Recruiting NA ARDS, Human

New treatment option for ARDS, Human

Official title Transpulmonary Pressure - Guided Mechanical Ventilation in Morbidly Obese ARDS Patients: a Feasibility Study.

ClinicalTrials.gov ID: NCT06119516

What this study is testing

What it's testing
The goal of this clinical trial is to test a personalized intervention aiming to optimize the mechanical ventilator settings in morbidly obese patients suffering from moderate to severe Acute Respiratory Distress Syndrome (ARDS). The intervention consists of personalized measurements and calculations of the different pressures inside the thorax.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Adult patient (aged 18 years or older)
  • Class III morbid obesity (BMI \> 40 kg/m2)
  • Moderate or severe ARDS criteria (according to the Berlin definition)
  • Less than 72 hours between fulfilling moderate or severe ARDS criteria and inclusion
  • Tracheal intubation and invasive mechanical ventilation

You likely can't join if

  • Contra-indication to nasogastric tube (uncontrolled coagulopathy, severe thrombocytopenia, nasal trauma, esophageal varices)
  • Order to limit life-sustaining therapy
  • ExtraCorporal Membrane Oxygenation (ECMO) in use
  • Invasive mechanical ventilation \> 96 hours
  • Elevated intracranial pressure
  • Active air-leak: pneumothorax, pneumomediastinum
See the full eligibility criteria
Who can join
  • Adult patient (aged 18 years or older)
  • Class III morbid obesity (BMI \> 40 kg/m2)
  • Moderate or severe ARDS criteria (according to the Berlin definition)
  • Less than 72 hours between fulfilling moderate or severe ARDS criteria and inclusion
  • Tracheal intubation and invasive mechanical ventilation
  • Informed consent (patient, next of kin), with possibility of an emergency procedure with deferred consent
  • Covid-19 and non-Covid-19 patients
What rules you out
  • Contra-indication to nasogastric tube (uncontrolled coagulopathy, severe thrombocytopenia, nasal trauma, esophageal varices)
  • Order to limit life-sustaining therapy
  • ExtraCorporal Membrane Oxygenation (ECMO) in use
  • Invasive mechanical ventilation \> 96 hours
  • Elevated intracranial pressure
  • Active air-leak: pneumothorax, pneumomediastinum
  • Pregnancy or breast feeding
  • Patient on state medical aid

The study team makes the final eligibility decision.

Where it's taking place

  • Angers, France
  • Le Kremlin-Bicêtre, France
  • Lyon, France
  • Paris, France
  • Poitiers, France

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Angers, France; Le Kremlin-Bicêtre, France; Lyon, France; Paris, France; Poitiers, France. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.