Major trial seeks to end debate on ventilator strategies for kids

NCT ID NCT03896763

First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study compares two breathing support strategies—prone positioning and high-frequency ventilation—against standard care in 600 children with severe acute respiratory distress syndrome. The goal is to see which approach helps children spend more days off a ventilator within 28 days. The trial is active but no longer recruiting, and results may guide future pediatric 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

prone positioning and high-frequency oscillatory ventilation

What this could lead to

If it works, this could establish a better standard of care for children with severe lung failure, reducing time on breathing machines.

What could go wrong

This is a late-stage trial but still compares existing techniques; the benefit may be small or not apply to all children. No new drug is being tested.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

adult acute respiratory distress syndrome pediatric acute respiratory distress syndrome

As listed by the trial registrant

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

Contacts and locations

Locations

  • American Family Children's Hospital, University of Wisconsin

    Madison, Wisconsin, 53792, United States

  • Ann & Robert Lurie Children's Hospital of Chicago

    Chicago, Illinois, 60611, United States

  • Arkansas Children's Hospital

    Little Rock, Arkansas, 72202, United States

  • Bambino Gesu Children's Hospital (Area Rossa Unit)

    Rome, Italy, Italy

  • Banner Health

    Phoenix, Arizona, 85006, United States

  • Birmingham Children's Hospital

    Birmingham, UK, United Kingdom

  • Bloomberg Children's Center, Johns Hopkins University

    Baltimore, Maryland, 21287, United States

  • CS Mott Children's Hospital

    Ann Arbor, Michigan, 48109, United States

  • Centre Hospitalier Universitaire Sainte Justine

    Montreal, Quebec, H3T1C5, Canada

  • Children's Health Dallas

    Dallas, Texas, 75235, United States

  • Children's Hospital Orange County

    Orange, California, 92868, United States

  • Children's Hospital and Medical Center

    Omaha, Nebraska, 68198, United States

  • Children's Hospital at Oklahoma University Medical Center

    Oklahoma City, Oklahoma, 73104, United States

  • Children's Hospital at Westmead

    Sydney, Australia

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19014, United States

  • Children's Hospital of San Antonio

    San Antonio, Texas, 78207, United States

  • Children's Hospital of Wisconsin

    Milwaukee, Wisconsin, 53201, United States

  • Children's of Alabama

    Birmingham, Alabama, 35233, United States

  • Chonnam National University Hospital

    Gwangju, South Korea

  • Cohen Children's Medical Center

    Queens, New York, 11040, United States

  • Duke Children's Hospital

    Durham, North Carolina, 27710, United States

  • Faculty of Medicine Ramathibodi Hospital

    Bangkok, Thailand

  • Faculty of Medicine Siriraj Hospital, Mahidol University

    Bangkok, 10700, Thailand

  • Hadassah Medical Center

    Jerusalem, Israel

  • Hospital SEPACO

    São Paulo, Brazil

  • Hospital de Pediatría J. P. Garrahan. SAMIC

    Buenos Aires, Buenos Aires F.D., C1245AAM, Argentina

  • Inova Fairfax Medical Campus

    Falls Church, Virginia, 22042, United States

  • Instituto Giannina Gasilini

    Genova, Italy

  • Kapiolani Medical Center for Women and Children

    Honolulu, Hawaii, 96813, United States

  • King Chulalongkorn Memorial Hospital

    Bangkok, 10330, Thailand

  • LeBonheur Children's Hospital

    Memphis, Tennessee, 38103, United States

  • Medical City Dallas

    Dallas, Texas, 75230, United States

  • Medical University of South Carolina

    Charleston, South Carolina, 29425, United States

  • Meyer Children's Hospital

    Florence, Italy, Italy

  • Münster University Hospital

    Münster, Germany

  • Norton Children's Hospital

    Louisville, Kentucky, 40202, United States

  • Penn State Children's Hospital

    Hershey, Pennsylvania, 17033, United States

  • Perth Children's Hospital

    Perth, Western Australia, 6840, Australia

  • Rainbow Children's Hospital

    Hyderabad, India

  • Riley Hospital for Children at IU Health

    Indianapolis, Indiana, 46202, United States

  • Sabara Hospital Infantil

    São Paulo, Brazil, Brazil

  • Shaikh Khalifa Medical City

    Abu Dhabi, United Arab Emirates

  • Stanford Children's Health

    Palo Alto, California, 94304, United States

  • Texas Children's Hospital

    Houston, Texas, 77030, United States

  • UH Rainbow Babies & Children

    Cleveland, Ohio, 44106, United States

  • University Hospital Leicester NHS Trust

    Leicester, United Kingdom

  • University Medical Center Groningen

    Groningen, Netherlands

  • University of Iowa Stead Family Chlldren's Hospital

    Iowa City, Iowa, 52242, United States

  • University of Malaysia Medical Center

    Kuala Lumpur, Malaysia