Balanced IV fluids versus normal saline to protect children's kidneys during sepsis

Comparative effectiveness of balanced fluids versus normal saline to reduce acute and chronic kidney disease in children with sepsis

NIH-funded research Children's Hosp of Philadelphia · NIH-11176180

Compares two common IV fluids to find which one better protects the kidneys of children with sepsis.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionChildren's Hosp of Philadelphia NIH-funded
Lab location1 site (Philadelphia, United States)
Project IDNIH-11176180 on NIH RePORTER

What this research studies

If your child comes to the emergency department with suspected septic shock, they would be randomly given either balanced fluid or normal saline as the initial IV resuscitation. The researchers will track kidney function during the hospital stay and for weeks to months afterward to see who develops acute or longer-lasting kidney problems. Data will come from routine lab tests, medical records, and some blood samples collected as part of the ancillary study. No extra invasive treatments are planned beyond the assigned fluid, though follow-up visits or calls may be requested.

Who could benefit from this research

Good fit: Children presenting to the emergency department with suspected septic shock who need IV fluid resuscitation are the ideal candidates.

Not a fit: Adults, children without sepsis, or children who do not require IV fluid resuscitation would not be eligible and are unlikely to benefit directly from this trial.

Why it matters

Potential benefit: If successful, using the better fluid could lower the chance of acute and chronic kidney problems after sepsis in children.

How similar studies have performed: Adult randomized trials have suggested balanced fluids reduce kidney injury compared with normal saline, but high-quality pediatric data are limited, so this pediatric-focused work is partly novel.

Where this research is happening

Philadelphia, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.