Electric pulses to the diaphragm: a new way to avoid breathing tubes?
NCT ID NCT07020299
First seen Aug 18, 2026 · Last updated Aug 19, 2026 · Updated 1 time
Summary
This trial tests whether a non-invasive device that sends electrical pulses through the skin to stimulate the diaphragm can help people hospitalized with a severe COPD flare-up. The goal is to see if this technique improves diaphragm function and reduces the need for invasive mechanical ventilation. Adults with severe COPD exacerbations are eligible, while those with certain conditions like high BMI or unstable health are excluded. The study measures diaphragm movement and thickness, as well as ICU stay duration.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Transcutaneous electrical diaphragmatic stimulation (TEDS) using a digital electrical muscle stimulator applied to the skin to induce diaphragm contractions
- What this could lead to
- If effective, this non-invasive technique could help severe COPD patients breathe better during flare-ups, potentially reducing the need for invasive mechanical ventilation and shortening ICU stays.
- What could go wrong
- This is an early-stage trial, and results may not confirm benefit. Risks include skin irritation from electrodes and the possibility that stimulation may not improve outcomes for all patients.
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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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128 people
The number who actually took part.
- Started
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Aug 2024
- Finished
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Aug 2026
- 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.
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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. * Known cases of COPD admitted at respiratory critical care unit with severe acute exacerbation (defined according to GOLD 2024). Exclusion Criteria: * Body mass index (BMI) \> 35 kg/m2 * Post arrest patients * Brain death * Hemodynamic instability * Invasive MV * Lung disease other than COPD * Pregnancy , ascitis. * History of neuromuscular disease at admission * Spinal injuries * Skin lesions or an open lesion in the regions where the electrodes would be placed * Use of pacemakers * Patients on maintenance steroid therapy * Depletating disease as malignancy 14. Patients refusing the procedure
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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.
Contacts and locations
Locations
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Faculty of medicine mansoura university
Al Mansurah, 35516, Egypt
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Other studies related to the condition(s) this trial covers.
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