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NCT06371976: VASOCORT

Evaluation of the HPA Axis in Patients With Vasoplegic Syndrome After Cardiac Surgery

Recruiting now Last updated 30 January 2026
What this trial tests

trial testing Blood sampling in Vasoplegic Syndrome in Adult Cardiac Surgery in 200 participants. Currently enrolling.

Timeline
5 March 2025
Primary endpoint
5 February 2027
5 February 2027

Quick facts

Lead sponsorAssistance Publique - Hôpitaux de Paris
StatusRecruiting now
Study typeOBSERVATIONAL
Enrollment200
Start date5 March 2025
Primary completion5 February 2027
Estimated completion5 February 2027
Sites1 location across France

Drugs / interventions tested

Conditions studied

Sponsor

Assistance Publique - Hôpitaux de Paris — full company profile →

Who can join

18 and older, any sex, with Vasoplegic Syndrome in Adult Cardiac Surgery. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Vasoplegic syndrome after cardiac surgery is common and is associated with increased morbidity and mortality. It is characterized by early and prolonged arterial hypotension, with preserved cardiac output and low systemic vascular resistance. Vasoplegic syndrome therefore shares pathophysiological features with septic shock. There are no data in the literature on the function of the hypothalamic-pituitary-adrenal (HPA) axis during vasoplegic syndrome after cardiac surgery. In situations of acute stress and systemic inflammation, relative adrenal insufficiency has been reported in the most severe patients, particularly those in septic shock. The term ""CIRCI"" (Critical Illness-Related Corticosteroid Insufficiency) is currently defined as an increase in total plasma cortisol of less than 9 µg/dl after stimulation with 250 µg tetracosactide (synthetic ACTH), or a basal total plasma cortisol level of less than 10 µg/dl. However, recent studies have called into question the usefulness of the cosyntropin stimulation test for exploring the HPA axis in intensive care patients. Tandem mass spectrometry (LC-MS/MS) assays can be used to measure steroid metabolites (steroidome), enabling more precise exploration of the corticotropic axis. The aim of this study is to evaluate, on an exploratory basis, the impact of the presence of a post-cardiac surgery vasoplegic syndrome on adrenal function by steroidome mapping (LC-MS/MS).

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other trials of Blood sampling

Trials testing the same drug.

Other Assistance Publique - Hôpitaux de Paris trials

Trials by the same sponsor.

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Data sources for this page

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