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CompletedNCT06622499Updated Oct 8, 2024

The Colder Fluids - Intravenous Infusion of 10 Degrees Celsius Fluids and Its Effects on Circulation and Hemostasis

A Phase 1 interventional study of Ringer's Lactate in Hemodynamic Instability, sponsored by Esbjerg Hospital - University Hospital of Southern Denmark. Completed at 1 site in Denmark. Open to participants aged 18 Years to 64 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-10-08.

Sponsored by Esbjerg Hospital - University Hospital of Southern Denmark · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Nov 2023, registered Jun 2024).
Phase
Phase 1
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
18 Years to 64 Years
Sex
All
01

Study summary

The aim of this study is to investigate the effect of respectively 10 and 22 degrees Celsius Ringer's lactate solution on the physiological response in healthy adults. In a single center crossover study the investigators will include and randomize 25 healthy volunteers to receive 1 liter of Ringer's lactate either cold (10°C, 50°F), or at room temperature (22°C, 71,6°F) with 100 ml/min. Fluids will be administered through a peripheral vein. After a minimum "washout period" of 24 hours, subjects are switched to receive infusion at the other aforementioned temperatures.

The main outcomes of this study are:

Primary:

  • The increase in Mean Arterial Pressure (MAP) 30 minutes after started infusion

Secondary:

  • Time until return of MAP to baseline value after infusion.
  • Changes in Visual Analog Scale (VAS) of discomfort during infusion
  • Changes in temperature, blood pressure, heart rate, peripheral oxygen saturation cardiac index, cardiac output, total peripheral resistance index and stroke volume
  • Changes in the intravascular volume status and the fluid responsiveness
  • Changes in biochemical parameters at baseline, 30 and 60 minutes.
  • Changes in Rotational thromboelastometry (ROTEM) analysis at baseline, 30 and 60 minutes
02

Conditions studied

  • Hemodynamic Instability
03

In context

Lead sponsor

Esbjerg Hospital - University Hospital of Southern Denmark is the lead sponsor of 45 studies on the registry; 16 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age between 18-64

Exclusion criteria

Exclusion Criteria:

  • Pre-existing medical problems that are contraindicated for cold crystalloid infusions.
  • Pregnancy (validated through a certified urine pregnancy test)
  • Body mass index >35 kg/m2
  • Medication use, including over-the-counter anti-pyretics within 48 hours, with exception of allergy medication and contraceptives.
  • Any family history or predisposition of coagulopathies.
  • Any intake of inhibitors of 11β-Hydroxysteroid dehydrogenase the past 48 hours (products containing liquorice)
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Active comparator
    Cold - Room temperature

    Trial day 1: Participants receive Ringer's lactate cold (10°C, 50°F), Trial day 2: Participants receive Ringer's lactate at room temperature (22°C, 71.6°F)

    Drug: Ringer's Lactate

  • Active comparator
    Room temperature - Cold

    Trial day 1: Participants receive Ringer's lactate at room temperature (22°C, 71.6°F), Trial day 2: Participants receive Ringer's lactate cold (10°C, 50°F)

    Drug: Ringer's Lactate

Interventions

  • DrugRinger's Lactate

    On the first trial day healthy volunteers are randomized to receive 1 liter of Ringer's lactate either cold (10°C, 50°F), or at room temperature (22°C, 71.6°F) with 100 ml/min. After a minimum "washout period" of 24 hours, subjects are switched to receive infusion at the other aforementioned temperatures.

06

What researchers measure

Primary outcomes

  1. Increase in Mean Arterial Pressure (MAP) 30 minutes after started infusion

    Time frame: Trial day 1 & Trial day 2

Secondary outcomes

  1. Time until return of Mean Arterial Pressure (MAP) to baseline value after infusion

    Time frame: Trial day 1 & Trial day 2

  2. Changes in Visual Analog Scale (VAS) of discomfort during infusion

    Visual analoge scale of discomfort to assess participants discomfort during the trial. A scale labelled from 0=no discomfort to 10=maximum discomfort imaginable.

    Time frame: Trial day 1 & Trial day 2

  3. Changes in physiological parameter temperature measured in degrees Celcius

    Time frame: Trial day 1 & Trial day 2

  4. Changes in physiological parameter blood pressure measured in millimeter of mercury (mmHg)

    Time frame: Trial day 1 & Trial day 2

  5. Changes in physiological parameter peripheral oxygen saturation measured in percent (%)

    Time frame: Trial day 1 & Trial day 2

  6. Changes in physiological parameter cardiac index measured in L/min/m2

    Time frame: Trial day 1 & Trial day 2

  7. Changes in physiological parameter cardias output measured in L/min

    Time frame: Trial day 1 & Trial day 2

  8. Changes in physiological parameter total peripheral resistance index measured in dyn·s/cm5

    Time frame: Trial day 1 & Trial day 2

  9. Changes in physiological parameter stroke volume measured in mL

    Time frame: Trial day 1 & Trial day 2

  10. Changes in physiological parameter intravascular volume status and fluid responsiveness measured in vena cava inferior maximum diameter and index via ultrasound

    Time frame: Trial day 1 & Trial day 2

  11. Changes in physiological parameter of INR blood test measured in prothrombin time at baseline, after 30 minutes and after 60 minutes

    Time frame: Trial day 1 & Trial day 2

  12. Changes in physiological parameter APTT blood test measured in seconds at baseline, after 30 minutes and after 60 minutes

    Time frame: Trial day 1 & Trial day 2

  13. Changes in physiological parameter Fibrinogen blood test measured in µmol/L at baseline, after 30 minutes and after 60 minutes

    Time frame: Trial day 1 & Trial day 2

  14. Changes in physiological parameter Platelet count blood test measured in 109/L at baseline, after 30 minutes and after 60 minutes

    Time frame: Trial day 1 & Trial day 2

  15. Changes in physiological parameter Flowcytometry blood tests (CD63, CD62p, PAC-1) measured in % at baseline, after 30 minutes and after 60 minutes

    Time frame: Trial day 1 & Trial day 2

  16. Changes in physiological parameter Rotational thromboelastometry (EXTEM, INTEM, FIBTEM analysis of Clotting time and maximum clot formation) measured in seconds and millimeters, respectively, at baseline, after 30 minutes and after 60 minutes

    Time frame: Trial day 1 & Trial day 2

07

Study locations

1 site
  • Odense University Hospital
    Odense, 5000, Denmark
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06622499
Lead sponsor
Esbjerg Hospital - University Hospital of Southern Denmark
Collaborators
Odense University Hospital
Responsible party
Sponsor
First posted
Oct 2, 2024
Start date
Nov 6, 2023
Primary completion
Dec 20, 2023
Completion
Dec 20, 2023
Last update
Oct 8, 2024

Study contacts

Mikkel Brabrand, MD
principal investigator · Odense 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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