ClinicalTrials.gg
RecruitingNCT07273071IMPACT-NACUpdated Sep 16, 2026

Individualized Multiplex Pathophysiological Treatment of Severe Acute Infections: N-Acetylcysteine

A Phase 4 interventional study of N-Acetylcysteine (NAC) Treatment in Sepsis, Acute Infection and Severe Infection, sponsored by Theis S. Itenov. Recruiting at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Theis S. Itenov · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 2 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
360
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 43 studies in Sepsis with a site in Denmark — 6 open to participants now, 6 under way, 1 of them phase 3. Sepsis · Denmark.

Planned enrollment
9th of 23
360 · median 153
Started
2026
with 3 others
Phase 4
8 of 43
4 open now
Registered
40th of 43
by date

Among the 43 studies in Sepsis with a site in Denmark, this one is the 9th largest by planned enrollment of the 23 interventional ones, is one of 4 that started in 2026, is one of 8 in phase 4, and was the 40th registered.

By phase

43 studies; the count open now beside each. This study's row is marked.

Observational18 · 0 open
Phase 4this study8 · 4 open
No phase7 · 0 open
Phase 36 · 1 open
Phase 22 · 1 open
Phase 2/32 · 0 open

By the year they started

First in 2002; this study’s year is marked. 4 started in 2026.

Size and results

Median enrollment 153 across the 23 interventional studies, 50 across the 18 observational. Of the 29 that completed or were terminated, 2 (7%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 43 studies in Sepsis with a site in Denmark, or all of them as a file.
02

Study summary

The primary objective of the IMPACT-NAC trial is to assess the effects of N-acetylcysteine on survival and hospital length of stay in adults admitted to the emergency department with acute infection or sepsis and evidence of liver dysfunction.

The main question it aims to answer is: does N-acetylcysteine increase the number of days alive and out of the hospital within the first 14 days after enrolment in the trial?

To answer this question, we will conduct a randomized, double-blinded controlled trial of 360 participants.

Participants will be randomized to either N-acetylcysteine or placebo (normal saline without active drugs). This will be administered as an infusion during four hours within the first day of hospital admission.

03

Conditions studied

  • Sepsis
  • Acute Infection
  • Severe Infection

Keywords

  • Sepsis
  • Acute Infection
  • Severe Infection
  • Acetylcysteine
  • Liver dysfunction
04

Who can participate

Ages eligible
18 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

  1. Age ≥18 years
  2. Documented clinical suspicion of infection
  3. Model for end-stage liver disease (MELD) score ≥9

Exclusion criteria

Exclusion criteria

  1. Admitted to hospital >24 hours before randomization
  2. Any previous severe anaphylaxis
  3. Other known allergy to N-acetylcysteine
  4. Ongoing treatment with N-acetylcysteine at randomization
  5. Documented clinical suspicion of bile duct obstruction
  6. circulatory shock
  7. not obtainable
  8. Inability to read and understand Danish to a degree that allows valid informed consent and completion of trial assessments
  9. Involuntary admission under the psychiatric law
  10. Expected initiation of palliative care within 48 hours of randomization
  11. Ongoing treatment with nitroglycerin
  12. Any other condition deemed by the investigator to compromise patient safety or trial integrity (e.g., severe coagulopathy, uncontrolled bleeding, diabetic ketoacidosis)
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
360 participants (estimated)

Study arms

  • Experimental
    N-acetylcysteine

    Drug: N-Acetylcysteine (NAC) Treatment

  • No intervention
    Placebo (normal saline)

Interventions

  • Intravenous infusion of N-acetylcysteine (200 mg/kg mixed with normal saline to a final volume of 500 ml) administered over four hours.

06

What researchers measure

Primary outcomes

  1. Days alive and out of hospital at 14 days post-randomization (DAOH-14)

    Time frame: Assessed 14 days post-randomization

Secondary outcomes

  1. Number of participants with one or more serious adverse event within 14 days of randomization

    Time frame: Assessed 14 days post-randomization

  2. All-cause mortality at day 180

    Time frame: Assessed at 180 days post-randomization

  3. Health-related quality of life (HRQoL) at day 180 using EQ-5D-5L

    Time frame: Assessed 180 days post-randomization

  4. Admission to an intensive care unit (ICU) within 14 days of admission

    Time frame: Assessed at 14 days post-randomization

  5. Duration of antibiotic therapy from randomization to day 14

    Time frame: Assessed at 14 days post-randomization

  6. Time to clinical stability

    Number of days from randomization to first occurrence of clinical early warning score (C-EWS) ≤1. For participants with registered chronic elevated C-EWS parameters, the adjusted score will be used.

    Time frame: Assessed at 14 days post-randomization

07

Study locations

1 of 1 sites recruiting
  • Department of Emergency Medicine, Copenhagen University Hospital - Bispebjerg and Frederiksberg
    Copenhagen, 2400, Denmark
    Recruiting
    • Frans Wiberg, MD · Contactfrans.wiberg@regionh.dk · +4523704894
    • Jens H Rasmussen, MD · Principal investigator
    • Frans Wiberg, MD · Sub investigator
08

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

Started Sep 2026 (actual). Primary completion is estimated for Feb 2028, 17 months after the start.

Of 65 non-industry phase 4 interventional studies under Sepsis, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 45. This study's planned 17 months is below that.

Counting every sponsor, half of 66 studies reached it within 25 months; a quarter within 15 and three quarters within 43.

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

Registered
Nov 26, 2025
First posted
Dec 9, 2025
StartActual
Sep 7, 2026
Primary completionEst.
Feb 2028
CompletionEst.
Jul 2028
Last update
Sep 16, 2026
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 Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07273071
Lead sponsor
Theis S. Itenov
Collaborators
University Hospital Bispebjerg and Frederiksberg
Responsible party
Theis S. Itenov (Clinical Associate Professor and Specialist Physician, University Hospital Bispebjerg and Frederiksberg) — Sponsor-investigator
First posted
Dec 9, 2025
Start date
Sep 7, 2026
Primary completion
Feb 2028 (estimated)
Completion
Jul 2028 (estimated)
Last update
Sep 16, 2026

Study contacts

Frans Wiberg, MD
Contact
frans.wiberg@regionh.dk
+4528741294
Theis S Itenov, MD, PhD
Contact
theis.skovsgaard.itenov@regionh.dk

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

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.

Studies of the drug tested here: Acetylcysteine

Start the discussion