AzTrials
AzTrials

Vasopressin Causing Adverse Effects in Therapeutic UseNCT06422975

Registry of Patients in Shock Treated With Vasopressin

An observational study of Vasopressin Causing Adverse Effects in Therapeutic Use and Shock, run by Hospital Universitario 12 de Octubre at 24 sites in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

Arginine-vasopressin (AVP) is a non-catecholaminergic hormone produced in the hypothalamus and released into the circulation via the neurohypophysis. It has different actions depending on the receptors through which it acts: V1 (vasoconstriction, platelet aggregation, efferent arteriole constriction of the renal… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Vasopressin
How many people
500 participants
Where
24 sitesSpain
Study dates
9 Jul 2024to Jun 2026
How long will I take part?
90 Days
Phase
Observational
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

Study population: Patients in shock receiving vasopressin

Who may be able to join

  • Any patient over 18 years of age who is in shock and requires the administration of vasoconstrictors, to whom vasopressin is administered in the operating theatre and/or critical care unit, according to best clinical practice.

Who cannot join

  • Non-consent by patient/legal representatives

Trial locations and contacts

24 sites in 1 country.

Raquel García Álvarez, MD contact

+34913908243

raquelgarciaalvarez@gmail.com

24 sites in 1 country

Spain24 sites, 24 recruiting
  • Hospital Universitario de A Coruña

    A Coruña

    Pablo Rama Maceiras

    Not yet recruiting
  • Hospital Universitario de Cruces

    Barakaldo

    Gontzal Tamayo

    Not yet recruiting
  • Hospital de Sant Pau

    Barcelona

    Marta Giné Servén

    Not yet recruiting
  • Hospital del Mar

    Barcelona

    Ramón Adalia

    Not yet recruiting
  • Hospital Universitario Valle de Hebrón

    Barcelona

    Miriam de Nadal

    Not yet recruiting
  • Hospital Universitario de Basurto

    Bilbao

    Felipe Ortega Palacios

    Not yet recruiting
  • Hospital de Donostia

    Donostia / San Sebastian

    Cristina García Fernández

    Not yet recruiting
  • Hospital General Universitario de Elche

    Elche

    Ana Pérez Carbonell

    Not yet recruiting
  • Hospital Universitario de Cabueñes

    Gijón

    Pablo Fernández Solano

    Not yet recruiting
  • Complejo Asistencial Universitario de León

    León

    Rafael González de Castro

    Not yet recruiting
  • Hospital Lucus Augustus

    Lugo

    Lorena Mouritz

    Recruiting
  • Hospital General Universitario Gregorio Marañón

    Madrid

    Carlos Alberto Calvo García

    Not yet recruiting
  • Hospital Universitario 12 de Octubre

    Madrid

    Raquel García Álvarez, raquelgarciaalvarez@gmail.com

    Recruiting
  • Hospital Universitario La Princesa

    Madrid

    Fernando Ramasco Rueda

    Jesús Nieves Alonso

    Not yet recruiting
  • Hospital Universitario Ramón y Cajal

    Madrid

    Amal Azzam

    Not yet recruiting
  • Hospital Universitario Puerta de Hierro Majadahonda

    Majadahonda

    Reyes Iranzo

    Not yet recruiting
  • Complexo Hospitalario Universitario de Ourense

    Ourense

    Concepción Alonso

    Not yet recruiting
  • Hospital Universitario Central de Asturias

    Oviedo

    Beatriz Mancha Getino

    Not yet recruiting
  • Hospital Universitario Nuestra Señora de Candelaria

    Santa Cruz de Tenerife

    David Domínguez

    Not yet recruiting
  • Hospital Universitario Marqués de Valdecilla

    Santander

    Adriana Ixquic Reyes Echeverria

    Not yet recruiting
  • Hospital Clínico Universitario de Santiago

    Santiago de Compostela

    Manuel Taboada

    Not yet recruiting
  • Hospital Universitario Joan XXIII

    Tarragona

    Diego Prendes Fernández

    Not yet recruiting
  • Hospital Clínico Universitario de Valencia

    Valencia

    Gerardo Aguilar

    Not yet recruiting
  • Hospital Universitari i Politècnic La Fe

    Valencia

    Miguel Ángel Rodenas

    Not yet recruiting

Other trials in Spain

About this study

Official title: Prospective Multicentre Observational Study of Patients Treated With Vasopressin in Critical Care Units

Arginine-vasopressin (AVP) is a non-catecholaminergic hormone produced in the hypothalamus and released into the circulation via the neurohypophysis. It has different actions depending on the receptors through which it acts: V1 (vasoconstriction, platelet aggregation, efferent arteriole constriction of the renal glomerulus, glycogenolysis); V2 (water reabsorption, release of von Willebrand factor and factor VIII); V3 (increased cortisol and insulin).

Septic shock is the most common cause of vasoplegic shock and its management includes control of the focus, early antibiotic therapy, volume resuscitation, vasopressor therapy, support of various organ dysfunctions, as well as monitoring and follow-up.

Read more

The Surviving Sepsis Campaign (a global initiative to improve sepsis management) recommends noradrenaline as the first line of vasopressor therapy and early addition of AVP as a second line rather than further up-titration of noradrenaline when signs of hypoperfusion persist, through its action primarily on V1.

The rationale for its use in septic shock would be:

  • endogenous vasopressin deficiency present in septic shock;
  • as a catecholamine-sparing strategy, reducing the side effects of catecholamines;
  • its potential nephroprotective effect;
  • its use should be early.

The uncertainties surrounding the use of AVP in septic shock and other types of shock are many, hence the need for this registry.

Read the detailed description

The main objective is to characterise the routine clinical practice of vasopressin use in the context of shock in a multicentre observational study. By collecting clinical, analytical and echocardiographic data in a uniform manner, describing the time sequence of vasopressin and/or noradrenaline use; how long vasopressin is used; and which vasoconstrictor is more frequently withdrawn earlier: vasopressin or noradrenaline.

The secondary objectives are:

  • to assess what motivated the decision to initiate AVP: type of shock, perfusion parameters, noradrenaline dose;
  • to define the impact of initiating AVP on noradrenaline dose (whether the dose can be reduced or not), on cardiac function (whether echocardiographic data improve or worsen) and on perfusion data (whether laboratory and clinical data such as lactate, capillary refill time, mottling score or diuresis improve or worsen);
  • estimate what is the dose range of AVP used and what is the maximum dose used in routine clinical practice;
  • observe when AVP is stopped, how (abruptly or progressively);
  • describe the incidence of side effects of AVP, whether it is related to the dose of AVP and the comorbidities of the patients;
  • assess medium/long-term outcomes: 28- and 90-day mortality, ICU and hospital stay, days of vasopressor support, days of mechanical ventilation, days of renal replacement.
Being tested
Vasopressin
Keywords
Vasopressin, Shock
Medical subject headings
Shock, Diabetes Insipidus, Neurogenic, Diabetes Insipidus

What participants receive

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

  • VasopressinDrug

    Patients treated with vasopressin

What is being measured

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

  1. Characterise the clinical practice of vasopressin use in the context of shock in a multicentre observational study.

    Describing the time sequence of vasopressin and/or noradrenaline use (what is initiated first) during shock

    Measured: 90 days

Secondary outcomes (12)
  1. Assess what prompted the decision to initiate AVP

    Assess what prompted the decision to initiate AVP: type of shock (vasoplegic, hypovolemic,...), perfusion parameters (as lactate) or noradrenaline dose (microgram/kg/minute)

    Measured: Up to 7 days

  2. Define the impact of starting AVP on noradrenaline dose

    Define the impact of starting AVP on noradrenaline dose (microgram/kg/minute)

    Measured: Up to 7 days

  3. Define the impact of starting AVP on lactate level

    Define the impact of starting AVP on lactate level (mmol/L)

    Measured: Up to 7 days

  4. Observe when AVP is discontinued and how

    Describe number of participants what AVP is discontinued first and how (abruptly or progressively)

    Measured: Up to 7 days

  5. Estimate the range of doses of AVP used

    Estimate the range of doses of AVP used and the maximum dose used in routine clinical practice.

    Measured: Up to 7 days

  6. Incidence of side effects

    Describe the incidence of side effects, whether it is related to AVP dose and patients' comorbidities.

    Measured: Up to 7 days

  7. 28-day all-cause mortality

    Death on or before study day 28

    Measured: 28 days

  8. 90-day all-cause mortality

    Death on or before study day 90

    Measured: 90 days

  9. Incidence of new renal replacement therapy

    New receipt of renal replacement therapy after onset of shock

    Measured: From onset of shock until hospital discharge, an average of 2 weeks

  10. Vasopressor-free days to day 28

    Number of days between day 28 and the end of the last period of vasopressor therapy prior to day 28

    Measured: 28 days

  11. Intensive care unit-free days to day 28

    Number of days between day 28 and the end of the last period of intensive care unit admission prior to day 28.

    Measured: 28 days

  12. Hospital-free days to day 28

    Number of days between day 28 and the end of the last period of hospital admission prior to day 28

    Measured: 28 days

Timeline

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

  1. First posted21 May 2024
  2. Study start9 Jul 2024
  3. Primary completionJun 2026 (estimated)
  4. Study completionJun 2026 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
500 participants (estimated)
Target duration
90 Days
IDs, dates and publications
ClinicalTrials.gov ID
NCT06422975
Sponsor's protocol ID
VASOPRES REGISTRY
Status last verified
Apr 2024
First submitted
29 Apr 2024
Last updated
15 Jul 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Garcia-Alvarez R, Arboleda-Salazar R. Vasopressin in Sepsis and Other Shock States: State of the Art. J Pers Med. 2023 Oct 29;13(11):1548. doi: 10.3390/jpm13111548.

    PubMed 38003863
  • Treschan TA, Peters J. The vasopressin system: physiology and clinical strategies. Anesthesiology. 2006 Sep;105(3):599-612; quiz 639-40. doi: 10.1097/00000542-200609000-00026.

    PubMed 16931995
  • Dunser MW, Lindner KH, Wenzel V. A century of arginine vasopressin research leading to new therapeutic strategies. Anesthesiology. 2006 Sep;105(3):444-5. doi: 10.1097/00000542-200609000-00004. No abstract available.

    PubMed 16931974
  • Ramasco F, Nieves-Alonso J, Garcia-Villabona E, Vallejo C, Kattan E, Mendez R. Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies. J Pers Med. 2024 Feb 3;14(2):176. doi: 10.3390/jpm14020176.

    PubMed 38392609
  • Evans L, Rhodes A, Alhazzani W, Antonelli M, Coopersmith CM, French C, Machado FR, Mcintyre L, Ostermann M, Prescott HC, Schorr C, Simpson S, Wiersinga WJ, Alshamsi F, Angus DC, Arabi Y, Azevedo L, Beale R, Beilman G, Belley-Cote E, Burry L, Cecconi M, Centofanti J, Coz Yataco A, De Waele J, Dellinger RP, Doi K, Du B, Estenssoro E, Ferrer R, Gomersall C, Hodgson C, Moller MH, Iwashyna T, Jacob S, Kleinpell R, Klompas M, Koh Y, Kumar A, Kwizera A, Lobo S, Masur H, McGloughlin S, Mehta S, Mehta Y, Mer M, Nunnally M, Oczkowski S, Osborn T, Papathanassoglou E, Perner A, Puskarich M, Roberts J, Schweickert W, Seckel M, Sevransky J, Sprung CL, Welte T, Zimmerman J, Levy M. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Intensive Care Med. 2021 Nov;47(11):1181-1247. doi: 10.1007/s00134-021-06506-y. Epub 2021 Oct 2. No abstract available.

    PubMed 34599691
  • Sharshar T, Blanchard A, Paillard M, Raphael JC, Gajdos P, Annane D. Circulating vasopressin levels in septic shock. Crit Care Med. 2003 Jun;31(6):1752-8. doi: 10.1097/01.CCM.0000063046.82359.4A.

    PubMed 12794416
  • Holmes CL, Patel BM, Russell JA, Walley KR. Physiology of vasopressin relevant to management of septic shock. Chest. 2001 Sep;120(3):989-1002. doi: 10.1378/chest.120.3.989.

    PubMed 11555538
  • Martin C, Medam S, Antonini F, Alingrin J, Haddam M, Hammad E, Meyssignac B, Vigne C, Zieleskiewicz L, Leone M. NOREPINEPHRINE: NOT TOO MUCH, TOO LONG. Shock. 2015 Oct;44(4):305-9. doi: 10.1097/SHK.0000000000000426.

    PubMed 26125087
  • Russell JA, Walley KR, Singer J, Gordon AC, Hebert PC, Cooper DJ, Holmes CL, Mehta S, Granton JT, Storms MM, Cook DJ, Presneill JJ, Ayers D; VASST Investigators. Vasopressin versus norepinephrine infusion in patients with septic shock. N Engl J Med. 2008 Feb 28;358(9):877-87. doi: 10.1056/NEJMoa067373.

    PubMed 18305265
  • Demiselle J, Fage N, Radermacher P, Asfar P. Vasopressin and its analogues in shock states: a review. Ann Intensive Care. 2020 Jan 22;10(1):9. doi: 10.1186/s13613-020-0628-2.

    PubMed 31970567
  • Gordon AC, Russell JA, Walley KR, Singer J, Ayers D, Storms MM, Holmes CL, Hebert PC, Cooper DJ, Mehta S, Granton JT, Cook DJ, Presneill JJ. The effects of vasopressin on acute kidney injury in septic shock. Intensive Care Med. 2010 Jan;36(1):83-91. doi: 10.1007/s00134-009-1687-x. Epub 2009 Oct 20.

    PubMed 19841897
  • Hamzaoui O, Goury A, Teboul JL. The Eight Unanswered and Answered Questions about the Use of Vasopressors in Septic Shock. J Clin Med. 2023 Jul 10;12(14):4589. doi: 10.3390/jcm12144589.

    PubMed 37510705
  • Garcia Alvarez R, Ramasco F, Nieves Alonso J, Mouriz L, Rama P, Bilbao I, Perez Carbonell A, Rodenas MA, Ortega F, Vives M, Calvo CA, Taboada M, Azzam A, Merino M, Martinez F, Dominguez D, de Llano CT, Adalia R, Aguilar G, Aldecoa C, Mancha B, Reyes A, Gine M, Prendes D, Garcia Fernande C, de la Calle I, Cendrero M, Martinez Lopez A, Herrero JJ, de la Torre I, Kattan E, Hernandez G. Prospective Multicenter Observational Study of Patients in Shock Treated with Vasopressin: VASOPRES Registry Study Protocol. Rev Esp Anestesiol Reanim (Engl Ed). 2025 Aug-Sep;72(7):501768. doi: 10.1016/j.redare.2025.501768. Epub 2025 May 16.

    PubMed 40383482

Questions about this trial

What is this clinical trial studying?

An observational study of Vasopressin Causing Adverse Effects in Therapeutic Use and Shock, run by Hospital Universitario 12 de Octubre at 24 sites in Spain.

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 1 inclusion and 1 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: status not confirmed, as of the sponsor's last update on 15 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in Spain. 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?

Results are not available in the source record.

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

Contact Raquel García Álvarez, MD (+34913908243, raquelgarciaalvarez@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Characterise the clinical practice of vasopressin use in the context of shock in a multicentre observational study. (time frame: 90 days). 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 NCT06422975, which also lists 13 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 15 Jul 2024.

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