Methylene Blue for the Treatment of Septic Shock

NCT ID: NCT06532240

Last Updated: 2026-01-06

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-05

Study Completion Date

2026-01-31

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of methylene blue among adult patients with septic shock.

Detailed Description

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Septic Shock is a leading cause of morbidity and mortality in critically ill patients worldwide.

A potential benefit of methylene blue in the treatment of septic shock has recently been described by Estrada. In patients with septic shock, methylene blue initiated within 24 h reduced time to vasopressor discontinuation and increased vasopressor-free days at 28 days. It also reduced length of stay in ICU and hospital without adverse effects.

In this randomized controlled trial, we aim to evaluate the efficacy and safety of methylene blue on septic shock.

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Methylene Blue

Methylene Blue 100mg will be diluted in 40ml 5% dextrose solution. Methylene Blue(1 mg/kg/IBW iv over 30min+0.25mg/kg/h x 6h) x 5-days/ discontinution of norepinephrine /ICU discharge (whichever occurred first).

Group Type EXPERIMENTAL

Methylene Blue

Intervention Type DRUG

Methylene Blue 100mg will be diluted in 40ml 5% dextrose solution.The patient will receive Methylene Blue bolus with a dose of 1 mg/kg (Ideal Body Weight) over 30 minutes,followed by 0.25mg/kg/h as a continuous infusion for 6 hours for 5 days or discontinution of norepinephrine or until ICU discharge, whichever occurred first.

Placebo

5% dextrose solution in a volume to match experimental arm component.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

An identical volume of 5% dextrose solution from the placebo drug bag will be administered to patients using the same protocol as intervention arm.

Interventions

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Methylene Blue

Methylene Blue 100mg will be diluted in 40ml 5% dextrose solution.The patient will receive Methylene Blue bolus with a dose of 1 mg/kg (Ideal Body Weight) over 30 minutes,followed by 0.25mg/kg/h as a continuous infusion for 6 hours for 5 days or discontinution of norepinephrine or until ICU discharge, whichever occurred first.

Intervention Type DRUG

Placebo

An identical volume of 5% dextrose solution from the placebo drug bag will be administered to patients using the same protocol as intervention arm.

Intervention Type DRUG

Other Intervention Names

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MB 5%GS

Eligibility Criteria

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Inclusion Criteria

1. age 18 years old or older;
2. diagnosis of septic shock within 12 h.

Exclusion Criteria

1. recent intake (4-weeks) of selective serotonin re-uptake inhibitors;
2. pregnant;
3. definitive pulmonary hypertension or chronic pulmonary heart disease;
4. known glucose-6 phosphate dehydrogenase (G-6PD) deficiency;
5. known allergy to methylene blue, phenothiazines, or food dyes;
6. anticipated death from a preexisting disease within 90 days after randomization (as determined by the enrolling physician);
7. refusal of the attending staff or patient family;
8. participated in other study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Northern Jiangsu People's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Qing-quan Lv

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Qingquan Lyu, Master

Role: PRINCIPAL_INVESTIGATOR

Northern Jiangsu People's Hospital

Locations

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Northern Jiangsu people's hospital

Yangzhou, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Qingquan Lyu, Master

Role: CONTACT

0086-18051063899

Xiaohua Gu, Master

Role: CONTACT

0086-18051062325

Facility Contacts

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Qingquan Lyu, Master

Role: primary

0086-18051063899

Xiaohua Gu, Master

Role: backup

0086-18051062325

Other Identifiers

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2024ky202

Identifier Type: -

Identifier Source: org_study_id

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