ARISE: Upright bed positioning for acute respiratory distress syndrome

The Arise Study - Use of Vertical Positioning

Not applicable Interventional University of Alabama at Birmingham · NCT07025421

This pilot trial will test whether daily upright bed positioning helps adults hospitalized with acute respiratory distress syndrome compared with standard head-of-bed elevation.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment40 (estimated)
Ages18 Years to 80 Years
SexAll
SponsorUniversity of Alabama at Birmingham Academic / other
Locations1 site (Birmingham, Alabama)
Trial IDNCT07025421 on ClinicalTrials.gov

What this trial studies

This pilot randomized trial will enroll 40 patients with ARDS and randomize them to daily upright bed positioning or to standard care with head-of-bed elevation. The intervention consists of using an upright bed position each day while patients remain hospitalized, compared with routine head-of-bed elevation. Key exclusions include active cancer and the presence of an active tracheostomy. The trial is conducted as a single-center feasibility study at the University of Alabama at Birmingham.

Who should consider this trial

Good fit: Hospitalized adults with a clinical diagnosis of ARDS who do not have active cancer or an active tracheostomy would be eligible.

Not a fit: Patients with active cancer, an active tracheostomy, or other contraindications to changing bed position may not receive benefit from this approach.

Why it matters

Potential benefit: If successful, the intervention could improve oxygenation and comfort and reduce the need for more invasive measures such as proning.

How similar studies have performed: While prone positioning has demonstrated benefit in severe ARDS, daily upright bed positioning is less studied and represents a relatively novel, pilot-level approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

\- Acute Respiratory Distress Syndrome

Exclusion Criteria:

* Cancer
* Active tracheostomy

Where this trial is running

Birmingham, Alabama

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Acute Respiratory Distress SyndromeBed Position
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.