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CompletedNCT00481572Updated Feb 29, 2008

Continuous Infusion of Terlipressin in Septic Shock

A Phase 2 interventional study of Terlipressin and Vasopressin in Septic Shock, sponsored by University of Roma La Sapienza. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2008-02-29.

Sponsored by University of Roma La Sapienza · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether: A)the continuous infusion ultra-low dose of terlipressin (1.3 micrograms/kg/h) is able to stabilize hemodynamic in patients with septic shock, reducing the risk of adverse effects related to the bolus dose.B)the continuous infusion ultra-low dose of terlipressin may be use in lieu of vasopressin.

Read the detailed description

Forty-five septic shock patients requiring vasopressor support to maintain mean arterial pressure between 65 and 75 mmHg despite adequate volume resuscitation were enrolled in the study. Patients were randomly allocated to be treated with either a) a continuous terlipressin infusion (1.3 µg•kg-1), b) vasopressin (0.03 U•min-1), or c) titrated norepinephrine (control; each n = 15). In both the terlipressin and vasopressin group, norepinephrine was additionally administered to achieve a mean arterial pressure (MAP) between 65 and 75 mmHg, if necessary. Data from right heart catheterization, thermo-dye dilution catheter, gastric tonometry as well as data from organ function, cytokines concentrations, were obtained at baseline and after 12, 24, 36 and 48 hours.

02

Conditions studied

  • Septic Shock

Keywords

  • Sepsis
  • Septic Shock
  • vasopressin
  • terlipressin
03

In context

Shock, Septic

862 studies on the registry are indexed under Shock, Septic; 207 are open to participants now.

This study's enrollment of 45 is below the median of 80 across 530 interventional studies indexed under Shock, Septic.

Browse Shock, Septic studies →

Lead sponsor

University of Roma La Sapienza is the lead sponsor of 388 studies on the registry; 55 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Clinical diagnosis of Septic shock
  • vasopressor support to maintain mean arterial pressure (MAP) between 65 and 75 mmHg despite adequate volume resuscitation (pulmonary artery occlusion pressure = 13-18 mmHg and central venous pressure = 8-12 mmHg)

Exclusion criteria

Exclusion Criteria:

  • Pregnancy
  • Present cardiac dysfunction
  • Present or suspected acute mesenteric ischemia
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
45 participants (actual)

Study arms

  • Experimental
    1

    Terlipressin

    Drug: Terlipressin

  • Experimental
    2

    Vasopressin

    Drug: Vasopressin

  • Active comparator
    3

    titrated norepinephrine

    Drug: Norepinephrine

Interventions

  • DrugTerlipressin

    continuous terlipressin infusion 1.3 µg•kg-1 over a period of 48 hrs

  • DrugVasopressin

    continuous intravenous infusion of vasopressin 0.03 U•min-1 over a period of 48 hrs

  • DrugNorepinephrine

    titrated norepinephrine over a period of 48 hrs

06

What researchers measure

Primary outcomes

  1. Systemic and regional hemodynamics

    Time frame: during the first 48 hours from the onset of septic shock

Secondary outcomes

  1. Markers of inflammation,organ functions,adverse effects.

    Time frame: during the first 48 hours from the onset of septic shock

07

Study locations

1 site
  • Department of Anesthesiology and Intensive care of the University of Rome "La Sapienza"
    Rome, Viale del Policlinico 155, 00161, Italy
08

References and documents

Publications

  • Morelli A, Ertmer C, Rehberg S, Lange M, Orecchioni A, Cecchini V, Bachetoni A, D'Alessandro M, Van Aken H, Pietropaoli P, Westphal M. Continuous terlipressin versus vasopressin infusion in septic shock (TERLIVAP): a randomized, controlled pilot study. Crit Care. 2009;13(4):R130. doi: 10.1186/cc7990. Epub 2009 Aug 10. PubMed 19664253 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 29, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00481572
Lead sponsor
University of Roma La Sapienza
First posted
Jun 1, 2007
Start date
Jan 2007
Primary completion
Dec 2007
Completion
Dec 2007
Last update
Feb 29, 2008

Study contacts

Andrea Morelli, MD
study director · Departement of Anesthesiology and Intensive Care of the University of Rome "La Sapienza"

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2008. You cannot join it, but the record below documents what was studied.

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