Which breathing aid works best for lung strain? new study aims to find out
NCT ID NCT07247318
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study will enroll 60 adults with acute hypoxemic respiratory failure (low oxygen levels) to compare three noninvasive breathing supports: CPAP, NIV, and high-flow nasal oxygen. Researchers will use electrical impedance tomography to measure lung strain in real time. The goal is to see which method best reduces uneven air movement in the lungs, which can worsen injury.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this study could help doctors choose the best breathing support for patients with low oxygen levels, potentially improving recovery.
- What could go wrong
- This is a small, early-stage study that only measures short-term effects, so results may not apply to all patients or lead to clear treatment changes.
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
-
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
-
About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Nov 2025
An estimate. Start dates often move.
- Expected to finish
-
Dec 2026
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Age ≥ 18 years; * PaO₂/FiO₂ ≤ 300 mmHg or SpO₂/FiO₂ ≤ 315 (with SpO₂ ≤ 97%); * Requiring one of the following respiratory supports: 1. Noninvasive positive pressure ventilation with PEEP ≥ 5 cmH₂O, or 2. High-flow nasal oxygen therapy with a flow rate ≥ 30 L/min, or 3. Conventional oxygen therapy with an oxygen flow ≥ 10 L/min, where FiO₂ is calculated using the formula: FiO₂ = 0.21 + (oxygen flow rate × 0.03). Exclusion Criteria: * Received CPAP or NIV for more than 24 hours prior to screening. * Received invasive mechanical ventilation during the current hospitalization. * Presence of chronic underlying pulmonary disease, or PaCO₂ ≥ 45 mmHg. * Presence of cardiogenic pulmonary edema. * Hemodynamic instability, defined as systolic blood pressure \< 90 mmHg or norepinephrine-equivalent dose \> 0.3 µg/kg/min. * Impaired consciousness (GCS ≤ 12). * Patients requiring urgent intubation, including those with respiratory or cardiac arrest, apnea with loss of consciousness or gasping, or severe hypoxemia (defined as SpO₂ \< 90% despite 100% oxygen). * Contraindications to NIV: cardiac or respiratory arrest, coma, untreated pneumothorax, uncontrollable vomiting, upper airway obstruction, hematemesis or severe facial trauma, or thoracic/abdominal surgery within the past 7 days. * Contraindications to EIT: implanted cardiac pacemaker, unstable spinal injury or fracture, or open chest trauma. * Refusal of endotracheal intubation. * Pregnancy.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Acute respiratory failure (ARF) are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
-
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.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New study aims to predict survival in respiratory care units
- Can a simple Oxygen-Weaning protocol keep breathing patients off the ventilator?
- Blood pressure Drugs' hidden impact on lungs revealed in tiny study
- Jaw tracking could spare ICU patients from invasive breathing tests
- New monitoring tools could help doctors see how hard patients are working to breathe
- New imaging technique could Fine-Tune ventilator settings for lung patients