New strategy aims to cut risks when emergency breathing tubes are needed
NCT ID NCT05539391
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tests a combined approach for emergency breathing tube insertion in adults outside the hospital. The strategy includes a muscle relaxant (rocuronium), mask ventilation before intubation, and a special guide (gum elastic bougie). Researchers will compare complication rates in 1,500 patients to see if this method reduces severe events like cardiac arrest or low oxygen.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- rocuronium
- What this could lead to
- If successful, this could establish a safer standard method for emergency intubation, reducing life-threatening complications like cardiac arrest or low oxygen.
- What could go wrong
- This is a cluster trial with no blinding, so results may be influenced by how teams follow the protocol. The strategy may not work for all patients or settings.
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 1,500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2023
- Expected to finish
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Sep 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: * Patient adult (≥ 18 years) presenting with vital distress requiring emergency tracheal intubation as assessed by the emergency physician in the out-of-hospital setting. * Patient with all conditions (trauma, dyspnea, coma, overdoses, and shock) except those in cardiac arrest will be included. Exclusion Criteria: * Patient presenting of a contraindication to succinylcholine, and/or rocuronium, and/or sugammadex (rocunorium antagonist). * Patient who have contraindication to bag face mask ventilation before intubation (ongoing emesis, hematemesis, or hemoptysis). * Patient that are not members of a medical aid scheme (beneficiary or main member). * Patient under specific protection measures: pregnant, parturient or nursing women; legal protection or deprived of liberty: patient under judicial protection, patient under guardianship/curatorship.
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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
22 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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AP-HP - Hôpital Avicenne
RECRUITINGBobigny, 93000, France
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AP-HP - Hôpital Henri Mondor
RECRUITINGCréteil, 94000, France
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AP-HP - Hôpital Lariboisière
RECRUITINGParis, 75013, France
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AP-HP - Hôpital Necker
RECRUITINGParis, 75730, France
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AP-HP - Hôpital Pitié-Salpétrière
RECRUITINGParis, 75013, France
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AP-HP - Hôpital Raymond Poincaré
RECRUITINGGarches, 92380, France
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CH Carnelle Portes de l'Oise
RECRUITINGBeaumont-sur-Oise, 95260, France
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CH de Pontoise René Dubos
RECRUITINGCergy-Pontoise, 95303, France
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CH de Versailles - Site André Mignot
NOT_YET_RECRUITINGLe Chesnay, 78157, France
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CHU Poitiers - Hôpital la Milétrie
RECRUITINGPoitiers, 86021, France
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CHU Toulouse - Hôpital Purpan
RECRUITINGToulouse, 31059, France
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CHU d'Angers
RECRUITINGAngers, 49933, France
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CHU de Bordeaux - Hôpital Pellegrin
RECRUITINGBordeaux, 33000, France
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CHU de Dijon
NOT_YET_RECRUITINGDijon, 21000, France
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CHU de Grenoble - Hôpital Nord La Tronche
RECRUITINGLa Tronche, 38700, France
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CHU de Montpellier Site Lapeyronie
RECRUITINGMontpellier, 34000, France
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CHU de Nantes - Hôpital Hôtel Dieu
RECRUITINGNantes, 44093, France
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CHU de la Réunion - site Sud
RECRUITINGSaint-Pierre, 97448, France
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GH Eaubonne Montmorency Hôpital Simone VEIL
RECRUITINGEaubonne, 95600, France
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GH Sud Ile de France
RECRUITINGMelun, 77000, France
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GH Sélestat Obernai
NOT_YET_RECRUITINGSélestat, 67 600, France
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HCL - Hôpital Edouard Herriot
RECRUITINGLyon, 69003, France
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