About this trial
This pilot study will enroll 20 patients with septic shock and require emergent vasopressor support in the emergency department (ED). The primary objective of the study is to determine the feasibility of early peripheral administration of angiotensin II for treatment of septic shock in the ED
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18; and
Requiring norepinephrine at a dose of 0.05-0.25 mcg/kg/min mcg/kg/minute despite adequate fluid resuscitation; and
Receiving intravenous antibiotics or clinician's intention to administer antibiotics at the time of enrollment; and
Can provide written informed consent (or legally authorized representative).
Disqualifiers
Acute coronary syndrome;
Cardiogenic shock;
Patients with a history of mesenteric ischemia;
Patients with a history of having an aortic dissection or abdominal aortic aneurysm;
Trial design
Single group
Treatments tested in this trial
Angiotensin II Infusion
DrugAngiotensin II continuous infusion
Treatment groups
Trial outcomes
Primary outcomes
Feasibility of completing all clinical trial activities
Percentage of patients who provide informed consent and receive angiotensin II infusion in the emergency department
Secondary outcomes
Mean arterial pressure response
Change in mean arterial pressure
Mean norepinephrine dose (during angiotensin II infusion)
Change in norepinephrine dose (mcg/kg/minute) after the initiation of angiotensin II infusion
Mean norepinephrine dose (post angiotensin II infusion)
Mean norepinephrine dose (mcg/kg/minute) after the completion of the angiotensin II infusion
Sponsors and contacts
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Brett A Faine
Lead sponsor
University of Iowa
Sponsor institution