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Trial · NCT05179499

Registered outcomes24

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

ListOutcomeTime frameDescription
Primary
The primary objective is to determine whether early PVI (within 12 hours of admission) targeted to MAP of ≥65 mmHg improves clinical effectiveness in hospitalised adult patients with septic shock compared with usual care, in the first 48 hours.
90 days post randomisationThe primary objective is measured by the Primary outcome of 'Days Alive and Out of Hospital at 90 Days'.
SecondaryAccumulated Total Volume of IV fluid6,12, 24, 48 and 72 hours post randomisationAccumulated volume of IV fluid delivered in each arm - excluding fluid volumes less than 100ml
SecondaryLactate clearance from baseline6, 12, 24, 48 & 72 hours post randomisationBlood lactate value - arterial or venous
SecondaryTotal Dose of Norepinephrine6, 12, 24, 48 and 72 hours post randomisationTotal dose of norepinephrine delivered by any route (peripheral or central) at each timepoint
SecondaryProportion of patients who receive vasopressors6, 12, 24 and 48 hours after recruitment to the control armProportion of patients recruited to control arm who receive any vasopressor (norepinephrine, vasopressin, metarminol, epinephrine) at each time point
SecondaryProportion of patients who require central venous access24 and 48 hours post randomisationDecision to treat based on treating clinician judgement
SecondaryProportion of patients developing acute kidney injuryDuring the first 72 hours post randomisation
Acute kidney injury in line with the (p) RIFLE (paediatric Risk, Injury, Failure, Loss, End stage renal disease, AKIN (Acute kidney injury network) or KDIGO (Kidney Disease: Improving Global Outcomes) definitions by using any of the following criteria * a rise in serum creatinine of 26 micromol/litre or greater within 48 hours * a 50% or greater rise in serum creatinine known or presumed to have occurred within the past 7 days * a fall in urine output to less than 0.5 ml/kg/hour for more than 6 hours in adults
SecondaryProportion of patients receiving parenteral corticosteroid24, 48 & 72 hours post randomisationdefined as new prescription of parenteral corticosteroid
SecondaryLength of hospital stay for index admissionup to hospital dischargeindex hospital admission ends when the patient is discharged from the facility providing definitive treatment for the episode of sepsis leading to inclusion in the study
SecondaryProportion of participants needing renal replacement therapy during index hospital admissionindex admission
decision to treat based on treating clinician judgement; participants who receive new renal replacement therapy; participants with chronic renal replacement initiated prior to the index admission will not be eligible to meet this endpoint
SecondaryProportion of participants needing non-invasive ventilation during index hospital admissionindex admissiondecision to treat based on treating clinician judgement; defined as admissions receiving mask/hood CPAP or mask/hood BiPAP or non-invasive ventilation; admissions receiving CPAP via a tracheostomy
SecondaryProportion of participants needing advanced respiratory support (ICNARC definition)index admission
decision to treat based on treating clinician judgement; Patients who receive one or more of the following: A. Patients who receive invasive mechanical ventilation via endotracheal or tracheostomy tube, except those intubated solely for a procedure and extubated within 24 hours B. BiPAP (bilevel positive airway pressure) applied via a trans-laryngeal tracheal tube or applied via a tracheostomy C. CPAP (continuous positive airway pressure) via a translaryngeal tune of applied via a tracheostomy D. extracorporeal respiratory support
SecondaryTotal dose of other vasopressor6, 12, 24, 48, 72 hours post randomisationTotal dose of other vasopressors delivered by any route (peripheral or central) at each timepoint
SecondaryAll-cause mortality during index hospital admission and at 30 and 90 daysindex admission and at 30 & 90 days post randomisationAll-cause mortality during index hospital admission and at 30 \& 90 days post randomisation
SecondaryReadmission, post initial hospital discharge, in first 30 days and 90 days post randomisation30 & 90 days post randomisation
Re-admission to an acute healthcare facility in the first 30 \& 90 days post randomisation, following a discharge from the index hospital admission to the participants care setting in the community. This includes planned and unplanned admissions. For both readmission outcomes, an acute care facility is any acute care hospital, emergency department admission \>24 hours, critical care area or short stay admission or observation area.
SecondaryProportion of participants admitted to and length of stay in critical care (level 2 or 3) during index hospital admissionDuring Index Hospital AdmissionProportion of participants admitted to and length of stay in critical care (level 2 or 3) during index hospital admission
SecondaryDischarge DiagnosisAt initial Index Hospital Discharge & at any subsequent hospital discharges following any re-admissions (post Initial Index Hospital Discharge) 90 days post randomisation.Main diagnosis for index hospital admission, and all subsequent re-admissions
SecondaryHRQoLBaseline, 30 & 90 Days Post randomisationDerived from EQ-5D-5L index values
OtherPatient Centred Outcome30 days post randomisationorgan support free days at 30 days
OtherProtocol Adherence48 hours post randomisationProportion of patients who have PVI discontinued for non-clinical reasons after recruitment to intervention arm

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

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.

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