Guiding PEEP adjustments in patients with pulmonary fibrosis on mechanical ventilation
Official title: End-expiratory Trans-pulmonary Pressure Guided PEEP Titration in Patients With Pulmonary Fibrosis and UIP Pattern Undergoing Mechanical Ventilation
Run by University of Modena and Reggio Emilia · NCT05098717 · Data updated 2026-11-12
This study is testing if adjusting a specific breathing support setting can help patients with pulmonary fibrosis on mechanical ventilation breathe better and improve their health outcomes.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 90 Years |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | University of Modena and Reggio Emilia Academic / other |
| Locations | 1 site (Modena) |
| Status | Recruiting |
| Started | February 8, 2023 |
| Main results expected | January 1, 2026 |
| Study ends | January 1, 2027 |
| Registry record updated | April 25, 2025 |
| Trial ID | NCT05098717 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include individuals diagnosed with pulmonary fibrosis exhibiting a UIP pattern who are undergoing controlled mechanical ventilation for acute respiratory failure.
✕Probably not a fit
Patients with chest wall deformities or chronic obstructive pulmonary disease may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study focuses on patients with pulmonary fibrosis and usual interstitial pneumonia who require mechanical ventilation due to acute respiratory failure. It aims to document the effects of adjusting positive end-expiratory pressure (PEEP) based on trans-pulmonary pressure measurements. By optimizing lung mechanics and oxygenation, the study seeks to improve clinical outcomes for these patients, who often face poor prognoses. The approach is novel as it specifically targets the unique challenges posed by fibrotic lungs during mechanical ventilation.
Why it matters
Potential benefit: If successful, this study could lead to improved ventilation strategies that enhance oxygenation and reduce complications in patients with pulmonary fibrosis.
How similar studies have gone: While similar approaches have been explored in patients with acute respiratory distress syndrome, the specific application to pulmonary fibrosis has not been extensively documented, making this a novel investigation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * pulmonary fibrosis with UIP pattern * subjected to endotracheal intubation and controlled mechanical ventilation for acute respiratory failure * candidate to a trial of PEEP titration according to positive end expiratory pressure. Exclusion Criteria: * chest wall deformities * chronic obstructive pulmonary disease
Where it's running
-
Azienda Ospedaliero Universitaria Policlinico di Modena
Modena, Italy Recruiting
Study contacts
- Study coordinator: Roberto Tonelli
- Email: roberto.tonelli@me.com
- Phone: 0039 0594225934
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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.