ClinicalTrials.gg
Status unknownNCT06111261ABSOLUTEUpdated Nov 1, 2023

Initial Resuscitation With Albumin in Hemorrhagic Shock to Reduce Positive Fluid Balance

An interventional study of Albumin solution and Balanced crystalloid solution in Bleeding, Massive Hemorrhage and Massive Transfusion Protocol, sponsored by Seoul National University Hospital. Status unknown. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2023-11-01.

Sponsored by Seoul National University Hospital · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Oct 2023), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

This study is designed to evaluate the effect of early albumin transfusion within massive transfusion protocol on fluid balance and reduced requirement of transfusion.

Read the detailed description

Eligible patients who require massive transfusion will be randomized in a single-blind manner (participant) in a 1:1 ratio to Conventional Massive Transfusion Pro. tocol group (C-MTP) or Albumin Massive Transfusion Protocol group (A-MTP). When MTP is initiated according to the result of randomization, all patients(or a legal guardian) are informed about the study and potential risks and benefits. Study will be continued only in patients who give informed consent.

02

Conditions studied

  • Bleeding
  • Massive Hemorrhage
  • Massive Transfusion Protocol

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Keywords

  • Massive transfusion protocol
  • Massive transfusion
  • Albumin
03

In context

Hemorrhage

3,011 studies on the registry are indexed under Hemorrhage; 466 are open to participants now.

This study's planned enrollment of 36 is below the median of 100 across 1,990 interventional studies indexed under Hemorrhage.

Browse Hemorrhage studies →

Lead sponsor

Seoul National University Hospital is the lead sponsor of 1,897 studies on the registry; 273 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 2 (17%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult patients (19 or older)
  • Admitted or planned to admit surgical intensive care unit
  • Patients with decreased hemoglobin level more than 20% from baseline within 12 hours, Or
  • Patients who are suspected bleeding and hemodynamically unstable requiring more than 0.05mcg/kg/min of norepinephrine infusion to maintain mean blood pressure higher than 65mmHg

Exclusion criteria

Exclusion Criteria:

  • Contraindicated to albumin product
  • patients with risk factors of increased circulatory volume (heart failure, pulmonary edema, end-stage renal disease with oliguria)
  • patients with hemolytic anemia
  • History of anaphylactic reaction to blood product
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
36 participants (estimated)

Study arms

  • Experimental
    Albumin-massive transfusion protocol

    At the initiation of MTP, 200ml of 20% albumin will be infused followed by transfusion of packed RBC:FFP:Platelet concentrate with ratio of 1:1:1.

    Drug: Albumin solution

  • Active comparator
    Conventional-massive transfusion protocol

    At the initiation of MTP, Balanced crystalloid will be infused followed by transfusion of packed RBC:FFP:Platelet concentrate with ratio of 1:1:1. Albumin will be transfused according to the serum albumin level.

    Drug: Balanced crystalloid solution

Interventions

06

What researchers measure

Primary outcomes

  1. Total fluid balance until physical hemostasis of bleeding is confirmed (ml)

    Total fluid balance (Total fluid infused - Total output(urine output, bleeding, drainage, or etc.) until physical hemostasis of bleeding is confirmed (e.g. embolization, surgical exploration and ligation of vessel)

    Time frame: Time from the initiation of massive transfusion protocol to physical hemostasis of bleeding was confirmed, up to 48 hours after initiation of massive transfusion protocol

Secondary outcomes

  1. Time from the initiation of massive transfusion protocol to reversal of shock (min)

    Total time required to maintain mean blood pressure higher than 65mmHg without vasopressor

    Time frame: Time from the initiation of massive transfusion protocol to mean blood pressure was maintained higher than 65mmHg without vasopressor (min), up to 48 hours after initiation of massive transfusion protocol

  2. Total amount of fluid until physical hemostasis of bleeding is confirmed (ml)

    Total amount of transfusion and infusion of albumin product and crystalloid.

    Time frame: Time from the initiation of massive transfusion protocol to physical hemostasis of bleeding was confirmed, up to 48 hours after initiation of massive transfusion protocol

  3. Total length of ICU and hospital stay (days)

    Total length of ICU and hospital stay

    Time frame: When discharge from ICU or hospital for any cause (days), through study completion, an average of 4 year

  4. In-hospital mortality

    Mortality occurred during hospital stay

    Time frame: When mortality occurred, through study completion, an average of 4 year

  5. 7-day mortality

    7-day mortality after the initiation of massive transfusion protocol

    Time frame: Within 7 days since the initiation of the massive transfusion protocols

  6. 28-day mortality

    28-day mortality after the initiation of massive transfusion protocol

    Time frame: Within 28 days since the initiation of the massive transfusion protocols

  7. Acute kidney injury within 2 days of massive transfusion

    Incidence of Acute kidney injury (KidneyDisease:ImprovingGlobalOutcomes (KDIGO) stage 1 or above) within 2 days of massive transfusion

    Time frame: up to 2 days of MTP

  8. Major pulmonary complication within 2 days of massive transfusion

    Major pulmonary complication(Pneumonia, PaO2/FiO2 ratio\<300, pulmonary edema and pleural effusion) within 2 days of massive transfusion

    Time frame: up to 2 days of MTP

  9. Transfusion-related adverse event

    Transfusion-related adverse event (TRALI, TACO, Anaphylaxis)

    Time frame: up to 2 days of MTP

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2023; primary completion for Jul 2025, 20 months later.

Of 457 non-industry interventional studies with no phase under Hemorrhage, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 40. This study's planned 20 months is close to that.

Counting every sponsor, half of 522 studies reached it within 20 months; a quarter within 10 and three quarters within 38.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 10, 2023
First posted
Nov 1, 2023
StartEst.
Nov 15, 2023
Primary completionEst.
Jul 15, 2025
CompletionEst.
Aug 15, 2025
Last update
Nov 1, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06111261
Responsible party
Seung-Young Oh (Clinical associate professor, Seoul National University Hospital) — Principal investigator
First posted
Nov 1, 2023
Start date
Nov 15, 2023 (estimated)
Primary completion
Jul 15, 2025 (estimated)
Completion
Aug 15, 2025 (estimated)
Last update
Nov 1, 2023

Study contacts

Leerang Lim, M.D.
Contact
erange@snu.ac.kr
+82-2-2072-2467
Seung-young Oh, M.D.
Contact
faun1224@gmail.com
+82-2-2072-2966
Seung-young Oh, M.D.
study chair · Seoul National University Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Albumins

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