Scientists investigate hidden 'Avalanche' pattern in ARDS lungs
NCT ID NCT05224323
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looks at how small airways open during mechanical ventilation in patients with acute respiratory distress syndrome (ARDS). Researchers want to see if an 'avalanche-like' pattern occurs, which could worsen lung injury. 50 adults with moderate-to-severe ARDS will be monitored using special pressure and imaging techniques. The goal is to better understand lung damage and improve ventilator care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help doctors adjust ventilator settings to reduce lung damage in ARDS patients.
- What could go wrong
- This is a small observational study (50 participants) that only measures a phenomenon, not a treatment. It may not lead to any immediate clinical changes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2022
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with moderate-to-severe acute respiratory distress syndrome will be included within the first 72 hours after meeting the Berlin definition criteria. After ruling out exclusion criteria and obtaining informed consent from their relatives, patients will be included in the study.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 * Moderate-to-severe acute respiratory distress syndrome within the first 72 hours after meeting the Berlin definition criteria: * Within 1 week of a known clinical insult or new or worsening respiratory symptoms; * Bilateral opacities (not fully explained by effusions, lobar/lung collapse, or nodules); * Respiratory failure not fully explained by cardiac failure or fluid overload; * PaO2/FiO2 ≤ 200 mmHg with positive end-expiratory pressure ≥ 5 cmH2O. * Absence of spontaneous breathing efforts * Consent to participate to the study from the patient and/or its surrogate Exclusion Criteria: * Pneumothorax * Broncho-pleural fistula * Tracheostomy * Hemodynamic instability * Severe hypoxemia * Suspected of proven intracranial hypertension * Chronic obstructive lung disease * Pacemaker or defibrillator * Decision to withhold of withdraw life-sustaining measures * Under protection
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHU Poitiers
RECRUITINGPoitiers, 86000, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can adjusting breathing effort during ventilation improve lung function in ARDS?
- Which steroid best fights ARDS? a Head-to-Head trial aims to find out
- Three blood markers may flag who develops lung failure after chest injury
- Can a Radiation-Free scan reveal how ARDS treatments reshape lung blood flow?
- Can a Lung-Opening maneuver change a key injury marker in ARDS?
- Could simply sitting up ease breathing in severe lung failure?