Midodrine Effect on the Mortality Rates in Septic Shock Patients

NCT ID: NCT05778838

Last Updated: 2025-03-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-07

Study Completion Date

2024-01-24

Brief Summary

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Assessing the safety and efficacy of the adjunctive use of midodrine as a vasopressor in septic shock patients by measuring the difference in the mortality rates between control and intervention groups.

Detailed Description

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Conditions

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Septic Shock

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control

Will receive IV vasopressor infusion only

Group Type PLACEBO_COMPARATOR

Midodrine Oral Tablet

Intervention Type DRUG

Patients will receive standard treatment in accordance to surviving sepsis campaign guidelines plus oral midodrine 10 mg/ 8 hours till the end of treatment (subject remaining vasopressor-free for 24 consecutive hours) or death.

Midodrine

Will receive oral midodrine 10 mg/ 8 hours in addition to IV vasopressor infusion till the end of treatment (subject remaining vasopressor-free for 24 consecutive hours).

Group Type ACTIVE_COMPARATOR

Midodrine Oral Tablet

Intervention Type DRUG

Patients will receive standard treatment in accordance to surviving sepsis campaign guidelines plus oral midodrine 10 mg/ 8 hours till the end of treatment (subject remaining vasopressor-free for 24 consecutive hours) or death.

Interventions

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Midodrine Oral Tablet

Patients will receive standard treatment in accordance to surviving sepsis campaign guidelines plus oral midodrine 10 mg/ 8 hours till the end of treatment (subject remaining vasopressor-free for 24 consecutive hours) or death.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult aged 18 years or older diagnosed with septic shock.
* Hypotensive and require IV vasopressor for more than 24 hours.

Exclusion Criteria

* Hypovolemic shock.
* Severe organic heart disease (ejection fraction \<30 percent).
* Bradycardia (HR\<50 b/m).
* Chronic kidney disease (serum creatinine \>2mg/dl).
* Thyrotoxicosis.
* Pheochromocytoma.
* Known allergy to midodrine.
* Unable to administer an oral medication.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Noha Mansour

OTHER

Sponsor Role lead

Responsible Party

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Noha Mansour

Principal investigator-Lecturer of Clinical Pharmacy-Clinical Pharmacy and Pharmacy Practice Department

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Mansoura University

Al Mansurah, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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2022-211

Identifier Type: -

Identifier Source: org_study_id

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