Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 18 and up

Using albumin and crystalloid fluids to treat septic shock

Official title: Albumin and Crystalloid Administration in Septic Shock (ALCAMIST): Multi-center, Open Labelled Randomized Controlled Trial

Run by Asan Medical Center · NCT05148286 · Data updated 2026-11-12

This study tests if giving albumin along with regular fluids can help adults with septic shock survive better than the usual treatment.

More Septic Shock trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment2426 (estimated)
SponsorAsan Medical Center
Academic / other
Locations1 site (Seoul)
StatusRecruiting
StartedJanuary 17, 2022
Main results expectedSeptember 30, 2027
Study endsDecember 31, 2027
Registry record updatedJuly 16, 2026
Trial IDNCT05148286 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older who present to the emergency department with suspected septic shock.

Probably not a fit

Patients with advanced malignancies, those with do-not-resuscitate orders, or individuals who have previously received albumin may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the effectiveness of early administration of albumin combined with crystalloid fluids for the treatment of septic shock. The study aims to determine if this approach improves survival rates compared to standard resuscitation methods that do not include albumin. Adult patients suspected of having septic shock will be enrolled directly from the emergency department and monitored for outcomes related to fluid resuscitation. The trial builds on previous findings suggesting that albumin may offer additional benefits in managing sepsis.

Why it matters

Potential benefit: If successful, this approach could significantly improve survival rates for patients suffering from septic shock.

How similar studies have gone: Previous studies have indicated potential survival advantages with albumin administration in septic shock, suggesting this approach may be promising.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adult patients (≥ 18 years) who visit an ED directly and are suspected of sepsis with shock
* Shock is defined as hypotension (mean arterial blood pressure (MAP) \< 65 or systolic blood pressure \< 80) and tissue hypoperfusion such as an initial serum lactate level ≥ 4 mmol/dL.

Exclusion Criteria:

* patients who are transferred from another hospital after initial fluid administration
* patients who have set limitations on treatment (e.g. patients with a signed do-not-resuscitate order)
* patients with moribund conditions with life expectancy less than 28 days due to secondary diseases or advanced malignant disease and palliative situations with life expectancy less than 6 months
* patients who have been administered albumin before enrollment
* patients who have known hypersensitivity to albumin
* Clinical conditions, where albumin administration may be unfavorable (e.g. pulmonary edema, congestive heart failure, traumatic brain injury)
* lactation
* patients who do not voluntarily consent to participate in the trial.

Where it's running

  • Asan Medical Center
    Seoul, South Korea
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.