Which ventilator mode helps patients breathe on their own sooner?
NCT ID NCT03901924
First seen Jul 13, 2026 · Last updated Jul 14, 2026 · Updated 1 time
Summary
This study compares two ways of using a breathing machine (mechanical ventilator) in adults who need help breathing. One mode lets the patient trigger each breath, while the other delivers a set number of breaths regardless of patient effort. The goal is to see which approach leads to more days off the ventilator and less thinning of the diaphragm muscle. The results could guide how ventilators are used in intensive care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- mechanical ventilation modes (volume support and assist control)
- What this could lead to
- If one mode proves better, it could become the standard approach to help patients on ventilators recover faster and preserve diaphragm strength.
- What could go wrong
- This is a single trial, and results may not apply to all patient groups. Both modes are already in use, so the difference may be small.
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 468 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2019
- Expected to finish
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May 2027
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: subjects \> 18 years of age that have been intubated and mechanically ventilated for \< 36 hours at the time of screening will be eligible for enrollment Exclusion Criteria: 1. pregnancy 2. cardiopulmonary arrest 3. history of diaphragmatic paralysis or neuromuscular disease 4. chronic obstructive pulmonary disease (COPD) or asthma exacerbation with evidence of auto-PEEPing requiring intubation 5. neuromuscular blockade 6. expectation to be liberated from ventilator in \< 24 hours 7. history of mechanical ventilation in the last 6 months 8. presence of tracheostomy 9. high cervical spine injury
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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
2 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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The University of Chicago Medical Center
RECRUITINGChicago, Illinois, 60637, United States
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University of Iowa
NOT_YET_RECRUITINGIowa City, Iowa, 52242, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Smart ventilator may help burn patients breathe easier
- Ultrasound could reveal hidden diaphragm weakness in ventilator patients
- Breathing machine may harm diaphragm: new study investigates
- Silent danger: ICU patients may choke without knowing it
- Could a common anesthetic gas help ICU patients breathe better on ventilators?