Can lung imaging guide ventilator settings to save lives in ARDS?
NCT ID NCT06990477
First seen Jun 25, 2026 · Last updated Jul 10, 2026 · Updated 2 times
Summary
This study tests whether using a lung imaging tool called EIT to set ventilator pressure (PEEP) can improve survival in patients with moderate-to-severe ARDS. The trial will enroll 2400 adults and compare EIT-guided PEEP to the standard method. The main goal is to see if this approach reduces deaths within 28 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- EIT-guided PEEP (a device-based method to set ventilator pressure using electrical impedance tomography)
- What this could lead to
- If successful, this could become a standard way to set ventilator pressure for ARDS patients, potentially reducing deaths.
- What could go wrong
- This is a large trial, but the approach is still experimental. It may not improve survival compared to current methods, and individual responses can vary.
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 2,400 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2026
- Expected to finish
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Feb 2030
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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19 to 90 years
- 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: 1. Age≥18 years 2. Moderate-to-severe ARDS, defined by the ARDS Definition Task Force in the Berlin definition (partial pressure of arterial oxygen \[PaO2\]:FiO2 ratio ≤200 mmHg with a PEEP ≥5 cmH2O) 3. Diagnosis of ARDS less than 72 hours Exclusion Criteria: 1. Expected to be mechanically ventilated for less than 48 hours 2. Severe chronic respiratory diseases requiring long-term home oxygen therapy or noninvasive MV 3. Undrained pneumothorax or subcutaneous emphysema 4. Contraindication to the use of EIT (pacemaker, automatic implantable cardioverter defibrillator, and implantable pumps) 5. Severe neuromuscular disease 6. Hemodynamic instability 7. Contraindications to hypercapnia, such as intracranial hypertension or acute coronary syndrome 8. Severe other organs dysfunction with a low expected survival (7 days) or palliative care 9. Severe liver disease (Child-Pugh Score ≥10) 10. Pregnancy 11. Refusal to sign the informed consent
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Get notified about this study
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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
17 sites in 3 countries. 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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Affiliated Beijing Chaoyang Hospital of Capital Medical University
NOT_YET_RECRUITINGBeijing, China
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Asan Medical Center
NOT_YET_RECRUITINGSeoul, South Korea
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Department of Critical Care Medicine, Renji Hospital
NOT_YET_RECRUITINGShanghai, China Mainland, 20000, China
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Department of Critical Care Medicine, Zhongshan Hospital of Fudan University
RECRUITINGShanghai, China Mainland, 200000, China
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First Affiliated Hospital of Xi'an Jiaotong University
NOT_YET_RECRUITINGXian, Shanxi, China
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People's Hospital of Quzhou
NOT_YET_RECRUITINGQuzhou, Zhejiang, China
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Qinghai University Affiliated Hospital
NOT_YET_RECRUITINGXining, Qinghai, China
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Ruijin Hospital Shanghai Jiaotong University School Of Medicine
NOT_YET_RECRUITINGShanghai, China
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Run Run Shaw Hospital affiliated to Zhejiang University School of Medicine
NOT_YET_RECRUITINGHangzhou, China
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Second Hospital of Anhui Medical University
NOT_YET_RECRUITINGHefei, Anhui, China
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Taichung Veterans General Hospital
NOT_YET_RECRUITINGTaichung, Taiwan
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The Affiliated Hospital of Hangzhou Normal University
NOT_YET_RECRUITINGHangzhou, Jiangsu, 210009, China
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The Affiliated Hospital of Xuzhou Medical University
NOT_YET_RECRUITINGXuzhou, Jiangsu, 210009, China
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The First Affiliated Hospital of Guangzhou Medical University
NOT_YET_RECRUITINGGuangzhou, Guangdong, China
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The First Affiliated Hospital of Nanchang University
NOT_YET_RECRUITINGNanchang, Jiangxi, China
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Zhengzhou Central Hospital Affiliated to Zhengzhou University
NOT_YET_RECRUITINGZhengzhou, Henan, China
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Zhongda Hospital, School of Medicine, Southeast University
RECRUITINGNanjing, Jiangsu, 210009, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a different ventilator mode help ARDS patients breathe on their own faster?
- Can a smarter ventilator setting spare damaged lungs on ECMO?
- Can varying breath size protect lungs on a ventilator?
- Can matching drugs to biology beat ARDS?
- Immune cell infusion aims to free ARDS patients from ventilators
- New ventilation strategy aims to reduce lung damage in severe pneumonia