An initiative of the World Peptide Foundation · Every experience matters
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Vasopressin — Peptide Scientific Intelligence
Scientific intelligence record
Experience 2.0
Endogenous neurohypophyseal nonapeptide / vasopressor medicine
Vasopressin
Arginine vasopressin, also called argipressin or antidiuretic hormone, is an endogenous cyclic nonapeptide synthesized in hypothalamic neurons and released from the posterior pituitary. V1a-receptor activation constricts vascular smooth muscle, V2-receptor activation promotes renal water reabsorption through aquaporin-2 trafficking, and additional receptor signaling contributes to pituitary, hemostatic, and central effects. Pharmaceutical vasopressin is used in tightly defined clinical contexts, notably as an intravenous vasopressor for vasodilatory shock in the United States; endogenous physiology, diagnostic biomarkers, receptor antagonists, analogs, and investigational intranasal research must remain distinct.
Record status
Traceability partial
Last meaningful update: 9/10/2026
Evidence searched through:
Not recorded
Assessment updated:
9/10/2026
Last human review:
No accountable human review represented
Governed reviewed evidence
25
Governed records, not an efficacy score or total literature count.
Evidence boundary
0 / 25
Claim-linked support versus recorded evidence.
Human experience · separate evidence stream
No community pattern is displayed yet
Eligible observations remain below the privacy and reliability threshold. WPF will not convert a handful of reports into a percentage, trend, or clinical claim.
Observation is valuable human context. It is not evidence of causation, efficacy, or safety.
Public display gate
n ≥ 20 eligible observations
Exact progress remains private before the threshold.
Chronology, unresolved research questions, opportunities, and researcher activity remain descriptive rather than evaluative.
Research chronology
1975 · study · Temporal status not established
Intraarterial vasopressin in the treatment of upper gastrointestinal hemorrhage: a prospective, controlled clinical trial.
Gastroenterology
1984 · study · Temporal status not established
Controlled trial of vasopressin and balloon tamponade in bleeding esophageal varices.
Hepatology (Baltimore, Md.)
1996 · study · Temporal status not established
A randomized comparison of vasopressin and tourniquet as hemostatic agents during myomectomy.
Obstetrics and gynecology
2001 · study · Temporal status not established
Vasopressin versus epinephrine for inhospital cardiac arrest: a randomised controlled trial.
Lancet (London, England)
Connections
Follow the scientific relationships
Connections appear only when they are represented by the project’s underlying records.
Open 12 represented connections ↓Close represented connections ↑
institution
Intensive care medicine
represented evidence source
institution
The Annals of thoracic surgery
represented evidence source
institution
Journal of cardiothoracic and vascular anesthesia
represented evidence source
institution
Traceability
Follow the record back to its source
The experience makes incomplete links visible instead of presenting a false impression of perfect provenance.
Source publication state
A governed source may be verified and approved for publication while its claim-to-evidence link is still incomplete.
Reviewer provenance state
“Human scientist reviewed: no” means that specific source-path attribution is not recorded. It does not silently negate the separate publication-review state.
Claim → Evidence
Incomplete
Evidence → Source
Connected
Source → Original record
Connected
Traceability documents how the project connects statements to records. It does not establish that a source is scientifically valid or that a claim is clinically true.
Incomplete links: claim-to-evidence
Inspect 25 source paths ↓Close source paths ↑
Intra-arterial vasopressin in the human forearm: pharmacodynamics and the role of nitric oxide.
Observational archive
What contributors reported
Observational archive data is intentionally separated from published scientific evidence.
Observational boundary
Insufficient eligible observations are available for display under the current filters.
Insufficient eligible observations are currently represented to display aggregated findings for this peptide.
Regulatory context
Reviewed jurisdictional records
Regulatory status is jurisdiction-specific and time-dependent. It is presented as context, not as a recommendation for use or a substitute for scientific evidence evaluation.
Canada (Health Canada — Vasopressin Injection USP DIN 02139502)
Regulator: Vasopressin Injection USP DIN 02139502)
approved
As of: 9/10/2026 · Temporal status not established
Only media explicitly linked through the project’s relationship system appears here.
No scientifically connected media is currently represented for this peptide.
Sources + provenance
Read the scientific record with its boundaries intact
The public record organizes reviewed evidence; it does not establish scientific truth by itself.
Association, mechanism, observation and regulatory status must not be represented as proof of clinical efficacy or safety.
Observational reports describe contributor experiences and cannot establish causation, effectiveness, safety or clinical benefit.
Contradictory and qualifying evidence must remain visible rather than being silently discarded.
Absence of represented evidence is not evidence that research does not exist.
Research gaps identify unresolved questions; they are not negative conclusions.
Regulatory status is distinct from scientific evidence quality.
Media relationships provide context and explanation; they do not increase the strength of scientific evidence.
A section with no represented records is an incomplete project record, not a scientific conclusion.
Vasopressin evidence · ranking key
How evidence is ranked
A tier describes the evidentiary role and design strength of a source. It is not a popularity score, proof that every conclusion is correct, or a substitute for claim-level review.
A
Practice-defining evidence
Large, well-conducted randomized trials; prespecified major outcomes; rigorous systematic reviews or meta-analyses; and major regulatory assessments.
Retrospective cohorts, claims-database studies, pharmacovigilance analyses, mechanistic human research, and well-documented case series.
D
Signal-generating evidence
Case reports, conference abstracts, preclinical research, hypothesis-generating analyses, and expert commentary.
Tier and confidence answer different questions
Tier classifies source design and evidentiary role. Confidence reflects risk of bias, sample size, comparator quality, outcome relevance, follow-up, missing data, directness, replication, reporting quality, and whether conclusions stay within the measured results.
Governed scientific evidence
Evidence Passport
Duplicate-safe scientific sources under accountable human review. Identified or pending records do not contribute as approved evidence.
0
Insufficient
WPF-EMM-1.0
Identified sources
6
Governed reviewed
0
Evidence approved for publication
0
Audit view
Evidence integrity map
Human and preclinical evidence remain separate. Source identity, claim-to-source traceability, review dates, conflicts, limitations, and unknowns stay visible rather than being collapsed into one score.
4 unresolved signals
Human evidence
0
Preclinical evidence
0
Research gaps
1
Unresolved questions remain visible.
Human experience
Below display gate
Observations never become clinical evidence.
• Vasopressin can cause excessive vasoconstriction and ischemia involving cardiac, mesenteric, digital, or cutaneous circulations; reduced cardiac output, arrhythmias, hyponatremia or water-balance disturbances, and extravasation-related injury are additional concerns depending on route and context. Risk varies with shock phenotype, dose, duration, concomitant catecholamines, vascular disease, and monitoring. Local intramyometrial injection and historical gastrointestinal-bleeding or cardiac-arrest protocols are not interchangeable with labeled intravenous vasodilatory-shock use. Canadian and U.S. products cited here differ in routes, indications, formulation, and safety instructions.
• The presence of published evidence does not by itself establish safety, efficacy, causation or clinical benefit.
Inspect the published evidence record25 governed records · titles, provenance, and original-source linksOpen records ↓Close records ↑
2003Phase 1–2 human evidence
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Intra-arterial vasopressin in the human forearm: pharmacodynamics and the role of nitric oxide.
Diverse vascular effects have been ascribed to vasopressin, including the potential to cause vasodilation, vasoconstriction, and nitric oxide release.
Authors
Jonathan T Affolter, Sinéad P McKee, Ahmed Helmy, C Richard Jones, David E Newby, David J Webb
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
85/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Comparing two different arginine vasopressin doses in advanced vasodilatory shock: a randomized, controlled, open-label trial.
To compare the effects of two arginine vasopressin (AVP) dose regimens on the hemodynamic response, catecholamine requirements, AVP plasma concentrations, organ function and adverse events in advanced vasodilatory shock.
Authors
Christian Torgersen, Martin W Dünser, Volker Wenzel, Stefan Jochberger, Viktoria Mayr, Christian A Schmittinger, Ingo Lorenz, Stefan Schmid, Martin Westphal, Wilhelm Grander, Günter Luckner
Source
Intensive care medicine
DOI
10.1007/s00134-009-1630-1
PubMed
2009Phase 1–2 human evidence
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Vasopressin in pediatric vasodilatory shock: a multicenter randomized controlled trial.
Vasopressin has been proposed as a potent vasoactive agent in the treatment of vasodilatory shock in adults and children.
Authors
Karen Choong, Desmond Bohn, Douglas D Fraser, Isabelle Gaboury, James S Hutchison, Ari R Joffe, Catherine Litalien, Kusum Menon, Patrick McNamara, Roxanne E Ward, Canadian Critical Care Trials Group
Source
American journal of respiratory and critical care medicine
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Vasopressin versus epinephrine for inhospital cardiac arrest: a randomised controlled trial.
Survival rates for cardiac arrest patients, both in and out of hospital, are poor.
Authors
I G Stiell, P C Hébert, G A Wells, K L Vandemheen, A S Tang, L A Higginson, J F Dreyer, C Clement, E Battram, I Watpool, S Mason, T Klassen
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Vasopressin versus norepinephrine infusion in patients with septic shock.
Vasopressin is commonly used as an adjunct to catecholamines to support blood pressure in refractory septic shock, but its effect on mortality is unknown.
Authors
James A Russell, Keith R Walley, Joel Singer, Anthony C Gordon, Paul C Hébert, D James Cooper, Cheryl L Holmes, Sangeeta Mehta, John T Granton, Michelle M Storms, Deborah J Cook, Jeffrey J Presneill
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Vasopressin versus Norepinephrine in Patients with Vasoplegic Shock after Cardiac Surgery: The VANCS Randomized Controlled Trial.
Vasoplegic syndrome is a common complication after cardiac surgery and impacts negatively on patient outcomes.
Authors
Ludhmila Abrahao Hajjar, Jean Louis Vincent, Filomena Regina Barbosa Gomes Galas, Andrew Rhodes, Giovanni Landoni, Eduardo Atsushi Osawa, Renato Rosa Melo, Marcia Rodrigues Sundin, Solimar Miranda Grande, Fabio A Gaiotto, Pablo Maria Pomerantzeff, Luis Oliveira Dallan
Source
Anesthesiology
DOI
10.1097/aln.0000000000001434
PubMed
27841822
2016Phase 1–2 human evidence
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Effect of Early Vasopressin vs Norepinephrine on Kidney Failure in Patients With Septic Shock: The VANISH Randomized Clinical Trial.
Norepinephrine is currently recommended as the first-line vasopressor in septic shock; however, early vasopressin use has been proposed as an alternative.
Authors
Anthony C Gordon, Alexina J Mason, Neeraja Thirunavukkarasu, Gavin D Perkins, Maurizio Cecconi, Magda Cepkova, David G Pogson, Hollmann D Aya, Aisha Anjum, Gregory J Frazier, Shalini Santhakumaran, Deborah Ashby
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Vasopressin Versus Norepinephrine for the Management of Septic Shock in Cancer Patients: The VANCS II Randomized Clinical Trial.
Previous trials suggest that vasopressin may improve outcomes in patients with vasodilatory shock.
Authors
Ludhmila Abrahão Hajjar, Cristiane Zambolim, Alessandro Belletti, Juliano Pinheiro de Almeida, Anthony C Gordon, Gisele Oliveira, Clarice Hyesuk Lee Park, Julia Tizue Fukushima, Stephanie Itala Rizk, Tais Felix Szeles, Nestor Cordeiro Dos Santos Neto, Roberto Kalil Filho
Source
Critical care medicine
DOI
10.1097/ccm.0000000000004023
PubMed
31609774
2025Phase 1–2 human evidence
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Reduction of norepinephrine versus vasopressin in the stabilization phase of septic shock: RENOVA clinical trial.
Evaluate the incidence of hypotension during the weaning phase of vasopressors.
Authors
Cássio Mallmann, Thizá Maria Bianchi Galiotto, Michele Salibe de Oliveira, Rafael Barberena Moraes
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Intraarterial vasopressin in the treatment of upper gastrointestinal hemorrhage: a prospective, controlled clinical trial.
Intraarterial vasopressin has been reported to be effective in the treatment of massive upper gastrointestinal hemorrhage.
Authors
H O Conn, G R Ramsby, E H Storer, M G Mutchnick, P H Joshi, M M Phillips, G A Cohen, G N Fields, D Petroski
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Dilute versus concentrated vasopressin administration during laparoscopic myomectomy: a randomised controlled trial.
To determine if higher-volume, fixed-dose administration of vasopressin further reduces blood loss at the time of minimally invasive myomectomy.
Authors
S L Cohen, S Senapati, A R Gargiulo, S S Srouji, F F Tu, J Solnik, H-C Hur, A Vitonis, G M Jonsdottir, K C Wang, J I Einarsson
Source
BJOG : an international journal of obstetrics and gynaecology
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Safety and Efficacy of Vasopressin After Fontan Completion: A Randomized Pilot Study.
Arginine vasopressin is a nonapeptide hormone with effects on intracellular water transport and arterial tone that is used in distributive shock and following cardiopulmonary bypass.
Authors
Amee M Bigelow, Nancy S Ghanayem, Nathan E Thompson, John P Scott, Laura D Cassidy, Katherine J Woods, Ronald K Woods, Michael E Mitchell, Viktor Hraŝka, George M Hoffman
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Comparison of intramyometrial vasopressin plus rectal misoprostol with intramyometrial vasopressin alone to decrease blood loss during laparoscopic myomectomy: Randomized clinical trial.
To compare the efficacy and safety of intramyometrial vasopressin plus rectal misoprostol with intramyometrial vasopressin alone to reduce blood loss during laparoscopic myomectomy.
European journal of obstetrics, gynecology, and reproductive biology
DOI
10.1016/j.ejogrb.2018.07.006
PubMed
1996Phase 1–2 human evidence
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
A randomized comparison of vasopressin and tourniquet as hemostatic agents during myomectomy.
To assess the comparative efficacy of perivascular vasopressin and tourniquet in minimizing bleeding and its sequelae at myomectomy.
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Controlled trial of vasopressin and balloon tamponade in bleeding esophageal varices.
In a randomized controlled trial, the effect of continuous intravenous administration of vasopressin was compared with Sengstaken-Blakemore balloon tamponade in 37 episodes of bleeding esophageal varices in patients with cirrhosis.
Authors
J Pinto Correia, M Martins Alves, P Alexandrino, J Silveira
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Vasopressin does not raise cardiac enzymes following cardiac surgery: a randomized double-blind clinical trial.
The aim of this study was to investigate the relationship between intraoperative vasopressin infusion and postoperative cardiac enzymes.
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
A double-blind randomized trial: prophylactic vasopressin reduces hypotension after cardiopulmonary bypass.
Inhibition of angiotensin-converting enzyme (ACE) predisposes patients to vasodilatory hypotension after cardiopulmonary bypass (CPB).
Authors
David L S Morales, Mauricio J Garrido, John D Madigan, David N Helman, Joseph Faber, Mathew R Williams, Donald W Landry, Mehmet C Oz
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Pilot safety study of low-dose vasopressin in non-septic critically ill children.
To assess the safety of low-dose vasopressin infusion in critically ill children requiring prolonged mechanical ventilation (MV) at risk of developing sedation/analgesia-related hypotension.
Authors
Elisa Baldasso, Pedro Celiny Ramos Garcia, Jefferson Pedro Piva, Ricardo Garcia Branco, Robert Charles Tasker
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Cutaneous vascular reactivity and flow motion response to vasopressin in advanced vasodilatory shock and severe postoperative multiple organ dysfunction syndrome.
Disturbances in microcirculatory homeostasis have been hypothesized to play a key role in the pathophysiology of multiple organ dysfunction syndrome and vasopressor-associated ischemic skin lesions.
Authors
Günter Luckner, Martin W Dünser, Karl-Heinz Stadlbauer, Viktoria D Mayr, Stefan Jochberger, Volker Wenzel, Hanno Ulmer, Werner Pajk, Walter R Hasibeder, Barbara Friesenecker, Hans Knotzer
Source
Critical care (London, England)
DOI
10.1186/cc4845
PubMed
2006Phase 1–2 human evidence
Evidence strength B · 80/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Vasopressin or norepinephrine in early hyperdynamic septic shock: a randomized clinical trial.
To compare the effects of arginine-vasopressin (AVP) and norepinephrine (NE) on hemodynamic variables, organ dysfunction, and adverse events in early hyperdynamic septic shock.
Authors
François Lauzier, Bruno Lévy, Patrice Lamarre, Olivier Lesur
Evidence strength A · 88/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Vasopressin in Cardiac Surgery: A Meta-analysis of Randomized Controlled Trials.
To summarize the results of randomized controlled trials on the use of vasopressin as a vasopressor agent in cardiac surgery.
Authors
Martin W Dünser, Olivier Bouvet, Hans Knotzer, Nish Arulkumaran, Ludhmila Abrahao Hajjar, Hanno Ulmer, Walter R Hasibeder
Evidence strength A · 88/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
THE EFFICACY AND SAFETY OF VASOPRESSORS FOR SEPTIC SHOCK PATIENTS: A SYSTEMIC REVIEW AND NETWORK META-ANALYSIS.
Background: Septic shock is a distributive shock with decreased systemic vascular resistance and MAP.
Evidence strength A · 88/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Vasopressors for the Treatment of Septic Shock: Systematic Review and Meta-Analysis.
International guidelines recommend dopamine or norepinephrine as first-line vasopressor agents in septic shock.
Authors
Tomer Avni, Adi Lador, Shaul Lev, Leonard Leibovici, Mical Paul, Alon Grossman
Evidence strength A · 88/100 · ProvisionalHow this is rated
This score estimates how strongly this source can support scientific claims. It is not a prestige score, and the grade does not transfer automatically to every claim that cites the source.
Grade guide: A+/A is the strongest represented support; B+/B is substantial but qualified; C is limited, indirect, observational, or preclinical; D/E is weak, mechanistic-only, anecdotal, or insufficient.
Directness
70/100
Replication
70/100
Provisional ratings are automated baselines from structured metadata. They are not completed full-text risk-of-bias reviews and may change after editorial assessment.
Methodology: WPF-ESR-1.0
Non-adrenergic vasopressors for vasodilatory shock or perioperative vasoplegia: a meta-analysis of randomized controlled trials.
Excessive exposure to adrenergic vasopressors may be harmful.
Authors
Yuki Kotani, Alessandro Belletti, Filippo D'Amico, Alessandra Bonaccorso, Patrick M Wieruszewski, Tomoko Fujii, Ashish K Khanna, Giovanni Landoni, Rinaldo Bellomo
Vasopressin in septic shock: an individual patient data meta-analysis of randomised controlled trials.
We performed an individual patient data meta-analysis to investigate the possible benefits and harms of vasopressin therapy in adults with septic shock both overall and in pre-defined subgroups.
Authors
Myura Nagendran, James A Russell, Keith R Walley, Stephen J Brett, Gavin D Perkins, Ludhmila Hajjar, Alexina J Mason, Deborah Ashby, Anthony C Gordon
Chemical identity describes the recorded molecular information. It does not establish biological activity, clinical efficacy, safety, or therapeutic suitability.
2003 · study · Temporal status not established
Intra-arterial vasopressin in the human forearm: pharmacodynamics and the role of nitric oxide.
Clinical pharmacology and therapeutics
2003 · study · Temporal status not established
A double-blind randomized trial: prophylactic vasopressin reduces hypotension after cardiopulmonary bypass.
The Annals of thoracic surgery
2006 · study · Temporal status not established
Cutaneous vascular reactivity and flow motion response to vasopressin in advanced vasodilatory shock and severe postoperative multiple organ dysfunction syndrome.
Critical care (London, England)
2006 · study · Temporal status not established
Vasopressin or norepinephrine in early hyperdynamic septic shock: a randomized clinical trial.
Intensive care medicine
2008 · study · Temporal status not established
Vasopressin versus norepinephrine infusion in patients with septic shock.
The New England journal of medicine
2009 · study · Temporal status not established
Vasopressin in pediatric vasodilatory shock: a multicenter randomized controlled trial.
American journal of respiratory and critical care medicine
2009 · study · Temporal status not established
Pilot safety study of low-dose vasopressin in non-septic critically ill children.
Intensive care medicine
2010 · study · Temporal status not established
Comparing two different arginine vasopressin doses in advanced vasodilatory shock: a randomized, controlled, open-label trial.
Intensive care medicine
2015 · study · Temporal status not established
Vasopressin does not raise cardiac enzymes following cardiac surgery: a randomized double-blind clinical trial.
Journal of cardiothoracic and vascular anesthesia
2015 · study · Temporal status not established
Vasopressors for the Treatment of Septic Shock: Systematic Review and Meta-Analysis.
PloS one
2016 · study · Temporal status not established
Effect of Early Vasopressin vs Norepinephrine on Kidney Failure in Patients With Septic Shock: The VANISH Randomized Clinical Trial.
JAMA
2017 · study · Temporal status not established
Vasopressin versus Norepinephrine in Patients with Vasoplegic Shock after Cardiac Surgery: The VANCS Randomized Controlled Trial.
Anesthesiology
2017 · study · Temporal status not established
Dilute versus concentrated vasopressin administration during laparoscopic myomectomy: a randomised controlled trial.
BJOG : an international journal of obstetrics and gynaecology
2018 · study · Temporal status not established
Comparison of intramyometrial vasopressin plus rectal misoprostol with intramyometrial vasopressin alone to decrease blood loss during laparoscopic myomectomy: Randomized clinical trial.
European journal of obstetrics, gynecology, and reproductive biology
2018 · study · Temporal status not established
Vasopressin in Cardiac Surgery: A Meta-analysis of Randomized Controlled Trials.
Journal of cardiothoracic and vascular anesthesia
2019 · study · Temporal status not established
Vasopressin Versus Norepinephrine for the Management of Septic Shock in Cancer Patients: The VANCS II Randomized Clinical Trial.
Critical care medicine
2019 · study · Temporal status not established
Safety and Efficacy of Vasopressin After Fontan Completion: A Randomized Pilot Study.
The Annals of thoracic surgery
2019 · study · Temporal status not established
Vasopressin in septic shock: an individual patient data meta-analysis of randomised controlled trials.
Intensive care medicine
2023 · study · Temporal status not established
THE EFFICACY AND SAFETY OF VASOPRESSORS FOR SEPTIC SHOCK PATIENTS: A SYSTEMIC REVIEW AND NETWORK META-ANALYSIS.
Shock (Augusta, Ga.)
2024 · study · Temporal status not established
Non-adrenergic vasopressors for vasodilatory shock or perioperative vasoplegia: a meta-analysis of randomized controlled trials.
Critical care (London, England)
2025 · study · Temporal status not established
Reduction of norepinephrine versus vasopressin in the stabilization phase of septic shock: RENOVA clinical trial.
Medicina intensiva
2026 · regulatory · Temporal status not established
Regulatory review: approved
Canada (Health Canada — Vasopressin Injection USP DIN 02139502)
2026 · regulatory · Temporal status not established
Regulatory review: approved
United States (FDA — VASOSTRICT)
The represented chronology reflects records currently included in the governed dataset and does not claim to represent the entire scientific literature.
What still needs investigation
Claim traceability
No institutional claim record is currently represented for this peptide.
Evidence is missing or not represented as studied; this is not a conclusion that the intervention does not work.
Researchers represented in the evidence record12 bibliographic identities · open to inspect
These are bibliographic author identities derived from represented records. Name strings are not proof of unique real-world researcher identity, and publishing organizations are not treated as institutional affiliations.
Anthony C Gordon
4 represented evidence records
Years represented: 2008, 2016, 2019
Publishing organizations appearing in records: Critical care medicine, Intensive care medicine, JAMA, The New England journal of medicine
Martin W Dünser
3 represented evidence records
Years represented: 2006, 2010, 2018
Publishing organizations appearing in records: Critical care (London, England), Intensive care medicine, Journal of cardiothoracic and vascular anesthesia
Alessandro Belletti
2 represented evidence records
Years represented: 2019, 2024
Publishing organizations appearing in records: Critical care (London, England), Critical care medicine
Alexina J Mason
2 represented evidence records
Years represented: 2016, 2019
Publishing organizations appearing in records: Intensive care medicine, JAMA
Deborah Ashby
2 represented evidence records
Years represented: 2016, 2019
Publishing organizations appearing in records: Intensive care medicine, JAMA
Gavin D Perkins
2 represented evidence records
Years represented: 2016, 2019
Publishing organizations appearing in records: Intensive care medicine, JAMA
Giovanni Landoni
2 represented evidence records
Years represented: 2017, 2024
Publishing organizations appearing in records: Anesthesiology, Critical care (London, England)
Günter Luckner
2 represented evidence records
Years represented: 2006, 2010
Publishing organizations appearing in records: Critical care (London, England), Intensive care medicine
Hanno Ulmer
2 represented evidence records
Years represented: 2006, 2018
Publishing organizations appearing in records: Critical care (London, England), Journal of cardiothoracic and vascular anesthesia
Hans Knotzer
2 represented evidence records
Years represented: 2006, 2018
Publishing organizations appearing in records: Critical care (London, England), Journal of cardiothoracic and vascular anesthesia
James A Russell
2 represented evidence records
Years represented: 2008, 2019
Publishing organizations appearing in records: Intensive care medicine, The New England journal of medicine
Keith R Walley
2 represented evidence records
Years represented: 2008, 2019
Publishing organizations appearing in records: Intensive care medicine, The New England journal of medicine
Critical care (London, England)
represented evidence source
institution
Clinical pharmacology and therapeutics
represented evidence source
institution
American journal of respiratory and critical care medicine
represented evidence source
institution
Lancet (London, England)
represented evidence source
institution
The New England journal of medicine
represented evidence source
institution
Anesthesiology
represented evidence source
institution
JAMA
represented evidence source
institution
Critical care medicine
represented evidence source
institution
Medicina intensiva
represented evidence source
Claim: Not linked · Evidence: b0320bdbdaf26c2ac7e29d7bd56239a4
Machine extracted: no · Human scientist reviewed: no · Externally validated: no
Incomplete path: claim, extraction-status
Comparison of intramyometrial vasopressin plus rectal misoprostol with intramyometrial vasopressin alone to decrease blood loss during laparoscopic myomectomy: Randomized clinical trial.
Claim: Not linked · Evidence: 983c86fa413b447cc5db88356e795ec7
Machine extracted: no · Human scientist reviewed: no · Externally validated: no
Incomplete path: claim, extraction-status
Cutaneous vascular reactivity and flow motion response to vasopressin in advanced vasodilatory shock and severe postoperative multiple organ dysfunction syndrome.
Claim: Not linked · Evidence: dfa29ba58f4b3949a074edb1e465d30d
Machine extracted: no · Human scientist reviewed: no · Externally validated: no
Incomplete path: claim, extraction-status
Researcher and institutional relationships are shown only when supported by represented records and must not be interpreted as rankings or endorsements.
Generated: 9/18/2026, 3:04:07 PM
Funding and conflicts are disclosed and considered, but sponsorship never automatically changes a tier. Corrections, retractions, and expressions of concern override the original rating.
Durable source IDs
6/6
Claim-to-source chain
Partial
Evidence searched through: Not recorded
Last accountable review: Not recorded
Inspect unresolved signals (4)
No governed reviewed scientific source is represented.
The last accountable evidence-review date is not recorded.
At least one claim-to-original-source traceability step is not represented.
The literature search-through date is not recorded.
These are documentary and scientific-review signals, not conclusions of harm, ineffectiveness, safety, or absence of research.
Human relevance0
Study design0
Evidence breadth0
Consistency0
Governance quality0
Uncertainty resolution0
Why this rating
No governed reviewed scientific evidence is available.
This maturity index describes evidence-base development and governance. It is not a probability of efficacy, safety, truth, medical advice, or regulatory approval. Read the methodology.