Could skipping a breathing test speed up ventilator removal?

NCT ID NCT07019636

First seen Jul 17, 2026 · Last updated Jul 17, 2026

Summary

This study tests whether patients who are ready to come off a breathing machine can be safely extubated right away, without first doing a spontaneous breathing trial. It includes adults aged 18–65 who have been on a ventilator for 1–4 days and are considered low risk for extubation failure. The main goal is to see if direct extubation leads to more patients staying off the ventilator for at least 72 hours compared to the standard approach of a breathing test first.

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 simplify weaning protocols for low-risk patients, reducing time on ventilators and hospital stays.
What could go wrong
This is a single, open-label trial with 314 participants, so results may not apply broadly. Direct extubation could increase the risk of breathing failure or need for reintubation.

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As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Hôpital Pitié Salpêtrière

    RECRUITING

    Paris, 75013, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

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