Could lying face down keep pneumonia patients off ventilators?
NCT ID NCT06966310
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether awake patients with severe pneumonia can avoid being put on a breathing machine by lying face down (prone position) for up to 16 hours a day. Researchers will track 1078 adults in intensive care to see if this simple position change reduces the need for intubation. The approach has shown promise in COVID-19 patients, and this trial aims to see if it works for other types of pneumonia.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- prone positioning (lying face down)
- What this could lead to
- If it works, this simple position change could reduce the need for breathing tubes and sedation in pneumonia patients.
- What could go wrong
- This is an early-stage study, and the benefit seen in COVID patients may not apply to other pneumonias. Lying face down can be uncomfortable.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,078 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2025
- Expected to finish
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Oct 2034
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.
- 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: * Adult patients admitted to an intensive care unit or intermediate care unit * Suspicion of community acquired pneumonia (at least one of the 3 criteria): fever, cough, purulent expectoration * And abnormalities suggestive of pneumonia by chest X-ray or CT-scan * PaO2/FiO2 ratio \<300 mmHg (or equivalent SpO2/FiO2 i.e. \< 315 mmHg) under a minimum gas flow of 30 L/min. * Person affiliated to a French social security system or equivalent * Informed consent. Exclusion Criteria: * Positive SARS-COV2 test within the last 30 days * Indication for immediate intubation * Patients for whom a "do not intubate" decision has been made * Chest trauma or other contraindication to prone position * Patients with formal indication for non-invasive ventilation: exacerbation of chronic obstructive pulmonary disease, acute cardiogenic pulmonary oedema. * Pregnant or breastfeeding woman * Subjects who are under legal protection measure * More than 8h awake prone positioning prior to inclusion * More than 48h since intensive care unit or intermediate care unit admission.
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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
38 sites. 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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Intensive care, University Hospital, Amiens
NOT_YET_RECRUITINGAmiens, France
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Intensive care, University Hospital, Angers
NOT_YET_RECRUITINGAngers, France
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Intensive care, University Hospital, Argenteuil
NOT_YET_RECRUITINGArgenteuil, France
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Intensive care, University Hospital, Belfort
NOT_YET_RECRUITINGBelfort, France
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Intensive care, University Hospital, Besancon
NOT_YET_RECRUITINGBesançon, France
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Intensive care, University Hospital, Bethune
NOT_YET_RECRUITINGBéthune, France
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Intensive care, University Hospital, Blois
NOT_YET_RECRUITINGBlois, France
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Intensive care, University Hospital, Bordeaux
NOT_YET_RECRUITINGBordeaux, France
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Intensive care, University Hospital, Bourg en Bresse
NOT_YET_RECRUITINGBourg-en-Bresse, France
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Intensive care, University Hospital, Bourges
RECRUITINGBourges, France
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Intensive care, University Hospital, Brest
NOT_YET_RECRUITINGBrest, France
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Intensive care, University Hospital, Cochin
NOT_YET_RECRUITINGParis, France
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Intensive care, University Hospital, Colombes
NOT_YET_RECRUITINGColombes, France
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Intensive care, University Hospital, Dieppe
NOT_YET_RECRUITINGDieppe, France
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Intensive care, University Hospital, Dijon
RECRUITINGDijon, France
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Intensive care, University Hospital, Dreux
NOT_YET_RECRUITINGDreux, France
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Intensive care, University Hospital, Garches
NOT_YET_RECRUITINGGarche, France
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Intensive care, University Hospital, Grenoble
NOT_YET_RECRUITINGGrenoble, France
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Intensive care, University Hospital, La Roche sur Yon
RECRUITINGLa Roche-sur-Yon, France
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Intensive care, University Hospital, Le Mans
RECRUITINGLe Mans, France
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Intensive care, University Hospital, Lens
RECRUITINGLens, France
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Intensive care, University Hospital, Lille
NOT_YET_RECRUITINGLille, France
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Intensive care, University Hospital, Lorient
NOT_YET_RECRUITINGLorient, France
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Intensive care, University Hospital, Lyon
NOT_YET_RECRUITINGLyon, France
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Intensive care, University Hospital, Lyon
NOT_YET_RECRUITINGLyon, France
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Intensive care, University Hospital, Morlaix
RECRUITINGMorlaix, France
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Intensive care, University Hospital, Nantes
RECRUITINGNantes, France
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Intensive care, University Hospital, Nice
NOT_YET_RECRUITINGNice, France
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Intensive care, University Hospital, Nice
NOT_YET_RECRUITINGNice, France
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Intensive care, University Hospital, Orléans
NOT_YET_RECRUITINGOrléans, France
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Intensive care, University Hospital, Poitiers
RECRUITINGPoitiers, France
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Intensive care, University Hospital, Rouen
NOT_YET_RECRUITINGRouen, France
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Intensive care, University Hospital, Saint Brieuc
RECRUITINGSaint-Brieuc, France
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Intensive care, University Hospital, Saint Nazaire
RECRUITINGSaint-Nazaire, France
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Intensive care, University Hospital, Strasbourg
NOT_YET_RECRUITINGStrasbourg, France
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Intensive care, University Hospital, Strasbourg
NOT_YET_RECRUITINGStrasbourg, France
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Intensive care, University Hospital, Tenon
NOT_YET_RECRUITINGParis, France
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Intensive care, University Hospital, Tours
RECRUITINGTours, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Flu vaccine showdown: which shot protects seniors best?
- Can inhaled nitric oxide speed pneumonia recovery?
- Pneumonia culprit may be rarer than doctors think
- Shorter antibiotic course may be just as effective for kids with pneumonia
- Shocking muscles back to health: could zaps help seniors recover from lung illness?
- New breathing device may reduce need for ventilator in pneumonia patients