Bed cycling may stop muscle wasting in critically ill patients
NCT ID NCT07017517
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether adding servo-assisted bed cycling to standard physical therapy can reduce muscle breakdown in critically ill patients with sepsis. Researchers will measure inflammation and muscle damage markers in 24 participants over 7 days. The goal is to understand if physical therapy can calm a specific inflammatory pathway (NLRP3) and prevent critical illness myopathy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- servo-assisted cycling device (Motomed Letto®) and standard physiotherapy
- What this could lead to
- If it works, this could point toward a simple, drug-free way to prevent severe muscle loss in ICU patients.
- What could go wrong
- This is a very small, early-stage study (24 people) focused on biological markers, not yet on patient outcomes. The results may not lead to a proven treatment.
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 24 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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May 2027
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: * Medical diagnosis of sepsis upon ICU admission. * Receiving invasive mechanical ventilation with a projected requirement ≥7 days. * SOFA score ≥8 for three consecutive days within the first five days of ICU admission. Exclusion Criteria: * Neurocritical illness. * Prior malnutrition or cachexia. * Pre-existing neuromuscular disease. * Coagulopathy (severe liver disease or continuous dialysis). * Thrombocytopenia \<20,000 platelets/μL. * Prior Clinical Frailty Scale ≥4. * Lower limb amputation or fractures. * Ongoing chemotherapy. * Pregnancy. * BMI \>35. * Uncontrolled epilepsy. * Allergy to ultrasound gel. * Prior prolonged corticosteroid therapy. * Expected ICU stay \<7 days. * Imminent death. * Legal guardian refusal to provide informed consent.
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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
3 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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Clínica INDISA
RECRUITINGSantiago, Metropolitan Region, 7520440, Chile
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Hospital de Urgencia Asistencia Pública (HUAP)
RECRUITINGSantiago, Metropolitan Region, 8330075, Chile
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University of Chile
RECRUITINGSantiago, Metropolitan Region, 8380453, Chile
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Other studies related to the condition(s) this trial covers.
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- Hidden weakness: study reveals nerve and muscle damage in Non-ICU patients