Infraclavicular axillary vein collapsibility to predict who will respond to fluids in sepsis
Official title: Infraclavicular Axillary Vein Collapsibility Index as a Predictor of Fluid Responsiveness in Spontaneously Breathing Patients in Sepsis-related Acute Circulatory Failure: a Prospective Observational Study
Run by Ain Shams University · NCT07507877 · Data updated 2026-11-12
This trial tests whether the infraclavicular axillary vein collapsibility index can tell which adults with sepsis who are breathing on their own will increase their blood flow after getting IV fluids.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Ain Shams University Academic / other |
| Locations | 1 site (Cairo) |
| Status | Recruiting |
| Started | April 4, 2026 |
| Main results expected | November 4, 2026 |
| Study ends | November 4, 2026 |
| Registry record updated | April 15, 2026 |
| Trial ID | NCT07507877 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults (≥18 years) with sepsis who are breathing without mechanical ventilation, meet at least two SIRS criteria, and show clinical signs of acute circulatory failure.
✕Probably not a fit
Mechanically ventilated patients, children under 18, or patients without sepsis-related circulatory failure are unlikely to benefit from this technique as studied here.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study measures the infraclavicular axillary vein collapsibility index using ultrasound in spontaneously breathing adult patients with sepsis and clinical signs of acute circulatory failure. Investigators will compare the vein collapsibility measurements with patients' fluid responsiveness after fluid administration to determine predictive value. The protocol enrolls adults meeting at least two SIRS criteria and excludes mechanically ventilated patients and those under 18. The goal is to validate a noninvasive alternative to inferior vena cava measurements for guiding resuscitation decisions.
Why it matters
Potential benefit: If successful, this approach could help clinicians decide who needs IV fluids and avoid fluid overload by providing a noninvasive bedside predictor of fluid responsiveness.
How similar studies have gone: Previous work has established inferior vena cava collapsibility as a predictor of fluid responsiveness, and axillary or other peripheral venous collapsibility measures have shown promising but less well-validated results.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patients ≥18 years. * Patients with sepsis must meet at least two or more criteria of systemic inflammatory response syndrome (SIRS). * Spontaneously breathing patients. * Clinical signs of acute circulatory failure. Exclusion Criteria: * Patients below the age of 18 years. * Mechanically ventilated patients
Where it's running
-
Ain-Shams University Hospitals
Cairo, Egypt Recruiting
Study contacts
- Study coordinator: Ibrahim Mamdouh Esmat
- Email: ibrahim_mamdouh@med.asu.edu.eg
- Phone: 01001241928
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.