Trial intelligence / Profile preview

PRoMPT BOLUS: Balanced vs Normal Saline in Pediatric Septic Shock

NCT04102371Phase 3

Key facts

Status
Completed
Start
Aug 2020
Primary completion
Dec 2025
Countries
1
Sponsor
Children's Hospital of Philadelphia
Modality
Small Molecules
Conditions
septic shock
01

Overview

Phase 3, randomised, open-label trial of lactated ringer's solution and plasma-lyte in septic shock (2 arms), sponsored by Children's Hospital of Philadelphia. Primary endpoint: Major Adverse Kidney Events within 30 days. Started Aug 2020; status: completed.

02

Design

2 arms
Study design
RandomizedOpen-label
  • Balanced fluids (BF)

    Lactated Ringer's or Plasma-Lyte used for all fluid boluses and maintenance fluids

  • 0.9% "Normal" Saline Fluid (NS)

    0.9% normal saline used for all fluid boluses and maintenance fluids

03

Who it enrols

Children >2 months to <18 years with suspected septic shock requiring fluid resuscitation, who have received <=40 mL/kg of fluid prior to randomization. Excludes patients with known hyperkalemia, hypercalcemia, severe hepatic or renal impairment, or impending brain herniation.

04

Endpoints

Primary

  • Major Adverse Kidney Events within 30 days

Secondary

  • Proportion of participants with persistent kidney dysfunction

  • Proportion of participants with new inpatient renal replacement therapy

  • Hospital-free days alive between randomization and day 27

  • Proportion of participants with all-cause hospital mortality

  • Proportion of participants with all-cause mortality at 90 days

  • Proportion of participants with hyperlactatemia

  • Proportion of participants with hyperkalemia

  • Proportion of participants with hypercalcemia

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