New care pathway aims to save lives of ICU patients with breathing failure
NCT ID NCT04744298
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether a step-by-step care plan (called TheraPPP) helps patients with severe breathing failure (ARDS) survive and spend less time on a ventilator. The plan includes proven treatments like protective ventilation, paralysis, and prone positioning. About 20,000 adults in Alberta ICUs will be included. The goal is to make sure every patient gets the best known 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 19,916 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2021
- Expected to finish
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Dec 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.
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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: * Admitted to the one of the 17 adult Intensive Care Units in Alberta * Invasively mechanically ventilated Exclusion Criteria: * none
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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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Chinook Regional Hospital
Lethbridge, Alberta, T1J 1W5, Canada
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Foothills Hospital Intensive Care Unit
Calgary, Alberta, T2N 2T9, Canada
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Foothills Medical Center Cardiovascular ICU
Calgary, Alberta, T2N 2T9, Canada
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Grey Nuns Community Hospital
Edmonton, Alberta, T6L 5X8, Canada
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Mazankowski Alberta Heart Institute
Edmonton, Alberta, T6G 2B7, Canada
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Medicine Hat Regional Hospital
Medicine Hat, Alberta, T1A 4H6, Canada
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Misericordia Community Hospital
Edmonton, Alberta, T5R 4H5, Canada
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Northern Lights Regional Health Centre
Fort McMurray, Alberta, T9H 1P2, Canada
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Peter Lougheed Centre (PLC)
Calgary, Alberta, T1Y 6J4, Canada
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Queen Elizabeth II Hospital
Grande Prairie, Alberta, T8V 2E8, Canada
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Red Deer Regional Hospital Centre
Red Deer, Alberta, T4N 4E7, Canada
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Rockyview General Hospital
Calgary, Alberta, T2V 1P9, Canada
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Royal Alexandra Hospital
Edmonton, Alberta, T5H 3V9, Canada
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South Health Campus
Calgary, Alberta, T3M 1M4, Canada
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Sturgeon Community Hospital
St. Albert, Alberta, T8N 6C4, Canada
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University of Alberta Hospital General Systems ICU
Edmonton, Alberta, T6G 2B7, Canada
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University of Alberta Hospital Neurosciences Intensive Care Unit
Edmonton, Alberta, T6G 2B7, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Steroid dose showdown: can more dexamethasone save lives in respiratory failure?
- Breathing machine settings put to the test in severe lung injury
- The hidden breath: how a mismatch between patient and machine may shape ARDS recovery
- Scientists hunt for hidden subgroups in sudden respiratory failure
- AI plus ultrasound could catch heart and lung decline before it turns critical