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.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 2426 (estimated) |
| Sponsor | Asan Medical Center Academic / other |
| Locations | 1 site (Seoul) |
| Status | Recruiting |
| Started | January 17, 2022 |
| Main results expected | September 30, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | July 16, 2026 |
| Trial ID | NCT05148286 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
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Asan Medical Center
Seoul, South Korea Recruiting
Study contacts
- Study coordinator: Sang-Min Kim, Dr.
- Email: swdarkhorse@gmail.com
- Phone: 82-10-3010-0730
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Adjunctive Fludrocortisone in Septic Shock on Hydrocortisone
In septic shock, this trial tests whether adding fludrocortisone (50 mcg or 100 mcg daily) to hydrocortisone improves survival and recovery compared with placebo.
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Non-invasive hemodynamic guidance for sepsis care on medical wards
This trial tests whether guiding fluid and vasopressor therapy for sepsis using non-invasive hemodynamic measurements works better than standard care.
-
Reducing Endotoxin Burden in Septic Shock Patients on CRRT with the oXiris Filter
This trial tests whether using the oXiris hemofilter during continuous kidney replacement helps lower endotoxin levels in adults with septic shock who need CRRT.
-
Personalized Fluid Resuscitation in the Emergency Department
This pilot test checks if a quick, non-invasive stroke-volume assessment can help ED doctors tailor IV fluids for septic patients with low blood pressure.
-
Discordance between capillary refill time and oxygen use in septic shock
This study tests whether some septic shock patients can have a normal capillary refill time but still lack tissue oxygen use, to see if that mismatch relates to 28-day survival.
-
Targeting upper-normal magnesium to see if norepinephrine needs drop in septic shock
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.
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.