Targeting upper-normal magnesium to see if norepinephrine needs drop in septic shock
Official title: Effect of Targeting Upper Normal Serum Magnesium Levels on Norepinephrine Requirements in Septic Shock Patients: a Randomized Controlled Trial.
Run by Alexandria University · NCT07716956 · Data updated 2026-11-12
This trial tests whether keeping magnesium levels at the upper end of normal can reduce the amount and duration of norepinephrine needed in adults with septic shock.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Alexandria University Academic / other |
| Locations | 1 site (Alexandria, Alexandria Governorate) |
| Status | Recruiting |
| Started | July 30, 2026 |
| Main results expected | April 2027 |
| Study ends | July 2027 |
| Registry record updated | October 6, 2026 |
| Trial ID | NCT07716956 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with septic shock requiring corticosteroids and meeting inclusion criteria.
✕Probably not a fit
Patients with hypermagnesemia at baseline, significant renal impairment, mixed shock, or those not meeting other criteria may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this interventional study, adults with septic shock will receive intravenous magnesium sulfate to maintain serum magnesium at upper-normal levels, alongside standard care. The trial will compare this approach to usual treatment to see if it lowers total norepinephrine use, shortens ICU stay, reduces ventilation time, and impacts mortality. Magnesium levels are checked at baseline and every three days, with adjustments to stay within the target range. Data on clinical and demographic factors will be collected to assess safety and outcomes.
Why it matters
Potential benefit: If successful, patients may require less norepinephrine and experience shorter ICU stays and improved outcomes.
How similar studies have gone: Prior studies in similar settings suggest targeting electrolyte levels can influence vasopressor needs, though this specific approach is novel in septic shock.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male and female adult patients (aged ≥18 years) diagnosed with septic shock. * Resistant septic shock that requires corticosteroids. Exclusion Criteria: * Pregnancy. * Baseline hypermagnesemia (serum magnesium level \> 2.3 mg/dL). * Renal impairment with creatinine clearance (CrCl) \< 10 ml/min. * Mixed shock.
Where it's running
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Alexandria Main University Hospital
Alexandria, Alexandria Governorate, Egypt Recruiting
Study contacts
- Principal investigator: Asmaa K Elharony, PharmD — Faculty of Pharmacy, Alexandria University.
- Study coordinator: Asmaa K Elharony, PharmD
- Email: asmaa.khamis252@gmail.com
- Phone: +201062593630
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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.