Page last updated: 2024-10-16

carnitine and Shock, Septic

carnitine has been researched along with Shock, Septic in 24 studies

Shock, Septic: Sepsis associated with HYPOTENSION or hypoperfusion despite adequate fluid resuscitation. Perfusion abnormalities may include but are not limited to LACTIC ACIDOSIS; OLIGURIA; or acute alteration in mental status.

Research Excerpts

ExcerptRelevanceReference
"L-carnitine is a potent antioxidant."6.82L-carnitine: Searching for New Therapeutic Strategy for Sepsis Management. ( Avan, R; Habtemariam, S; Hashemi, J; Monajati, M; Negintaji, S; Saghafi, F; Sahebnasagh, A, 2022)
"Sepsis is defined as the dysregulated host response to an infection resulting in life-threatening organ dysfunction."6.58A review of micronutrients in sepsis: the role of thiamine, l-carnitine, vitamin C, selenium and vitamin D. ( Belsky, JB; Jacob, V; Lee, PJ; Sather, JE; Wira, CR, 2018)
"Carnitine deficiency was suspected, as the patient was malnourished and chronically taking valproic acid."5.56Refractory Hyperlactatemia After a Septic Shock in a Patient With Carnitine Deficiency: A Case Report. ( Brindamour, D; Demers-Marcil, S; Dupuis, S; Fortier, M; Hogan, P; Lagrenade-Verdant, C; Plourde, R, 2020)
"Carnitine treatment significantly lowered the tumour-induced rise in TG (% rise) in the sarcoma model (700 +/- 204 vs 251 +/- 51, P < 0."5.29Effects of L-carnitine on serum triglyceride and cytokine levels in rat models of cachexia and septic shock. ( Fiskum, G; Gallo, LL; Winter, BK, 1995)
"l-Carnitine is a candidate therapeutic for the treatment of septic shock, a condition that carries a ≥40% mortality."2.90Untargeted Metabolomics Differentiates l-Carnitine Treated Septic Shock 1-Year Survivors and Nonsurvivors. ( Evans, CR; Jones, AE; Karnovsky, A; Michailidis, G; Puskarich, MA; Stringer, KA, 2019)
"L-carnitine is a potent antioxidant."2.82L-carnitine: Searching for New Therapeutic Strategy for Sepsis Management. ( Avan, R; Habtemariam, S; Hashemi, J; Monajati, M; Negintaji, S; Saghafi, F; Sahebnasagh, A, 2022)
"Sepsis and septic shock are severe and difficult-to-treat conditions with high lethality."2.82The supplementation of L-carnitine in septic shock patients: Systematic review and meta-analysis. ( Guedes, GV; Minicucci, MF; Tanni, SE, 2022)
"l-Carnitine-treated low-ketone patients had greater use of carnitine as evidenced by lower post-treatment l-carnitine levels."2.80Pharmacometabolomics of l-carnitine treatment response phenotypes in patients with septic shock. ( Finkel, MA; Harris, BN; Jones, AE; Karnovsky, A; Puskarich, MA; Stringer, KA; Trexel, J, 2015)
" The primary safety outcome was difference in serious adverse events (SAEs) per patient between groups."2.79Preliminary safety and efficacy of L-carnitine infusion for the treatment of vasopressor-dependent septic shock: a randomized control trial. ( Claremont, H; Jones, AE; Kline, JA; Krabill, V; Puskarich, MA, 2014)
"Sepsis is defined as the dysregulated host response to an infection resulting in life-threatening organ dysfunction."2.58A review of micronutrients in sepsis: the role of thiamine, l-carnitine, vitamin C, selenium and vitamin D. ( Belsky, JB; Jacob, V; Lee, PJ; Sather, JE; Wira, CR, 2018)
"L-carnitine has shown promise for septic shock, but a recent phase II study of patients with vasopressor-dependent septic shock demonstrated a non-significant reduction in mortality."1.62Pharmacometabolomics identifies candidate predictor metabolites of an L-carnitine treatment mortality benefit in septic shock. ( Evans, CR; Flott, TL; Gillies, CE; Jennaro, TS; Jones, AE; Karnovsky, A; McHugh, CE; Puskarich, MA; Stringer, KA, 2021)
"Carnitine deficiency was suspected, as the patient was malnourished and chronically taking valproic acid."1.56Refractory Hyperlactatemia After a Septic Shock in a Patient With Carnitine Deficiency: A Case Report. ( Brindamour, D; Demers-Marcil, S; Dupuis, S; Fortier, M; Hogan, P; Lagrenade-Verdant, C; Plourde, R, 2020)
"L-Carnitine treatment increased levels of all measured acylcarnitines; an effect that was sustained for at least 36 h following completion of the infusion and was more prominent among nonsurvivors."1.48Septic Shock Nonsurvivors Have Persistently Elevated Acylcarnitines Following Carnitine Supplementation. ( Das, AK; Evans, CR; Jones, AE; Karnovsky, A; Puskarich, MA; Stringer, KA, 2018)
"Sepsis is the response of the host to an infection that produces lesions in its own organs and tissues."1.42Metabolite analysis in sepsis through conditional independence maps. ( Artigas, A; Brunelli, L; Ferrer, R; Goma, G; Navas, A; Pastorelli, R; Ribas Ripoll, V; Romay, E, 2015)
"The design incorporates a variety of features to increase efficiency, including a normal dynamic linear dose-response model, adaptive randomization, and early stopping for futility or success based on the probability that a future phase III trial using a 28-day mortality outcome would be successful."1.39An adaptive, phase II, dose-finding clinical trial design to evaluate L-carnitine in the treatment of septic shock based on efficacy and predictive probability of subsequent phase III success. ( Berry, SM; Broglio, K; Jones, AE; Lewis, RJ; Viele, K, 2013)
"Carnitine treatment significantly lowered the tumour-induced rise in TG (% rise) in the sarcoma model (700 +/- 204 vs 251 +/- 51, P < 0."1.29Effects of L-carnitine on serum triglyceride and cytokine levels in rat models of cachexia and septic shock. ( Fiskum, G; Gallo, LL; Winter, BK, 1995)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19903 (12.50)18.7374
1990's6 (25.00)18.2507
2000's0 (0.00)29.6817
2010's10 (41.67)24.3611
2020's5 (20.83)2.80

Authors

AuthorsStudies
Sahebnasagh, A1
Avan, R1
Monajati, M1
Hashemi, J1
Habtemariam, S1
Negintaji, S1
Saghafi, F1
Guedes, GV1
Minicucci, MF1
Tanni, SE1
Jennaro, TS2
Puskarich, MA7
McCann, MR1
Gillies, CE2
Pai, MP1
Karnovsky, A5
Evans, CR4
Jones, AE8
Stringer, KA5
McHugh, CE1
Flott, TL1
Das, AK1
Hogan, P1
Plourde, R1
Fortier, M1
Brindamour, D1
Lagrenade-Verdant, C1
Demers-Marcil, S1
Dupuis, S1
Belsky, JB1
Wira, CR1
Jacob, V1
Sather, JE1
Lee, PJ1
Ventz, S1
Alexander, BM1
Trippa, L1
Shapiro, NI1
Guirgis, FW1
Runyon, M1
Adams, JY1
Sherwin, R1
Arnold, R1
Roberts, BW1
Kurz, MC1
Wang, HE1
Kline, JA2
Courtney, DM1
Trzeciak, S1
Sterling, SA1
Nandi, U1
Patki, D1
Viele, K2
Michailidis, G1
Lewis, RJ1
Broglio, K1
Berry, SM1
Krabill, V1
Claremont, H1
Finkel, MA1
Trexel, J1
Harris, BN1
Ribas Ripoll, V1
Romay, E1
Brunelli, L2
Pastorelli, R2
Goma, G1
Navas, A1
Artigas, A1
Ferrer, R1
Ferrario, M1
Cambiaghi, A1
Giordano, S1
Caironi, P1
Guatteri, L1
Raimondi, F1
Gattinoni, L1
Latini, R1
Masson, S1
Ristagno, G1
Winter, BK1
Fiskum, G1
Gallo, LL1
Famularo, G1
De Simone, C1
Keskin, S1
Seven, A1
Mert, M1
Akalp, F1
Yurdakul, F1
Candan, G1
Mela-Riker, L1
Bartos, D1
Vlessis, AA1
Widener, L1
Muller, P1
Trunkey, DD1
Lanza-Jacoby, S1
Feagins, K1
Bodine, R1
Reibel, DK1
Gullichsen, E1
Takeyama, N1
Takagi, D1
Matsuo, N1
Kitazawa, Y1
Tanaka, T1
Georgieff, M1
DePalma, RG1
Harano, Y1
Robinson, AV1
Holden, WD1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase 2 Study of Levo-Carnitine for Vasopressor Dependent Septic Shock[NCT01665092]Phase 2250 participants (Actual)Interventional2013-01-31Completed
Use of Acetyl L-Carnitine in Patients With Covid-19 Pneumonia[NCT04623619]100 participants (Anticipated)Interventional2020-12-15Not yet recruiting
Efficacy of Albumin Administration for Volume Replacement in Patients With Severe Sepsis or Septic Shock - the ALBumin Italian Outcome Sepsis (ALBIOS) Study[NCT00707122]Phase 31,818 participants (Actual)Interventional2008-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Delta SOFA Score

Sequential Organ Failure Assessment Score (0-24 range). Delta SOFA is calculated as (SOFA Score at 48 hours post enrollment minus SOFA Score at enrollment). A negative value indicates improvement in the score. (NCT01665092)
Timeframe: 48 hours

Interventionunits on a scale (Mean)
Control-1.8
Carnitine Low-0.34
Carnitine Medium-1.68
Carnitine High-2.15

Reviews

4 reviews available for carnitine and Shock, Septic

ArticleYear
L-carnitine: Searching for New Therapeutic Strategy for Sepsis Management.
    Current medicinal chemistry, 2022, Volume: 29, Issue:18

    Topics: Carnitine; Fatty Acids; Humans; Sepsis; Shock, Septic

2022
The supplementation of L-carnitine in septic shock patients: Systematic review and meta-analysis.
    Clinics (Sao Paulo, Brazil), 2022, Volume: 77

    Topics: Adolescent; Adult; Carnitine; Dietary Supplements; Humans; Sepsis; Shock, Septic

2022
A review of micronutrients in sepsis: the role of thiamine, l-carnitine, vitamin C, selenium and vitamin D.
    Nutrition research reviews, 2018, Volume: 31, Issue:2

    Topics: Ascorbic Acid; Carnitine; Deficiency Diseases; Dietary Supplements; Humans; Micronutrients; Nutritio

2018
Renal perfusion and metabolism in experimental endotoxin shock.
    Acta chirurgica Scandinavica. Supplementum, 1991, Volume: 560

    Topics: Animals; Atrial Natriuretic Factor; Blood Glucose; Carnitine; Catecholamines; Dogs; Energy Metabolis

1991

Trials

5 trials available for carnitine and Shock, Septic

ArticleYear
Effect of Levocarnitine vs Placebo as an Adjunctive Treatment for Septic Shock: The Rapid Administration of Carnitine in Sepsis (RACE) Randomized Clinical Trial.
    JAMA network open, 2018, 12-07, Volume: 1, Issue:8

    Topics: Aged; Carnitine; Female; Humans; Male; Middle Aged; Organ Dysfunction Scores; Placebos; Shock, Septi

2018
Untargeted Metabolomics Differentiates l-Carnitine Treated Septic Shock 1-Year Survivors and Nonsurvivors.
    Journal of proteome research, 2019, 05-03, Volume: 18, Issue:5

    Topics: 2-Aminoadipic Acid; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Biomarkers; Carnitine; Chr

2019
Preliminary safety and efficacy of L-carnitine infusion for the treatment of vasopressor-dependent septic shock: a randomized control trial.
    JPEN. Journal of parenteral and enteral nutrition, 2014, Volume: 38, Issue:6

    Topics: Aged; Black or African American; Body Mass Index; Cardiomyopathies; Carnitine; Dose-Response Relatio

2014
Pharmacometabolomics of l-carnitine treatment response phenotypes in patients with septic shock.
    Annals of the American Thoracic Society, 2015, Volume: 12, Issue:1

    Topics: 3-Hydroxybutyric Acid; Acetoacetates; Aged; Carnitine; Female; Humans; Magnetic Resonance Spectrosco

2015
Mortality prediction in patients with severe septic shock: a pilot study using a target metabolomics approach.
    Scientific reports, 2016, Feb-05, Volume: 6

    Topics: Aged; Aged, 80 and over; Amino Acids; Carnitine; Cohort Studies; Female; Glycerophospholipids; Gram-

2016

Other Studies

15 other studies available for carnitine and Shock, Septic

ArticleYear
Using l-Carnitine as a Pharmacologic Probe of the Interpatient and Metabolic Variability of Sepsis.
    Pharmacotherapy, 2020, Volume: 40, Issue:9

    Topics: Administration, Intravenous; Carnitine; Dose-Response Relationship, Drug; Humans; Precision Medicine

2020
Pharmacometabolomics identifies candidate predictor metabolites of an L-carnitine treatment mortality benefit in septic shock.
    Clinical and translational science, 2021, Volume: 14, Issue:6

    Topics: Aged; Carnitine; Clinical Trials, Phase II as Topic; Death; Female; Humans; Male; Metabolomics; Midd

2021
Septic Shock Nonsurvivors Have Persistently Elevated Acylcarnitines Following Carnitine Supplementation.
    Shock (Augusta, Ga.), 2018, Volume: 49, Issue:4

    Topics: Aged; Carnitine; Fatty Acids; Female; Humans; Insulin; Magnetic Resonance Spectroscopy; Male; Middle

2018
Refractory Hyperlactatemia After a Septic Shock in a Patient With Carnitine Deficiency: A Case Report.
    Journal of pharmacy practice, 2020, Volume: 33, Issue:1

    Topics: Carnitine; Female; Humans; Hyperlactatemia; Intensive Care Units; Malnutrition; Middle Aged; Shock,

2020
Bayesian Adaptive Randomization in Dose-Finding Trials.
    JAMA network open, 2018, 12-07, Volume: 1, Issue:8

    Topics: Bayes Theorem; Carnitine; Humans; Random Allocation; Sepsis; Shock, Septic

2018
An adaptive, phase II, dose-finding clinical trial design to evaluate L-carnitine in the treatment of septic shock based on efficacy and predictive probability of subsequent phase III success.
    Critical care medicine, 2013, Volume: 41, Issue:7

    Topics: Administration, Intravenous; Carnitine; Clinical Trials, Phase II as Topic; Clinical Trials, Phase I

2013
Metabolite analysis in sepsis through conditional independence maps.
    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference, 2015, Volume: 2015

    Topics: Adult; Aged; Algorithms; Bayes Theorem; Biomarkers; Carnitine; Computer Graphics; Critical Care; Fem

2015
Effects of L-carnitine on serum triglyceride and cytokine levels in rat models of cachexia and septic shock.
    British journal of cancer, 1995, Volume: 72, Issue:5

    Topics: Animals; Cachexia; Carnitine; Cytokines; Infusion Pumps, Implantable; Interleukin-1; Interleukin-6;

1995
A new era for carnitine?
    Immunology today, 1995, Volume: 16, Issue:5

    Topics: Acquired Immunodeficiency Syndrome; Carnitine; Fatigue Syndrome, Chronic; Humans; Shock, Septic

1995
Could L-carnitine be an acute energy inducer in catabolic conditions?
    Developmental medicine and child neurology, 1997, Volume: 39, Issue:3

    Topics: Carnitine; Child; Child, Preschool; Energy Metabolism; Epilepsy; Female; Humans; Infant; Male; Shock

1997
Chronic hyperdynamic sepsis in the rat. II. Characterization of liver and muscle energy metabolism.
    Circulatory shock, 1992, Volume: 36, Issue:2

    Topics: Adenine Nucleotides; Animals; Bacteroides fragilis; Blood Glucose; Carnitine; Cytochromes; Energy Me

1992
Impaired carnitine transport in the rat heart during E. coli sepsis.
    Circulatory shock, 1991, Volume: 35, Issue:3

    Topics: Animals; Biological Transport; Carnitine; Dose-Response Relationship, Drug; Escherichia coli Infecti

1991
Altered hepatic fatty acid metabolism in endotoxicosis: effect of L-carnitine on survival.
    The American journal of physiology, 1989, Volume: 256, Issue:1 Pt 1

    Topics: Animals; Carnitine; Carnitine O-Acetyltransferase; Carnitine O-Palmitoyltransferase; Coenzyme A; Coe

1989
[Metabolic effect of intravenously administered glucose, xylose or glycerin in various dosages and combinations].
    Beitrage zu Infusionstherapie und klinische Ernahrung, 1986, Volume: 16

    Topics: Animals; Blood Glucose; Carnitine; Dose-Response Relationship, Drug; Drug Therapy, Combination; Ener

1986
Structure and function of hepatic mitochondria in hemorrhage and endotoxemia.
    Surgical forum, 1970, Volume: 21

    Topics: Adenosine Diphosphate; Animals; Carnitine; Endotoxins; Escherichia coli; In Vitro Techniques; Ketogl

1970