CClinicalTrials.gg
CompletedNCT00592488ALCUpdated Dec 8, 2017Results posted

Acetyl-L-Carnitine in the Treatment of Septic Shock

A Phase 1/2 interventional study of Acetyl-L-Carnitine in Septic Shock, sponsored by Vanderbilt University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-12-08.

Sponsored by Vanderbilt University · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
13
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This placebo-controlled study investigates acetyl-L-carnitine in the treatment of septic shock requiring vasopressors.

Read the detailed description

This is a cross-over study which infuses ALC for 12 out of 18 hours (and placebo the other 6). Patients must have vasopressor-dependent septic shock and be free from renal failure, hepatic failure, and seizures to be eligible.

02

Conditions studied

  • Septic Shock

Keywords

  • Septic shock
  • Acetyl-L-carnitine
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 13 is below the median of 80 across 530 interventional studies indexed under Shock, Septic.

Browse Shock, Septic studies →

Lead sponsor

Vanderbilt University is the lead sponsor of 508 studies on the registry; 19 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 5 (71%) have results posted.

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

  • documented or presumed infection
  • shock requiring vasopressors

Exclusion criteria

Exclusion Criteria:

  • dialysis
  • hepatic failure
  • seizures
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
13 participants (actual)

Study arms

  • Other
    A

    Placebo for first 6 hours then Acetyl-L-Carnitine (ALC) for 12 hours

    Drug: Acetyl-L-Carnitine

  • Other
    B

    Acetyl-L-Carnitine (ALC) for first 12 hours then placebo for next 6 hours

    Drug: Acetyl-L-Carnitine

Interventions

  • DrugAcetyl-L-Carnitine

    Acetyl-L-Carnitine - 4 g IV over 30 minutes, then 8 g iv over the next 12 hours

    Also known as: ALC

06

What researchers measure

Primary outcomes

  1. Mean Arterial Blood Pressure

    Mean Arterial blood pressure measured non-invasively at 18 hours

    Time frame: 18 hours

Secondary outcomes

  1. Vasopressor Dose

    Change in vasopressor dose between 6 and 24 hours.

    Time frame: 6-24 hours

  2. Serum Lactate

    Latest serum lactate between 12 and 36 hours

    Time frame: 12-36 hours

07

Results

Posted Jun 8, 2011

Participant flow

Participant flow — Overall Study
MilestonePlacebo Then ALCALC Then Placebo
Started67
Completed67
Not completed00

Outcome measures

PrimaryMean Arterial Blood Pressure

Mean Arterial blood pressure measured non-invasively at 18 hours

Time frame:
18 hours
Reported as:
Mean · mm Hg
Mean Arterial Blood Pressure
mm HgAcetyl-L-Carnitine (ALC) Then PlaceboPlacebo Then Acetyl-L-Carnitine (ALC)
Mean Arterial Blood Pressure60 ± 360 ± 4
SecondaryVasopressor Dose

Change in vasopressor dose between 6 and 24 hours.

Time frame:
6-24 hours
Reported as:
Mean · mcg/kg/min
Vasopressor Dose
mcg/kg/minPlacebo Then ALCALC Then Placebo
Vasopressor Dose-1.4 ± 4.4-4.8 ± 5.9
SecondarySerum Lactate

Latest serum lactate between 12 and 36 hours

Time frame:
12-36 hours
Reported as:
Mean · mg/dL
Serum Lactate
mg/dLPlacebo Then ALCALC Then Placebo
Serum Lactate2.1 ± 1.72.0 ± 1.8

Adverse events

Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo Then ALC—0/6 (0%)0/6 (0%)
ALC Then Placebo—0/7 (0%)0/7 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Placebo Then ALCALC Then PlaceboTotal
<=18 years000
Between 18 and 65 years6612
>=65 years011
Sex: Female, Male
Sex: Female, Male(Participants)Placebo Then ALCALC Then PlaceboTotal
Female224
Male459
Region of Enrollment
Region of Enrollment(participants)Placebo Then ALCALC Then PlaceboTotal
United States6713
08

Study locations

1 site
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 8, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00592488
Lead sponsor
Vanderbilt University
Responsible party
Todd Rice (Assistant Professor, Vanderbilt University) — Principal investigator
First posted
Jan 14, 2008
Start date
Aug 2006
Primary completion
Aug 2009
Completion
Sep 2009
Results posted
Jun 8, 2011
Last update
Dec 8, 2017

Study contacts

Todd W. Rice, MD, MSc
principal investigator · Vanderbilt University

Oversight

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

Not currently enrolling

This study is completed, as verified in Nov 2017. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion