[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100510835":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":27,"centralContacts":35,"locations":40,"responsibleParty":148,"collaborators":18,"id":151,"slug":152,"hasResults":153,"nctId":154,"briefTitle":155,"officialTitle":156,"acronym":157,"eligibilityCriteria":158,"healthyVolunteers":153,"sex":159,"minAge":160,"maxAge":18,"enrollmentInfo":161,"targetDuration":18,"studyType":164,"phases":165,"briefSummary":167,"conditions":168,"keywords":177,"overallStatus":43,"whyStopped":18,"lastUpdateSubmitDate":183,"lastUpdatePostDateStruct":184,"startDateStruct":187,"completionDateStruct":189,"leadSponsor":191,"locationsCount":192},{"fullName":5,"class":6},"Odense University Hospital","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Intervention","EXPERIMENTAL","Peripheral noradrenaline will be infused at rates of 0.05-0.15 mcg\u002Fkg\u002Fmin for up to 24 hours after randomization in the ED until shock control is achieved.\n\nIf shock control cannot be achieved, patients will be transferred to the ICU for further treatment of their condition but without further trial intervention.\n\nWeaning of intervention will be completed during the 24 hours, and if possible, terminated.\n\nIf termination of treatment is not achievable within 24 hours, participants will be transferred to the ICU.",[13],"Drug: Noradrenaline",{"label":15,"type":16,"description":17,"interventionNames":18},"Control","NO_INTERVENTION","No ED administered noradrenaline. Standard care of hypotension and shock in the Danish ED's are fluid therapy and if not possible to achieve shock control, they are transferred to the ICU for administration of vasopressors if they are eligible for ICU admittance.",null,[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"DRUG","Noradrenaline","See arm description",[9],[26],"ATC-code C01CA03",[28,32],{"name":29,"affiliation":30,"role":31},"Lasse P Bentsen, MD","Department of Emergency Medicine, Odense University Hospital","PRINCIPAL_INVESTIGATOR",{"name":33,"affiliation":30,"role":34},"Mikkel Brabrand, MD, PhD","STUDY_CHAIR",[36],{"name":29,"role":37,"phone":38,"phoneExt":18,"email":39},"CONTACT","+4520496950","lasse.paludan.bentsen@rsyd.dk",[41,59,69,83,96,108,124,136],{"facility":42,"status":43,"city":44,"state":18,"zip":45,"country":46,"countryCode":47,"cosmosGeoPoint":48,"geoPoint":53,"contacts":54},"Bispebjerg Hospital","RECRUITING","Copenhagen","2400","Denmark","DK",{"type":49,"coordinates":50},"Point",[51,52],12.56553,55.67594,{"lat":52,"lon":51},[55,57],{"name":56,"role":37,"phone":18,"phoneExt":18,"email":18},"Jens H. Rasmussen, MD, PhD",{"name":58,"role":31,"phone":18,"phoneExt":18,"email":18},"Jens H. Rasmussen, MD",{"facility":60,"status":61,"city":62,"state":18,"zip":63,"country":46,"countryCode":47,"cosmosGeoPoint":64,"geoPoint":68,"contacts":18},"Esbjerg Hospital","TERMINATED","Esbjerg","6700",{"type":49,"coordinates":65},[66,67],8.45187,55.47028,{"lat":67,"lon":66},{"facility":70,"status":71,"city":72,"state":18,"zip":73,"country":46,"countryCode":47,"cosmosGeoPoint":74,"geoPoint":78,"contacts":79},"Gødstrup Regional Hospital","NOT_YET_RECRUITING","Herning","7400",{"type":49,"coordinates":75},[76,77],8.97662,56.13615,{"lat":77,"lon":76},[80,82],{"name":81,"role":37,"phone":18,"phoneExt":18,"email":18},"Malik Kalmriz, MD, PhD",{"name":81,"role":31,"phone":18,"phoneExt":18,"email":18},{"facility":84,"status":43,"city":85,"state":18,"zip":86,"country":46,"countryCode":47,"cosmosGeoPoint":87,"geoPoint":91,"contacts":92},"Zealand University Hospital","Køge","4600",{"type":49,"coordinates":88},[89,90],12.18214,55.45802,{"lat":90,"lon":89},[93,95],{"name":94,"role":37,"phone":18,"phoneExt":18,"email":18},"Gerhard Tiwald, MD, DMSc",{"name":94,"role":31,"phone":18,"phoneExt":18,"email":18},{"facility":5,"status":43,"city":97,"state":18,"zip":98,"country":46,"countryCode":47,"cosmosGeoPoint":99,"geoPoint":103,"contacts":104},"Odense","5000",{"type":49,"coordinates":100},[101,102],10.38831,55.39594,{"lat":102,"lon":101},[105,106,107],{"name":29,"role":37,"phone":18,"phoneExt":18,"email":18},{"name":29,"role":31,"phone":18,"phoneExt":18,"email":18},{"name":33,"role":31,"phone":18,"phoneExt":18,"email":18},{"facility":109,"status":71,"city":110,"state":18,"zip":111,"country":112,"countryCode":113,"cosmosGeoPoint":114,"geoPoint":118,"contacts":119},"Department of Emergency Medicine","Helsingborg","25223","Sweden","SE",{"type":49,"coordinates":115},[116,117],12.69437,56.04673,{"lat":117,"lon":116},[120,122],{"name":121,"role":37,"phone":18,"phoneExt":18,"email":18},"Jakob Lundager Forberg, MD",{"name":123,"role":31,"phone":18,"phoneExt":18,"email":18},"Jakob Lundager Forberg, MD, PhD",{"facility":109,"status":71,"city":125,"state":18,"zip":126,"country":112,"countryCode":113,"cosmosGeoPoint":127,"geoPoint":131,"contacts":132},"Linköping","58185",{"type":49,"coordinates":128},[129,130],15.62157,58.41086,{"lat":130,"lon":129},[133,135],{"name":134,"role":37,"phone":18,"phoneExt":18,"email":18},"Daniel Wilhelms, MD",{"name":134,"role":31,"phone":18,"phoneExt":18,"email":18},{"facility":109,"status":71,"city":137,"state":18,"zip":138,"country":112,"countryCode":113,"cosmosGeoPoint":139,"geoPoint":143,"contacts":144},"Ystad","27133",{"type":49,"coordinates":140},[141,142],13.82041,55.42966,{"lat":142,"lon":141},[145,147],{"name":146,"role":37,"phone":18,"phoneExt":18,"email":18},"Rachel Keeling, MD",{"name":146,"role":31,"phone":18,"phoneExt":18,"email":18},{"type":31,"investigatorFullName":149,"investigatorTitle":150,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"Lasse Paludan Bentsen, MD","Coordinating and Principal Investigator","100510835","phase-3-early-initiated-vasopressor-therapy-in-the-emergency-department-100510835",false,"NCT05931601","Early Initiated Vasopressor Therapy in the Emergency Department","Early Initiated Vasopressor Therapy vs. Standard Care of Primarily Fluid Therapy in Hypotensive Patients in the Emergency Department - A Pragmatic, Multi-center, Superiority, Randomized Controlled Trial","VASOSHOCK","Inclusion Criteria:\n\n* At least 18 years of age\n* Signs or suspicion of hypotension or shock (of any type such as septic, vasodilatory or hypovolemic not included in the exclusion criteria) defined as:\n\n  1. SBP \\\u003C 100mmHg or MAP \\\u003C 65 mmHg combined with lactate \\> 2.0 mmol\u002FL,\n  2. Physician defined blood pressure for the individual patient combined with a lactate \\> 2.0 mmol\u002FL\n  3. Either SBP \\\u003C 100mmHg or MAP \\\u003C 65mmHg with obvious signs of shock with any lactate level evaluated by either two non-specialist physicians (e.g. registrar medical doctors) or a specialist physician.\n* Received at least 500ml of intravenous fluid before study inclusion (Including prehospital administration) within the first 4 hours of ED arrival.\n* Clinical Frailty Score (CFS) of ≤4. If CFS is ≥5 and the treating physician find the patient suitable for ICU admittance, the participant can be enrolled, if the on-call ICU doctor would accept the patient for ICU admittance. If the treating physician is unsure of ICU eligibility, regardless of CFS score, the patient should be consulted with the ICU consultant before study inclusion.\n\nExclusion Criteria:\n\n* Cardiogenic, anaphylactic, haemorrhagic, or neurogenic shock suspected by the treating physician.\n* Fertile women (\\\u003C60 years of age) with positive urine human gonadotropin (hCG) or plasma-hCG or women breastfeeding.\n* Patient deemed terminally ill or with a severe co-morbid status resulting in non-eligibility for ICU admittance decided by either the treating physician or ICU consultant.\n* Known allergy to noradrenaline.","ALL","18 Years",{"count":162,"type":163},320,"ESTIMATED","INTERVENTIONAL",[166],"PHASE3","The goal of this pragmatic, multi-center, superiority, randomized clinical trial is to compare early treatment with peripheral (through a vein) infused noradrenaline (a natural hormone that increases blood pressure) with fluid only therapy in patients with hypotensive and shock in the Danish and Swedish Emergency Departments (ED).\n\nThe main questions it aims to answer are:\n\nIf early initiated noradrenaline in non-bleeding hypotensive patients presenting in the ED can\n\n* Improve time to shock control.\n* Reduce the need for ICU admittance.\n* Decrease mortality.\n\nParticipants will be included by the clinical staff and treated urgently with either noradrenaline or usual treatment during their Emergency Department stay.\n\nAfter completion of the treatment in the Emergency Department, patient data will be extracted from the bed-side measurements, electronic health records and national registers.\n\nPatients will be contacted by the research staff 1 year after study inclusion to answer brief questions about their daily physical function and ability to care for themselves.\n\nResearchers will compare with patients receiving fluid therapy only, as this is the usual standard of care in Danish and Swedish Emergency Departments.",[169,170,171,172,173,174,175,176],"Shock","Shock, Septic","Hypotension","Hypotension and Shock","Hypotension Symptomatic","Hypovolemia","Hypovolemic Shock","Hypovolemic",[178,179,180,181,182],"Peripherally infused noradrenaline","Fluid therapy","Fluid treatment","Non-hemorrhagic shock and hypotension","Emergency Department","2025-06-26",{"date":185,"type":186},"2025-07-01","ACTUAL",{"date":188,"type":186},"2023-12-08",{"date":190,"type":163},"2027-01-31",{"name":5,"class":6},8]