Oxygen flow settings after breathing tube removal put to the test
NCT ID NCT07007715
First seen Jul 20, 2026 · Last updated Jul 21, 2026 · Updated 1 time
Summary
This trial tests four different methods for setting the flow rate of a high-flow nasal cannula (a device that delivers warm, moist oxygen) after a breathing tube is removed. The goal is to find which approach best prevents the need for additional breathing support or re-intubation. About 480 adults who are ready to have their breathing tube removed will be randomly assigned to one of four flow-setting strategies: a fixed low flow, a fixed high flow, or one of two methods that tailor the flow to the patient's breathing or oxygen levels.
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 oxygen therapy with different flow-setting strategies
- What this could lead to
- If successful, this could establish a standard, evidence-based method for setting oxygen flow after breathing-tube removal, potentially reducing the need for further breathing support.
- What could go wrong
- This is a single-center trial testing different flow-setting strategies, not a new drug or device. The best approach may still fail to improve outcomes, and results may not apply to all hospitals or patient types.
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 480 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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Jun 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: * Intubated and receiving mechanical ventilation for more than 24 hours * Ready for planned extubation after passing a spontaneous breathing trial * PaO2/FiO2 \<350 mmHg on the day of extubation Exclusion Criteria: * Age \<18 years * On do-not-reintubate code * Pregnant women * Having tracheostomies * Infeasibility of using HFNC * Planning to use preventive NIV after extubation by the primary care team * Life expectancy less than one month
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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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National Taiwan University Hospital
RECRUITINGTaipei, Taiwan
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