than 0.25 mcg/kg/min in the absence of adequate MAP (Mean arterial pressure \>65 mmhg), vasopressin infusion will be associated with the standard dosage of 0.3UI/min.

DRUG

vasopressin infusion when the norepinephrine dosage is equal to or greater than 0.5 mcg/kg/min

the infusion of vasopressin at a dosage of 0.3 IU/min will be associated if norepinephrine exceeds the dosage of 0.5 mcg/kg/min in the absence of adequate MAP

Locations (1)

Azienda Unità Sanitaria Locale
Bologna, Italy