Muscle along the spine on a CT scan to predict 3-month survival after septic shock
Official title: Association Between Muscle L3 CT Scan Muscle Derived Parameters of Muscle Function Upon Intensive Care Unit Admission and 3 Months Mortality After ICU Discharge for Patients Admitted for Septic Shock. The SIMS Study
Run by Centre Hospitalier Universitaire de Saint Etienne · NCT07483710 · Data updated 2026-11-12
This study tests whether measurements from a CT scan of the lower back muscles taken around ICU admission can help predict mortality 3 months after discharge for patients with septic shock.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 196 (estimated) |
| Sponsor | Centre Hospitalier Universitaire de Saint Etienne Academic / other |
| Locations | 4 sites (Lyon and 3 other locations) |
| Status | Recruiting |
| Started | March 19, 2026 |
| Main results expected | May 1, 2030 |
| Study ends | May 1, 2030 |
| Registry record updated | July 10, 2026 |
| Trial ID | NCT07483710 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with septic shock who had a non-contrast CT scan within the specified time window around ICU admission and are eligible for social security.
✕Probably not a fit
Patients without a suitable prior or immediate post-admission CT scan or who do not meet eligibility criteria may not benefit from this assessment.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective study investigates whether quantitative and qualitative muscle measurements from a CT scan at the L3 level, taken near ICU admission, correlate with 3-month mortality in septic shock patients. It builds on prior findings that muscle mass and density relate to outcomes in critical illness, aiming to determine prognostic value in the ICU setting. The study uses non-contrast CT scans and aligns with standard ICU practice while focusing on patients with septic shock. Primary analysis will assess associations between muscle-derived parameters and subsequent mortality, with secondary observations on feasibility and potential clinical implications.
Why it matters
Potential benefit: If successful, the approach could help clinicians identify high-risk patients early and tailor care plans accordingly.
How similar studies have gone: Previous retrospective studies have linked muscle impairment with higher mortality, but prospective validation in this exact setting is limited and novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Patients hospitalized in intensive care for septic shock defined by the presence of a documented or suspected infection, plasma lactate \>2 mmol/L, and an increase in SOFA score of more than 2 points from baseline (Singer et al., 2016) * Patients who underwent a non-contrast CT scan within 48 hours prior to admission and up to 24 hours after admission to intensive care * Patients affiliated with or eligible for social security Exclusion Criteria: * Patients with a neuromuscular disease prior to admission to intensive care. * Pregnant women * Patients under guardianship and/or conservatorship * Refusal of consent.
Where it's running
-
Centre Hospitalier Universitaire de Saint-Etienne
Saint-Etienne, France Recruiting -
Hospices Civils de Lyon
Lyon, France Not yet recruiting -
AP HM, Hôpital La Timone
Marseille, France Not yet recruiting -
Clinique Mutualiste
Saint-Etienne, France Not yet recruiting
Study contacts
- Principal investigator: Nory Elhadjene, MD — Centre Hospitalier Universitaire de Saint Etienne
- Study coordinator: Nory Elhadjene, MD
- Email: nory.elhadjene@gmail.com
- Phone: (0)4.77.82.97.43
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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.