Can a nasal oxygen device prevent dangerous dips in blood oxygen during endoscopy for COPD patients?
NCT ID NCT07791979
First seen Aug 28, 2026 · Last updated Aug 28, 2026
Summary
This trial tests whether high-flow nasal cannula (HFNC) oxygen can reduce the risk of hypoxemia, or low blood oxygen, during sedated gastrointestinal endoscopy in patients with chronic obstructive pulmonary disease (COPD). COPD patients often have low oxygen reserves, making them prone to hypoxemia during sedation. The study enrolls 90 adults with COPD who are scheduled for elective gastroscopy or colonoscopy. Participants receive HFNC oxygen during the procedure, and researchers track the incidence of hypoxemia and other breathing complications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- High-flow nasal cannula oxygenation
- What this could lead to
- If it works, this could offer a safer way to perform sedated gastrointestinal endoscopy in people with COPD, reducing the risk of dangerously low oxygen levels during the procedure.
- What could go wrong
- This is an early-stage, single-arm study with no comparison group, so results may not be definitive. There is also a theoretical concern that high oxygen levels could worsen carbon dioxide retention in COPD patients.
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 90 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 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: * Age ≥18 years; * Confirmed diagnosis of chronic obstructive pulmonary disease (COPD); * Scheduled for elective sedated gastroenteroscopy (gastroscopy, colonoscopy, or combined gastroscopy and colonoscopy); * Expected procedure duration ≤45 minutes; * Provision of written informed consent by the participant. Exclusion Criteria: * Patients with absolute contraindications to high-flow therapy, including but not limited to confirmed diagnosis of complete upper airway obstruction, basilar skull fracture or nasal bone fracture, pneumothorax, or pneumomediastinum.; * American Society of Anesthesiologists (ASA) Physical Status class ≥ IV; * Requirement for planned endotracheal intubation; * Existing tracheostomy; * Confirmed pregnancy or currently breastfeeding; * Known allergy to sedative agents such as propofol; * Current participation in another interventional clinical trial; * Any other condition deemed by the investigator to make the patient unsuitable for trial participation.
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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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The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310000, China
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