Precision ventilation to reduce ventilator-caused lung injury

2/2: PREcision VENTilation to attenuate Ventilation-Induced Lung Injury (PREVENT VILI)

NIH-funded research Beth Israel Deaconess Medical Center · NIH-11182556

This project looks to see if a tailored ventilator approach that limits driving pressure and adjusts PEEP helps adults with moderate or severe ARDS survive better.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionBeth Israel Deaconess Medical Center NIH-funded
Lab location1 site (Boston, United States)
Project IDNIH-11182556 on NIH RePORTER

What this research studies

If you have ARDS and are on a breathing machine, this trial compares a precision ventilator method that keeps driving pressure ≤12 cm H2O and sets PEEP by transpulmonary pressure (around 0±2 cm H2O) versus guided usual care. It is a multicenter, prospective phase III randomized trial enrolling adults with moderate or severe ARDS and following outcomes including 60-day mortality. A Data Coordinating Center at Beth Israel Deaconess will manage data, quality control, and logistics across participating hospitals. The aim is to reduce ventilator-induced lung injury and improve survival by using more precise ventilator settings.

Who could benefit from this research

Good fit: Adults age 21 or older with moderate to severe ARDS who are receiving mechanical ventilation and meet the trial's clinical entry criteria would be ideal candidates.

Not a fit: People with mild ARDS, children, patients not on mechanical ventilation, or those who do not meet enrollment criteria would likely not benefit from this trial.

Why it matters

Potential benefit: If successful, this strategy could lower ventilator-related lung injury and reduce 60-day mortality for adults with moderate or severe ARDS.

How similar studies have performed: Lower tidal-volume and driving-pressure approaches have shown promise in prior studies, but this exact precision ventilation combination has not yet been proven in a large phase III trial.

Where this research is happening

Boston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Acute Respiratory Distress SyndromeAdult Respiratory Distress Syndrome
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.