Doxapram to improve diaphragm movement during spontaneous breathing trials in ventilated COPD patients
Official title: The Influence of Doxapram Administration on Diaphragmatic Excursion in Mechanically Ventilated Patients With Chronic Obstructive Pulmonary Disease Undergoing Spontaneous Breathing Trial: a Prospective Observational Study
Run by Cairo University · NCT07022704 · Data updated 2026-11-12
This trial will test whether giving IV doxapram helps the diaphragm move more in people with moderate to severe COPD who are on a ventilator and doing a spontaneous breathing trial.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 20 Years to 65 Years |
| Sex | All |
| Enrollment | 35 (estimated) |
| Sponsor | Cairo University Academic / other |
| Locations | 1 site (Cairo, Cairo Governorate) |
| Status | Recruiting |
| Started | June 22, 2025 |
| Main results expected | October 30, 2025 |
| Study ends | November 1, 2025 |
| Registry record updated | June 26, 2025 |
| Trial ID | NCT07022704 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with moderate to severe COPD who are mechanically ventilated and undergoing a spontaneous breathing trial without allergy to doxapram and with an evaluable diaphragm on ultrasound.
✕Probably not a fit
Patients with neuromuscular disorders, a known allergy to doxapram, or when the diaphragm cannot be imaged are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a single-center observational protocol in which intravenous doxapram is administered during spontaneous breathing trials in mechanically ventilated patients with moderate to severe COPD. Diaphragmatic excursion will be measured by an expert using respiratory muscle ultrasound before and after doxapram administration. Patients with doxapram allergy, neuromuscular disorders, or inability to visualize the diaphragm will be excluded. The study is conducted at Cairo University and collects physiologic ultrasound endpoints rather than clinical outcomes like weaning success.
Why it matters
Potential benefit: If successful, the findings could support using doxapram to enhance diaphragm movement and potentially help clinicians during weaning from mechanical ventilation.
How similar studies have gone: Respiratory stimulants like doxapram have historical use and mixed evidence for improving ventilation, but using doxapram specifically to increase diaphragmatic excursion during spontaneous breathing trials is relatively novel and not well established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with moderate to severe chronic obstructive pulmonary disease undergoing spontaneous breathing trial Exclusion Criteria: * Refusal Allergy to doxapram neuromuscular disorders inability to evaluate the diaphragm
Where it's running
-
Cairo University
Cairo, Cairo Governorate, Egypt Recruiting
Study contacts
- Study coordinator: Mina Helmy, MD
- Email: dr_mina20002010@yahoo.com
- Phone: +201007174836
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.