Which intubation timing is best for breathing failure? new study aims to find out
NCT ID NCT07189078
First seen Jun 27, 2026 · Last updated Aug 07, 2026 · Updated 1 time
Summary
This study looks at two different approaches to deciding when to place a breathing tube in patients with acute hypoxemic respiratory failure (dangerously low oxygen levels). One strategy is more liberal (intubate earlier to prevent complications from low oxygen), while the other is more restrictive (wait to avoid risks of the breathing tube itself). The goal is to see which approach leads to better outcomes, such as fewer days on organ support and lower death rates. The study will enroll 200 adults in intensive care.
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 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
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: * Adult patient * Patient admitted to intensive care less than 24 hours ago * Acute respiratory failure with hypoxemia defined by either: * Oxygen therapy ≥ 10 L/min via high-concentration mask required for 92 ≤ SpO2 ≤ 98% * High-flow oxygen therapy with FiO2 ≥ 50% required for 92 ≤ SpO2 ≤ 98% * Informed consent of the patient or a trusted relative (when the patient is unable to give consent) Exclusion Criteria: * Acute hypercapnic respiratory failure (defined by PaCO2 \> 45 mmHg) * Cardiogenic pulmonary edema * Exacerbation of chronic respiratory disease * Respiratory failure requiring long-term oxygen therapy * Neuromuscular disease * Glasgow Coma Scale score ≤ 12 * Decision to intubate immediately * Invasive mechanical ventilation within the previous 7 days * Treatment limitation decisions for intubation * Person deprived of liberty by judicial or administrative decision : Person undergoing compulsory psychiatric care, person subject to legal protection measures, Pregnant, breastfeeding, or parturient patient
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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
9 sites. 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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Angers University Hospital, ICU
RECRUITINGAngers, France
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Guadeloupe University Hospital, ICU
NOT_YET_RECRUITINGPointe à Pitre, France
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Le Mans Hospital, ICU
NOT_YET_RECRUITINGLe Mans, France
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Nantes University Hospital, ICU
NOT_YET_RECRUITINGNantes, France
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Orléans University hospital, ICU
NOT_YET_RECRUITINGOrléans, France
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Pitié-Salpétrière Hospital, Paris University Hospital, ICU
NOT_YET_RECRUITINGParis, France
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Rennes University Hospital, ICU
NOT_YET_RECRUITINGRennes, France
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Tours University Hospital, ICU
NOT_YET_RECRUITINGTours, France
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Vannes Hospital, ICU
NOT_YET_RECRUITINGVannes, France
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