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Trial · NCT03422159

Metabolic Resuscitation Using Ascorbic Acid, Thiamine, and Glucocorticoids in Sepsis.

NCT03422159, Phase 2, Completed, Community Medical Center, Toms River, NJ; results first posted 2021-09-21

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Metabolic Resuscitation Using Ascorbic Acid, Thiamine, and Glucocorticoids in Sepsis. Trials, record NCT03422159. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03422159

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Metabolic Resuscitation Using Ascorbic Acid, Thiamine, and Glucocorticoids in Sepsis.
NCT number
NCT03422159
Status
Completed
Phases
Phase 2
Enrollment
140 participants, actual
Lead sponsor
Community Medical Center, Toms River, NJ
Conditions
Sepsis, Severe, Septic Shock
Interventions
Ascorbic Acid, Thiamine, Hydrocortisone, Sodium Chloride 0.9%
First posted
2018-02-05
Last updated
2021-09-21
Results first posted
2021-09-21
Limitations and caveats
The relative weakness was its small, homogenous (primarily caucasian) cohort size, limiting the ability to detect differences in hospital mortality and length of stay.

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime to Vasopressor Independence (Hours)From start of vasopressor medication to final discontinuation of vasopressor medication, up to 7 days.Defined as the time from starting the active treatment/placebo to discontinuation of all pressors.
PrimaryChange in Sequential Organ Failure Assessment (SOFA) Score4 days post-randomization
Defined as the day 4 post-randomization SOFA score minus the initial SOFA score. The Sequential Organ Failure Assessment (SOFA) Score is a mortality prediction score that is based on the degree of dysfunction of six organ systems. The score is calculated on admission and every 24 hours until discharge using the worst parameters measured during the prior 24 hours SOFA score ranges from 0 (no organ dysfunction) to 24 (highest possible score / organ dysfunction).
SecondaryProcalcitonin (PCT) Clearance4 days post-randomizationPCT at 96 hours minus initial PCT, divided by the initial PCT multiplied by 100.
SecondaryICU MortalityFrom admission to hospital until final discharge from the ICU, up to 28 days.ICU mortality rate
SecondaryICU Length of StayFrom admission to the ICU until final discharge from the ICU, up to an average of 7 days.Time from admitting to ICU to discharge.
SecondaryVentilator Free Days28 Days post-randomizationNumber of days alive and off of the ventilator at day 28.
SecondaryHospital Length of StayFrom admission to the hospital until final discharge, up to 28 days.Time from admitting to discharge of hospital stay.
SecondaryHospital MortalitySurvival until hospital discharge, up to 28 days.In-hospital mortality rate.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime to Vasopressor Independence (Hours)From start of vasopressor medication to final discontinuation of vasopressor medication, up to 7 days.Patients on vasopressor therapy in each group.hoursMEAN
PRIMARYChange in Sequential Organ Failure Assessment (SOFA) Score4 days post-randomizationscore on a scaleMEAN
SECONDARYProcalcitonin (PCT) Clearance4 days post-randomizationPercentMEAN
SECONDARYICU MortalityFrom admission to hospital until final discharge from the ICU, up to 28 days.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYICU Length of StayFrom admission to the ICU until final discharge from the ICU, up to an average of 7 days.daysMEAN
SECONDARYVentilator Free Days28 Days post-randomizationDaysMEAN
SECONDARYHospital Length of StayFrom admission to the hospital until final discharge, up to 28 days.DaysMEAN
SECONDARYHospital MortalitySurvival until hospital discharge, up to 28 days.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group16

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time to Vasopressor Independence (Hours)HAT Treatment27Standard Deviation 22hours
Time to Vasopressor Independence (Hours)Comparator53Standard Deviation 38hours
Change in Sequential Organ Failure Assessment (SOFA) ScoreTreatment Arm2.9Standard Deviation 3.3score on a scale
Change in Sequential Organ Failure Assessment (SOFA) ScorePlacebo Arm1.93Standard Deviation 3.5score on a scale
Procalcitonin (PCT) ClearanceTreatment Arm63Standard Deviation 170Percent
Procalcitonin (PCT) ClearancePlacebo Arm58Standard Deviation 66Percent
ICU MortalityTreatment Arm6Participants
ICU MortalityPlacebo Arm10Participants
ICU Length of StayTreatment Arm4.76Standard Deviation 4.3days
ICU Length of StayPlacebo Arm4.66Standard Deviation 3.45days

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTreatment Arm70
Overall StudySTARTEDPlacebo Arm70
Overall StudyCOMPLETEDTreatment Arm68
Overall StudyCOMPLETEDPlacebo Arm69
Overall StudyNOT COMPLETEDTreatment Arm2
Overall StudyNOT COMPLETEDPlacebo Arm1

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTreatment Arm1168
Total, all-cause mortalityPlacebo Arm1369
Total, other adverse eventsTreatment Arm068
Total, other adverse eventsPlacebo Arm069
Total, serious adverse eventsTreatment Arm068
Total, serious adverse eventsPlacebo Arm069

Papers68

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
1138591BACKGROUNDPubMed
3426152BACKGROUNDPubMed
3928249BACKGROUNDPubMed
8126804BACKGROUNDPubMed
8490379BACKGROUNDPubMed
8844239BACKGROUNDPubMed
9698091BACKGROUNDPubMed
10722036BACKGROUNDPubMed
11502226BACKGROUNDPubMed
11594901BACKGROUNDPubMed

1 to 10 of 68

See all 68 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons4

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Treatment Arm vs Placebo Arm: ICU MortalityTrial comparisons
Treatment Arm vs Placebo Arm: Hospital MortalityTrial comparisons
Treatment Arm vs Placebo Arm: deaths from any causeTrial comparisons
Treatment Arm vs Placebo Arm: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03422159

GET https://conductscience.org/api/trials/v1/NCT03422159/papers?page=2