Sepsis & infection

Early red blood cell transfusion strategy in septic shock among patients with cancer: the TRANSPORT randomized controlled trial

Intensive Care MedPublished Randomised controlled trial

Primary resultResult — go to the resultOdds ratio 1.07 95% CI 0.60–1.90
  • prematurely stopped for safety concerns
  • Prematurely stopped for safety concerns (designed to enroll 260)

Authors' conclusion

In cancer patients with septic shock, this trial did not demonstrate superiority of liberal over restrictive transfusion strategy.

Study context

Population
Adults with hematological or solid malignancies and septic shock with lactate > 2.0 mmol/L and Hb < 9.0 g/dL, 18 centres in Franceplanned 260
Participants
187 adults
Comparison
Liberal vs Restrictive
  • Liberaln = 93
  • Restrictiven = 94reference
Primary endpoint
Lactate reduction (normalization ≤ 2.0 mmol/L or relative decrease by 30% from baseline)
Follow-up
12 h
Methodological detailsmulticentre, superiority
  • Multicentre
  • Superiority

Primary result

As reported in the abstract

Odds ratio

1.07

95% CI 0.60–1.90

P = 0.82

By group

Liberal vs Restrictive
OR 1.07 (95% CI 0.60–1.90); P = 0.82

Secondary outcomes

28-day mortality

P = 0.34

Safety

Arterial or venous thrombotic events

P = 0.001

Original publication

Early red blood cell transfusion strategy in septic shock among patients with cancer: the TRANSPORT randomized controlled trial. Intensive Care Med. Published 19 August 2026. doi:10.1007/s00134-026-08582-4

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