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Trial · NCT04540094

Feasibility of 5% Albumin Compared With Balanced Crystalloid, as Intravenous Fluid Resuscitation in Adult Patients With Sepsis, Presenting as an Emergency to Hospital

NCT04540094, Phase 3, Completed, University of Edinburgh; results first posted 2024-10-04

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Feasibility of 5% Albumin Compared With Balanced Crystalloid, as Intravenous Fluid Resuscitation in Adult Patients With Sepsis, Presenting as an Emergency to Hospital. Trials, record NCT04540094. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04540094

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Trial

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

Title
Feasibility of 5% Albumin Compared With Balanced Crystalloid, as Intravenous Fluid Resuscitation in Adult Patients With Sepsis, Presenting as an Emergency to Hospital
NCT number
NCT04540094
Status
Completed
Phases
Phase 3
Enrollment
300 participants, actual
Lead sponsor
University of Edinburgh
Conditions
Sepsis
Interventions
Human albumin, Balanced crystalloid solution
First posted
2020-09-07
Last updated
2024-10-04
Results first posted
2024-10-04
Limitations and caveats
Full Health Economic Analysis was not possible to determine the difference in secondary care costs. It was determined that any comparative analysis of costs would be dominated by mortality difference between arms, with the inevitable lower costs and quality-adjusted life years (QALYs) associated with the higher mortality group, so full analysis of this data was not completed as it would not produce meaningful outcomes. All analyses outlined in the Statistical Analysis Plan were completed.

Source ClinicalTrials.gov

Registered outcomes24

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

ListOutcomeTime frameDescription
PrimaryRecruitment RateApprox 1 yearWe measured the recruitment rate to assess deliverability. We aimed to recruit 300 participants in approximately 1 year in a 1:1 ratio into each treatment arm.
Primary30-day Mortality30 daysAssessment of how many participants in each arm died after 30 days to determine the effect size between the treatment groups.
SecondaryData Completeness of Primary Outcome180 daysFeasibility Outcome assessing the number of participants who provided data for clinical primary outcome (30 day mortality)
SecondaryWithdrawal From StudyApprox 1 yearFeasibility Outcomes assessing the number of participants who withdraw from study intervention and/or data collection
SecondaryNumber of Patients Who Receive Any Other Fluid Apart From Intervention or Control in First 6 Hrs After Recruitment6 hoursFeasibility Outcome- number of patients who receive any other fluid apart from intervention or control in first 6 hrs after recruitment
SecondaryTime to Start of In-hospital Intravenous FluidsFrom time of Randomisation until fluid first being administered measured up to 6 hours.Feasibility Outcome- Time to start of in-hospital intravenous fluids
SecondaryIn-hospital MortalityFrom time of Randomisation until time of hospital discharge or death, whichever is first measured up to 90 daysSecondary Clinical Outcome
Secondary90-day Mortality90 daysSecondary Clinical Outcome
SecondaryVolume of Randomised Fluid Delivered in Each Arm in the First 6hrs6 hoursSecondary Clinical Outcome- Volume of randomised fluid delivered in each arm in the first 6hrs
SecondaryLength of Hospital Stay90 daysSecondary Clinical Outcome

Outcomes24

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYRecruitment RateApprox 1 yearParticipantsCOUNT_OF_PARTICIPANTS
PRIMARY30-day Mortality30 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYData Completeness of Primary Outcome180 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYWithdrawal From StudyApprox 1 yearParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Patients Who Receive Any Other Fluid Apart From Intervention or Control in First 6 Hrs After Recruitment6 hoursParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to Start of In-hospital Intravenous FluidsFrom time of Randomisation until fluid first being administered measured up to 6 hours.minutesMEDIAN
SECONDARYIn-hospital MortalityFrom time of Randomisation until time of hospital discharge or death, whichever is first measured up to 90 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARY90-day Mortality90 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYVolume of Randomised Fluid Delivered in Each Arm in the First 6hrs6 hoursmlMEDIAN
SECONDARYLength of Hospital Stay90 daysdaysMEAN

Results by group46

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

OutcomeGroupCategoryValueSpreadUnits
Recruitment Rate5% Human Albumin Solution150Participants
Recruitment RateIntravenous Balanced Crystalloid150Participants
30-day Mortality5% Human Albumin Solution31Participants
30-day MortalityIntravenous Balanced Crystalloid22Participants
Data Completeness of Primary Outcome5% Human Albumin Solution147Participants
Data Completeness of Primary OutcomeIntravenous Balanced Crystalloid149Participants
Withdrawal From Study5% Human Albumin Solution3Participants
Withdrawal From StudyIntravenous Balanced Crystalloid1Participants
Number of Patients Who Receive Any Other Fluid Apart From Intervention or Control in First 6 Hrs After Recruitment5% Human Albumin Solution33Participants
Number of Patients Who Receive Any Other Fluid Apart From Intervention or Control in First 6 Hrs After RecruitmentIntravenous Balanced Crystalloid1Participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTED5% Human Albumin Solution150
Overall StudySTARTEDIntravenous Balanced Crystalloid150
Overall StudyCOMPLETED5% Human Albumin Solution150
Overall StudyCOMPLETEDIntravenous Balanced Crystalloid150
Overall StudyNOT COMPLETED5% Human Albumin Solution0
Overall StudyNOT COMPLETEDIntravenous Balanced Crystalloid0

Adverse events44

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBlood and LymphaticBlood and lymphatic system disorders5% Human Albumin Solution31503
otherBlood and LymphaticBlood and lymphatic system disordersIntravenous Balanced Crystalloid11501
otherCardiac DisordersCardiac disorders5% Human Albumin Solution21502
otherCardiac DisordersCardiac disordersIntravenous Balanced Crystalloid11501
otherGastrointestinal disordersGastrointestinal disorders5% Human Albumin Solution31503
otherGastrointestinal disordersGastrointestinal disordersIntravenous Balanced Crystalloid01500
otherGeneral disorders and administrationGeneral disorders5% Human Albumin Solution21502
otherGeneral disorders and administrationGeneral disordersIntravenous Balanced Crystalloid21502
otherInfections and infestationsInfections and infestations5% Human Albumin Solution01500
otherInfections and infestationsInfections and infestationsIntravenous Balanced Crystalloid21502

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortality5% Human Albumin Solution43150
Total, all-cause mortalityIntravenous Balanced Crystalloid32150
Total, other adverse events5% Human Albumin Solution25150
Total, other adverse eventsIntravenous Balanced Crystalloid20150
Total, serious adverse events5% Human Albumin Solution5150
Total, serious adverse eventsIntravenous Balanced Crystalloid2150

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
38912884DERIVED

Source PubMed

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 comparisons17

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

ComparisonSource
5% Human Albumin Solution vs Intravenous Balanced Crystalloid: Number of Patients Developing Pulmonary OedemaTrial comparisons
5% Human Albumin Solution vs Intravenous Balanced Crystalloid: Number of Patients Who Receive Any Other Fluid Apart From Intervention or Control in First 6 Hrs After RecruitmentTrial comparisons
5% Human Albumin Solution vs Intravenous Balanced Crystalloid: Number of Participants Needing Invasive VentilationTrial comparisons
5% Human Albumin Solution vs Intravenous Balanced Crystalloid: 30-day MortalityTrial comparisons
5% Human Albumin Solution vs Intravenous Balanced Crystalloid: Number of Patients Developing Allergy or AnaphylaxisTrial comparisons
5% Human Albumin Solution vs Intravenous Balanced Crystalloid: Recruitment RateTrial comparisons
5% Human Albumin Solution vs Intravenous Balanced Crystalloid: Number of Patients Developing Acute Kidney Injury (AKI)Trial comparisons
5% Human Albumin Solution vs Intravenous Balanced Crystalloid: Number of Participants Needing Renal ReplacementTrial comparisons
5% Human Albumin Solution vs Intravenous Balanced Crystalloid: Number of Patients Readmitted in First 90 Days After DischargeTrial comparisons
5% Human Albumin Solution vs Intravenous Balanced Crystalloid: Number of Participants Needing Intravenous VasopressorsTrial 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/NCT04540094

GET https://conductscience.org/api/trials/v1/NCT04540094/registered?page=2