Actively Recruiting

Phase 4
Age: 18Years +
All Genders
NCT06709573

Early Versus Late Adjunctive Vasopressin in Septic Shock

Led by The Cleveland Clinic · Updated on 2026-03-12

300

Participants Needed

1

Research Sites

52 weeks

Total Duration

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AI-Summary

What this Trial Is About

The goal of the CASPER-Pilot study is to develop clinical decision support (CDS) technology within Epic to randomize patients with septic shock to early versus standard of care vasopressin initiation. The primary aim of this study will be to test the hypothesis that CDS technology can be utilized to create two distinct cohorts of patients reflecting different times of vasopressin initiation based on norepinephrine dose requirements. Secondarily, this study will evaluate the proportion of patients whose norepinephrine dose at the time of vasopressin initiation is within the specified range for the intervention arm they were randomized to. Other outcomes of evaluation will include adherence to the developed CDS technology and comparison of clinical outcomes between the two treatment arms.

CONDITIONS

Official Title

Early Versus Late Adjunctive Vasopressin in Septic Shock

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 63 18 Years
  • Diagnosis of Septic Shock
  • Admitted to Cleveland Clinic Main Campus Medical ICU
  • Receiving continuous infusion of norepinephrine at a dose > 5 mcg/min at time of enrollment
Not Eligible

You will not qualify if you...

  • Receiving any vasoactive agent other than norepinephrine at time of enrollment
  • Vasopressin started by provider before norepinephrine dose reached 10 mcg/min (before alert)

AI-Screening

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Trial Site Locations

Total: 1 location

1

Cleveland Clinic

Cleveland, Ohio, United States, 44095

Actively Recruiting

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Research Team

G

Gretchen L. Sacha, PharmD

CONTACT

A

Abhijit Duggal, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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