Can a smart oxygen device outperform manual care in recovery?
NCT ID NCT07794124
First seen Aug 31, 2026 · Last updated Sep 01, 2026 · Updated 1 time
Summary
This trial tests whether an automated oxygen titration system, called FreeO2, can improve oxygen weaning in patients recovering from acute hypoxemic respiratory failure. The device continuously adjusts oxygen flow based on oxygen saturation levels, potentially reducing episodes of too little or too much oxygen. Researchers will compare it to standard manual oxygen adjustment in 40 adults who have used high-flow nasal oxygen for at least 12 hours. The goal is to see if the device improves oxygen control and makes the weaning process smoother.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- FreeO2 automated oxygen titration system
- What this could lead to
- If it works, this could make oxygen weaning safer and more efficient, reducing time on oxygen and improving patient outcomes.
- What could go wrong
- The trial is small and early, and the device may not show a clear benefit over manual adjustment. There is also a risk of device malfunction or inaccurate readings.
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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 40 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2028
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: * Age ≥18 years * Acute hypoxemic respiratory failure requiring high-flow nasal oxygen therapy for at least 12 hours * Fraction of inspired oxygen (FiO₂) ≤35% * Peripheral oxygen saturation (SpO₂) ≥ the predefined lower target threshold: * 88% in patients at risk of hypercapnia * 94% in patients without risk of hypercapnia * Women of childbearing potential must use an effective contraceptive method (oral contraceptives, injectable contraceptives, intrauterine device, double-barrier method, contraceptive patch); women must be postmenopausal for at least 24 months or surgically sterilized * Patient's oral agreement and absence of written refusal to participate, indicating that the participant has understood the study objectives and required procedures and agrees to participate and comply with study-related requirements and restrictions * Affiliation with or beneficiary of the French social security system Exclusion Criteria: * Age \<18 years * Uncontrolled acute respiratory acidosis requiring invasive or non-invasive mechanical ventilation * Unstable peripheral oxygen saturation (SpO₂) * Excessive bronchial secretions * Carbon monoxide poisoning * Severe cardiocirculatory failure (mean arterial pressure \<65 mmHg without fluid resuscitation and/or requiring vasopressors, and/or severe arrhythmia) * Acute neurological failure (Glasgow Coma Scale \<15, or new-onset sensorimotor deficit) * Acute kidney injury requiring renal replacement therapy * Known untreated severe obstructive sleep apnea
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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 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.
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