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CompletedNCT02580240Updated Aug 7, 2017Results posted

Initiation of Hydrocortisone for the Treatment of Septic Shock

An interventional study of Hydrocortisone and saline in Septic Shock, sponsored by Northern Jiangsu People's Hospital. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-08-07.

Sponsored by Northern Jiangsu People's Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
118
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study : 1)to determine whether hydrocortisone is effective in the treatment of septic shock and 2) to identify the role of timing of low dose hydrocortisone administration in septic shock patients.

02

Conditions studied

  • Septic Shock

Keywords

  • septic shock
  • hydrocortisone
  • mortality
03

In context

Shock, Septic

861 studies on the registry are indexed under Shock, Septic; 206 are open to participants now.

This study's enrollment of 118 is above the median of 79 across 529 interventional studies indexed under Shock, Septic.

Browse Shock, Septic studies →

Lead sponsor

Northern Jiangsu People's Hospital is the lead sponsor of 60 studies on the registry; 31 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

  1. age 18 years old or older;
  2. onset of septic shock within 6 h

Exclusion criteria

Exclusion Criteria:

  1. Systemic corticosteroid therapy within the last 3 months before septic shock;
  2. high-dose steroid therapy;
  3. immunosuppression;
  4. refusal of the attending staff or patient family.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
118 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Vials containing normal saline as placebo were identical to those containing hydrocortisone. Placebo administration procedures were similar.

    Drug: saline

  • Experimental
    hydrocortisone

    Hydrocortisone was administered 200 mg/d as a continuous infusion for 6d, then tapered off. Once all vasopressors were discontinued, the taper protocol was initiated (half dose for three days, then quarter dose for three days and then stopped).

    Drug: Hydrocortisone

Interventions

  • DrugHydrocortisone

    Hydrocortisone was administered 200 mg/d as a continuous infusion for 6d, then tapered off. Once all vasopressors were discontinued, the taper protocol was initiated (half dose for three days, then quarter dose for three days and then stopped).

    Also known as: cortisol

  • Drugsaline

    Vials containing normal saline as placebo were identical to those containing hydrocortisone. Placebo administration procedures were similar.

    Also known as: Normal saline

06

What researchers measure

Primary outcomes

  1. 28-day Mortality

    Death from any cause at 28 days after the onset of septic shock

    Time frame: 28 days

Secondary outcomes

  1. All Cause Mortality

    Death from any cause at 90 days after the onset of septic shock

    Time frame: 90 days

07

Results

Posted Aug 7, 2017

Participant flow

Participant flow — Overall Study
MilestonePlaceboHydrocortisone
Started6258
Completed6058
Not completed20
Withdrew: Physician decision20

Outcome measures

Primary28-day Mortality

Death from any cause at 28 days after the onset of septic shock

Time frame:
28 days
Reported as:
Count of participants · Participants
28-day Mortality
ParticipantsPlaceboHydrocortisone
28-day Mortality1923
SecondaryAll Cause Mortality

Death from any cause at 90 days after the onset of septic shock

Time frame:
90 days
Reported as:
Count of participants · Participants
All Cause Mortality
ParticipantsPlaceboHydrocortisone
All Cause Mortality1923

Adverse events

Collected over Adverse Events were classified by onset time (within 60 days after the onset of septic shock).The adverse events were assessed from date of randomization until 60 days after the onset of septic shock or date of death from any cause, whichever came first, assessed up to 60 days.. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo19/60 (31.7%)0/60 (0%)2/60 (3.3%)
Hydrocortisone23/58 (39.7%)1/58 (1.7%)1/58 (1.7%)
Most frequent serious events
Most frequent serious events
EventPlaceboHydrocortisone
hyperglycemiaEndocrine disorders0/601/58
Most frequent other events
Most frequent other events
EventPlaceboHydrocortisone
muscle weaknessMusculoskeletal and connective tissue disorders2/601/58

Baseline characteristics

Age, Continuous
Age, Continuous(years)PlaceboHydrocortisoneTotal
Mean64.8 ± 16.768.8 ± 12.666.77 ± 14.9
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboHydrocortisoneTotal
Female232548
Male373370
Region of Enrollment
Region of Enrollment(participants)PlaceboHydrocortisoneTotal
China6058118
08

Study locations

1 site
  • Northern Jiangsu Province people's hospital
    Yangzhou, Jiangsu 225000, China
09

References and documents

Publications

  • Lv QQ, Gu XH, Chen QH, Yu JQ, Zheng RQ. Early initiation of low-dose hydrocortisone treatment for septic shock in adults: A randomized clinical trial. Am J Emerg Med. 2017 Dec;35(12):1810-1814. doi: 10.1016/j.ajem.2017.06.004. Epub 2017 Jun 5. PubMed 28615145 ↗

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02580240
Lead sponsor
Northern Jiangsu People's Hospital
Responsible party
Qing-quan Lv (Ms Lv, Northern Jiangsu People's Hospital) — Principal investigator
First posted
Oct 20, 2015
Start date
Sep 2015
Primary completion
Sep 2016
Completion
Dec 2016
Results posted
Aug 7, 2017
Last update
Aug 7, 2017

Study contacts

Qingquan Lv, Master
principal investigator · Department of Critical Care Medicine, Northern Jiangsu Province people's hospital

Oversight

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

Not currently enrolling

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

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