Hemodynamics, fluids & transfusion

Albumin for Adult Intensive Care Unit (ICU) Patients With Shock: Protocol for the Intensive Care Platform Trial (INCEPT) ‐Albumin Platform Trial Domain

Acta Anaesthesiol ScandPublished Trial protocol

Study context

Population
Adult acutely admitted ICU patients with shock irrespective of its causeexpected 1137 to 3547
Planned comparison
Albumin vs no albumin for resuscitation and substitution in the ICU
Primary endpoint
Days alive without life support
Follow-up
30 days
Methodological detailsrandomised platform trial domain, investigator-initiated, open-label, integrated feasibility phase, international, pragmatic, parallel-group, embedded, multifactorial, adaptive, Bayesian, response-adaptive randomisation, Feasibility assessed after 200 participants; adaptive analyses after primary-outcome follow-up of 1000 participants and every additional 250 to a maximum of 10,000, Adaptive stopping for superiority/inferiority and practical equivalence (MD in primary outcome < 1 day), Equal allocation initially, then response-adaptive randomisation with minimum 40% allocation to each arm, Primary analysis in ITT population using Bayesian models with neutral, weakly informative priors
  • Randomised platform trial domain
  • Investigator-initiated
  • Open-label
  • Integrated feasibility phase
  • International
  • Pragmatic
  • Parallel-group
  • Embedded
  • Multifactorial
  • Adaptive
  • Bayesian
  • Response-adaptive randomisation
  • Feasibility assessed after 200 participants; adaptive analyses after primary-outcome follow-up of 1000 participants and every additional 250 to a maximum of 10,000
  • Adaptive stopping for superiority/inferiority and practical equivalence (MD in primary outcome < 1 day)
  • Equal allocation initially, then response-adaptive randomisation with minimum 40% allocation to each arm
  • Primary analysis in ITT population using Bayesian models with neutral, weakly informative priors

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Albumin for Adult ICU Patients With Shock: Protocol for the INCEPT ‐Albumin Platform Trial Domain. Acta Anaesthesiol Scand. Published 16 February 2026. doi:10.1111/aas.70203

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