New study tests helmet breathing aid for severe lung failure
NCT ID NCT05078034
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at two ways to help people in the ICU who have trouble breathing due to low oxygen levels. It compares using a helmet-like device plus high-flow oxygen through the nose versus high-flow oxygen alone. The goal is to see which approach works better and to gather information for future larger studies. About 200 adults will take part.
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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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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2022
- Expected to finish
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Aug 2026
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: 1. Intensive care unit admission (orders written) 2. Age ≥18 years 3. Hypoxemic acute respiratory failure for at least 1 hour and still present at time of screening for eligibility (symptom onset during last 14 days) with the following: 1. Respiratory rate \>21bpm or clinical evidence of increased work of breathing and 2. Documented Hypoxemia defined as any one of: i. PaO2:FiO2 \< 300 ii. If no arterial blood gas available, then SpO2:FiO2 \< 315 iii. Oxygen saturation \<98% on FiO2 \>= 0.4 or higher by Venturi mask, TAVISH mask 10 Litres / minute, or any non-invasive oxygenation strategy 4. Not already intubated or with tracheostomy Exclusion Criteria: 1. Already on HFNO or other non-invasive ventilation strategy at FiO2\>=0.4 for the last 24 hours in the ICU. 2. Immediate need for intubation (e.g., inadequate airway protection or refractory hypoxemia or cardiopulmonary arrest, massive hemoptysis, etc) 3. Extubated in the ICU within past 72 hours 4. Clinician deems that face mask NIV is indicated to treat a primary diagnosis of hypercapnic respiratory failure or acute congestive heart failure 5. Known neuromuscular disease 6. Patients being transitioned to Palliative care or unlikely to survive more than 24 hours 7. ICU discharge is planned or anticipated on the day of screening 8. Previously enrolled in this trial 9. Trauma patients who remain in a cervical spine collar at the time of recruitment or who have upper limb/torso fractures that would preclude them from safe application of the helmet 10. Clinician decision that positive pressure to face and/or nasal pharynx is a contraindication (eg. Transphenoidal surgery, basal skull fracture etc.)
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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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Hamilton Health Sciences- Juravinski
Hamilton, Ontario, Canada
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Kingston General Hospital
Kingston, Ontario, Canada
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London Health Sciences Centre
London, Ontario, Canada
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Mount Sinai Hospital
Toronto, Ontario, Canada
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North York General Hospital
Toronto, Ontario, M2K 1E1, Canada
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Ottawa Hospital
Ottawa, Ontario, K1H 8L6, Canada
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St. Michael's Hospital
Toronto, Ontario, M5B 1W8, Canada
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Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5, Canada
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University Health Network Toronto General
Toronto, Ontario, Canada
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University of Alberta Hospital
Edmonton, Alberta, T6G 2B7, Canada
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University of Calgary
Calgary, Alberta, T2N 4N1, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Steroid dose showdown: can more dexamethasone save lives in respiratory failure?
- Could letting patients breathe on their own sooner protect their lungs?
- Scientists hunt for hidden subgroups in sudden respiratory failure
- Can a smart oxygen device outperform manual care in recovery?
- Low oxygen or organ failure? study aims to uncover true driver of ICU deaths
- AI could predict which ICU patients with breathing failure are at highest risk of death