Evaluating a device to improve breathing and swallowing in brain injury patients

Role of Expiratory Flow Acceleration in the Management of Bronchial Secrections in Severe Acquired Brain Injury: a Pilot Randomized Controlled Study

NA · Fondazione Don Carlo Gnocchi Onlus · NCT05993364

This study is testing a new device to see if it can help people with brain injuries breathe and swallow better compared to regular therapy.

Quick facts

PhaseNA
Study typeInterventional
Enrollment20 (estimated)
Ages18 Years and up
SexAll
SponsorFondazione Don Carlo Gnocchi Onlus (other)
Locations1 site (Rovato, BS)
Trial IDNCT05993364 on ClinicalTrials.gov

What this trial studies

This study aims to assess the effectiveness of the Expiratory Flow Accelerator (EFA) technology in enhancing respiratory and swallowing functions in patients with acquired brain injury (ABI). Participants will undergo a baseline assessment for one week before being randomized into either a treatment group receiving EFA or a control group receiving traditional rehabilitation. The study will monitor the patients' ability to manage tracheobronchial secretions and evaluate the potential reduction in hospital-acquired pneumonia rates. The research is conducted at the Centro Ettore Spalenza-Fondazione Don Carlo Gnocchi in Rovato, Italy.

Who should consider this trial

Good fit: Ideal candidates are adults over 18 years old who have been hospitalized due to acquired brain injury and have a specific level of cognitive functioning.

Not a fit: Patients requiring mechanical ventilation for more than 12 hours a day or those with an improperly healed tracheal stoma may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could significantly improve respiratory and swallowing functions in patients with acquired brain injury, potentially reducing complications and enhancing recovery.

How similar studies have performed: While the approach using EFA technology is innovative, similar studies have shown promise in improving respiratory functions in patients with respiratory challenges.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age higher than 18 years old;
* Hospitalization after diagnosis of Acquired Brain Injury (both traumatic and vascular)
* Levels of Cognitive Functioning Scale (LCFS) score between 1and 5;
* Presence of spontaneous breathing, at least during the day

Exclusion Criteria:

* Need of mechanical ventilation for more than 12 hours a day;
* Presence of tracheal stoma not properly healed after the removal of the tracheal cannula.

Where this trial is running

Rovato, BS

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.

View on ClinicalTrials.gov →

Conditions: Acquired Brain Injury, Comparative Effectiveness Research, Lung Diseases, Obstructive, Expiratory Flow Accelerator, Tracheobronchial secretions, Tracheobronchial clearance, Airways clearance, Pulmonary infections

Last reviewed 2026-05-15 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.