AzTrials
AzTrials

Burn InjuryABRUPT2NCT04356859

The Acute Burn ResUscitation Multicenter Prospective Trial

A study testing Albumin Human in people with Burn Injury, run by American Burn Association at 26 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a prospective randomized multi-center study which will compare acute fluid resuscitation using a colloid strategy (LR + 5% Albumin) to a crystalloid strategy (LR alone), in adults with an acute burn involving at least 25% of their total body surface area. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Burn Injury
What is being tested?
Albumin Human
Could I receive a placebo?
No, everyone receives an active treatment
How many people
101 participants
Where
26 sitesin 2 countries
Study dates
22 Apr 2021to 29 Sep 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years
  • Total burn size (second and third degree) is ≥ 25% of the TBSA
  • Burn center admission within 12 hours of injury.
  • There is a plan for formal fluid resuscitation.

Who cannot join

  • Significant associated trauma
  • High voltage (≥ 1000 volts) electrical burns
  • Burn wound excision surgery within 48 hours from injury
  • Fresh frozen plasma (FFP) given at any time ≤ 48 hours from injury
  • Hypertonic saline (HTS) given at any time ≤ 48 hours from injury
  • Hydroxyethyl starch (HES) given at any time ≤ 48 hours from injury
Show all 13Show fewer
  • High dose Vitamin C infusion given at any time ≤ 48 hours from injury
  • Administration of human albumin prior to randomization
  • Palliative comfort measures are instituted ≤ 48 hours from injury
  • Pregnancy
  • Pre-injury chronic renal insufficiency equal to or greater than stage 3
  • Pre-injury chronic hepatic disease (Child-Pugh B or C)
  • Pre-injury left ventricular (LV) dysfunction (echocardiography LV grade II-IV or ejection fraction ≤ 35%)

Trial locations and contacts

26 sites in 2 countries.

26 sites in 2 countries

United States24 sites
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Erie County Medical Center

    Buffalo, New York, 14215

  • University of Cincinnati College of Medicine

    Cincinnati, Ohio, 45267

  • Metrohealth Medical Center

    Cleveland, Ohio, 44109

  • University of Florida Health

    Gainesville, Florida, 32608

  • University of Iowa Healthcare

    Iowa City, Iowa, 52242

  • University of Kansas Health System

    Kansas City, Kansas, 66160

  • Cooperman Barnabas Medical Center

    Livingston, New Jersey, 07039

  • University of Wisconsin Health

    Madison, Wisconsin, 53792

  • Loyola Medicine

    Maywood, Illinois, 60153

  • The University of Tennessee Health Science Center

    Memphis, Tennessee, 38163

  • University of Miami Health System

    Miami, Florida, 33136

  • Hennepin Healthcare

    Minneapolis, Minnesota, 55404

  • Arizona Burn Center Valleywise Health

    Phoenix, Arizona, 85008

  • West Penn Hospital

    Pittsburgh, Pennsylvania, 15224

  • Legacy Health

    Portland, Oregon, 97227

  • University of California Davis, Regional Burn Center

    Sacramento, California, 95817

  • University of Utah Health

    Salt Lake City, Utah, 84132

  • Regional Burn Center at Harborview

    Seattle, Washington, 98014

  • University of South Florida

    Tampa, Florida, 33606

  • Torrance Memorial

    Torrance, California, 90505

  • Westchester Medical Center Health Network

    Valhalla, New York, 10595

  • Ascension Via Christi St. Francis

    Wichita, Kansas, 67214

  • Atrium Health Wake Forest Baptist Medical Center

    Winston-Salem, North Carolina, 27157

Other trials in United States

Canada2 sites
  • University of Alberta

    Edmonton, Alberta, AB T6G 1Z1

  • Sunnybrook Health Sciences Centre

    Toronto, Ontario, M4N3M5

Other trials in Canada

About this study

Official title: The Acute Burn ResUscitation Multicenter Prospective Trial (ABRUPT2)

This is a prospective randomized multi-center study which will compare acute fluid resuscitation using a colloid strategy (LR + 5% Albumin) to a crystalloid strategy (LR alone), in adults with an acute burn involving at least 25% of their total body surface area.

Read the detailed description

Enrolled subjects will be randomly assigned to either the Colloid Group or the Crystalloid Group. Randomization will be based on an intent-to-treat basis. In order to ensure that the two groups have comparable injury severity at baseline, randomization will be block- stratified based on age (18-50 and > 50 years), burn size (25-50% and > 50% TBSA), and presence of inhalation injury confirmed by bronchoscopy (present or absent). In the Colloid Group resuscitation starts with LR and then 5% albumin will be introduced between 8 and 12 hours post burn in a ratio of 1/3 albumin to 2/3 LR. In the Crystalloid Group resuscitation is with LR only. Each group will have their study fluid maintained for the 1st 48 hours post burn and study fluids in each group will be identically titrated to the urinary output.

Conditions
Burn Injury
Being tested
Albumin Human
Keywords
Resuscitation
Medical subject headings
Burns

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Albumin HumanDrug

    Also called albumin

    Addition of albumin during acute resuscitation following burn injury

Study groups in NCT04356859
Study groupRoleWhat they receive
CrystalloidNo interventionSubjects in the crystalloid group will receive fluid resuscitation with Lactated Ringer's titrated each hour to achieve a urine output of 0.5-1mL/kg predicted body weight.
ColloidActive comparatorSubjects in the colloid group will receive fluid resuscitation with Lactated Ringer's and 5% human albumin solution introduced no earlier than 8 hours post burn and no later than 12 hours post burn in a ratio by volume of 1/3 albumin to 2/3 Lactated Ringer's, and titrated each hour to achieve a urine output of 0.5-1mL/kg (milliliter/kilogram) predicted body weight.
Receives: Drug: Albumin Human

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Volume of fluid received during resuscitation for burn injury

    Total fluid resuscitation volume at 24 hours post burn in mL/kg/% TBSA burn

    Measured: 24 hours post burn injury

Secondary outcomes (13)
  1. Volume of fluid received during resuscitation for burn injury

    Total resuscitation volume at 48 hours in mL/kg/%TBSA burn.

    Measured: 48 hours post burn injury

  2. Urine output during resuscitation for burn injury

    Mean hourly urine output during resuscitation for burn injury

    Measured: 24 and 48 hours post burn injury

  3. Number of crossovers

    Number of crossovers between study arms during resuscitation for burn injury

    Measured: 48 hours post burn injury

  4. Peak lactate and delta lactate

    peak lactate level and delta lactate (peak lactate minus admission lactate)

    Measured: 48 hours post burn injury

  5. Peak intra-abdominal pressure (IAP) and delta IAP

    Peak intra-abdominal pressure (IAP) and delta IAP (peak IAP minus admission IAP)

    Measured: 48 hours post burn injury

  6. Occurrence of Abdominal compartment syndrome

    Abdominal compartment syndrome during resuscitation for burn injury

    Measured: 48 hours post burn injury

  7. Occurrence of Limb or abdominal fasciotomy

    Limb or abdominal fasciotomy during resuscitation for burn injury

    Measured: 48 hours post burn injury

  8. Sequential Organ Failure Assessment (SOFA) score

    Assessment of organ function or failure by Sequential Organ Failure Assessment (SOFA)score, with the higher score(s) indicating organ failure

    Measured: 48, 72, and 96 hours post burn injury

  9. Acute kidney injury (AKI)

    Diagnosis of AKI

    Measured: 96 hours post burn injury

  10. Duration of intubation/mechanical ventilation

    Duration of intubation/mechanical ventilation

    Measured: 96 hours post burn injury

  11. PaO2/FiO2 ratios

    PaO2(partial pressure of oxygen)/FiO2(fraction of inspired oxygen inspired oxygen) ratios

    Measured: 24, 48, 72, and 96 hours post burn injury

  12. Time to wound healing

    Time to wound healing defined as 7 days post last grafting surgery

    Measured: 7 days post last surgery for grafting of burn injury

  13. Survival

    28 day survival and hospital stay survival

    Measured: 28 days post injury and hospital discharge

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Apr 2020
  2. Study start22 Apr 2021
  3. Primary completion29 Sep 2025
  4. Study completion29 Sep 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomization will be based on "intent to treat." Consecutively admitted and eligible burn patients will be assigned to one of two treatment groups (Colloid or Crystalloid) within 12 hours of burn injury.
Masking
None (open label)
Enrolment
101 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04356859
Sponsor's protocol ID
1528946
Other IDs
CDMRP-JW180038
Acronym
ABRUPT2
Status last verified
May 2026
First submitted
16 Apr 2020
Last updated
20 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Pruitt BA Jr. Protection from excessive resuscitation: "pushing the pendulum back". J Trauma. 2000 Sep;49(3):567-8. doi: 10.1097/00005373-200009000-00030. No abstract available.

    PubMed 11003341
  • Zak AL, Harrington DT, Barillo DJ, Lawlor DF, Shirani KZ, Goodwin CW. Acute respiratory failure that complicates the resuscitation of pediatric patients with scald injuries. J Burn Care Rehabil. 1999 Sep-Oct;20(5):391-9. doi: 10.1097/00004630-199909000-00011.

    PubMed 10501327
  • Hobson KG, Young KM, Ciraulo A, Palmieri TL, Greenhalgh DG. Release of abdominal compartment syndrome improves survival in patients with burn injury. J Trauma. 2002 Dec;53(6):1129-33; discussion 1133-4. doi: 10.1097/00005373-200212000-00016.

    PubMed 12478039
  • Klein MB, Hayden D, Elson C, Nathens AB, Gamelli RL, Gibran NS, Herndon DN, Arnoldo B, Silver G, Schoenfeld D, Tompkins RG. The association between fluid administration and outcome following major burn: a multicenter study. Ann Surg. 2007 Apr;245(4):622-8. doi: 10.1097/01.sla.0000252572.50684.49.

    PubMed 17414612
  • Recinos PR, Hartford CA, Ziffren SE. Fluid resuscitation of burn patients comparing a crystalloid with a colloid containing solution: a prospective study. J Iowa Med Soc. 1975 Oct;65(10):426-32. No abstract available.

    PubMed 1194720
  • Goodwin CW, Dorethy J, Lam V, Pruitt BA Jr. Randomized trial of efficacy of crystalloid and colloid resuscitation on hemodynamic response and lung water following thermal injury. Ann Surg. 1983 May;197(5):520-31. doi: 10.1097/00000658-198305000-00004.

    PubMed 6342554
  • Cooper AB, Cohn SM, Zhang HS, Hanna K, Stewart TE, Slutsky AS; ALBUR Investigators. Five percent albumin for adult burn shock resuscitation: lack of effect on daily multiple organ dysfunction score. Transfusion. 2006 Jan;46(1):80-9. doi: 10.1111/j.1537-2995.2005.00667.x.

    PubMed 16398734
  • O'Mara MS, Slater H, Goldfarb IW, Caushaj PF. A prospective, randomized evaluation of intra-abdominal pressures with crystalloid and colloid resuscitation in burn patients. J Trauma. 2005 May;58(5):1011-8. doi: 10.1097/01.ta.0000162732.39083.15.

    PubMed 15920417
  • Muller Dittrich MH, Brunow de Carvalho W, Lopes Lavado E. Evaluation of the "Early" Use of Albumin in Children with Extensive Burns: A Randomized Controlled Trial. Pediatr Crit Care Med. 2016 Jun;17(6):e280-6. doi: 10.1097/PCC.0000000000000728.

    PubMed 27077832
  • Cartotto R, Callum J. A review of the use of human albumin in burn patients. J Burn Care Res. 2012 Nov-Dec;33(6):702-17. doi: 10.1097/BCR.0b013e31825b1cf6.

    PubMed 23143614
  • Baxter CR, Shires T. Physiological response to crystalloid resuscitation of severe burns. Ann N Y Acad Sci. 1968 Aug 14;150(3):874-94. doi: 10.1111/j.1749-6632.1968.tb14738.x. No abstract available.

    PubMed 4973463
  • Pruitt BA Jr. Fluid and electrolyte replacement in the burned patient. Surg Clin North Am. 1978 Dec;58(6):1291-1312. doi: 10.1016/s0039-6109(16)41692-0. No abstract available.

    PubMed 734610
  • Pruitt BA Jr. The burn patient: II. Later care and complications of thermal injury. Curr Probl Surg. 1979 May;16(5):1-95. doi: 10.1016/s0011-3840(79)80009-x.

    PubMed 376227
  • Cartotto RC, Innes M, Musgrave MA, Gomez M, Cooper AB. How well does the Parkland formula estimate actual fluid resuscitation volumes? J Burn Care Rehabil. 2002 Jul-Aug;23(4):258-65. doi: 10.1097/00004630-200207000-00006.

    PubMed 12142578
  • Cartotto R, Zhou A. Fluid creep: the pendulum hasn't swung back yet! J Burn Care Res. 2010 Jul-Aug;31(4):551-8. doi: 10.1097/BCR.0b013e3181e4d732.

    PubMed 20616649

Questions about this trial

What is this clinical trial studying?

A study testing Albumin Human in people with Burn Injury, run by American Burn Association at 26 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Volume of fluid received during resuscitation for burn injury (time frame: 24 hours post burn injury). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04356859, which also lists 29 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 May 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in