Link between lung pressure and fluid in patients with ARDS
Official title: Association Between Driving Transpulmonary Pressure and Extravascular Lung Water in Patients with ARDS
Run by Bicetre Hospital · NCT05474196 · Data updated 2026-11-12
This study looks at how lung pressure and fluid levels are connected in patients with acute respiratory distress syndrome (ARDS) who are on a ventilator.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Bicetre Hospital Academic / other |
| Locations | 1 site (Le Kremlin-Bicêtre) |
| Status | Recruiting |
| Started | February 1, 2022 |
| Main results expected | September 2025 |
| Study ends | September 2025 |
| Registry record updated | February 11, 2025 |
| Trial ID | NCT05474196 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are intubated patients diagnosed with acute respiratory distress syndrome who are being monitored with specific devices.
✕Probably not a fit
Patients with legal protection measures, pregnancy, or contraindications for esophageal catheterization 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 investigates the relationship between driving transpulmonary pressure and extravascular lung water in patients suffering from acute respiratory distress syndrome (ARDS). It focuses on intubated patients who are monitored using a transpulmonary thermodilution device and esophageal pressure monitoring. By understanding how these pressures correlate, the study aims to provide insights into ventilatory induced lung injury and pulmonary edema in ARDS patients.
Why it matters
Potential benefit: If successful, this study could improve the management of ARDS by providing better insights into lung injury and fluid management.
How similar studies have gone: While this approach is novel in its specific focus, similar studies have explored the relationship between lung pressures and fluid management in ARDS, indicating potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Acute respiratory distress syndrome (ARDS) * Monitoring with a transpulmonary thermodilution device * Esophageal pressure monitoring Exclusion Criteria: * Legal protection measures * Pregnancy * Contra-indications of esophageal catheter : esophageal varicose, severe coagulopathy
Where it's running
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Medical Intensive Care Unit, Bicêtre Hospital
Le Kremlin-Bicêtre, France Recruiting
Study contacts
- Principal investigator: Tài Pham, MD, PhD — Hôpital Bicêtre
- Study coordinator: Tài Pham, MD, PhD.
- Email: tai.pham@aphp.fr
- Phone: +33145217245
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Full-Course ECMO Pathway for Moderate-to-Severe ARDS
This study tests a standardized, full-course ECMO management pathway to see if it improves care for adults with moderate-to-severe ARDS treated with VV-ECMO in real-world Chinese centers.
-
Height measurement methods to guide ventilator settings in ARDS
We’re testing whether more precise height measurements change how researchers set lung-protective tidal volumes in adults with ARDS who are on a ventilator.
-
Corticosteroids for a hyperinflammatory state in critical illness
This trial tests whether methylprednisolone helps improve organ function and survival in adults with sepsis or ARDS who show a hyperinflammatory profile.
-
Right‑heart function and heart–lung interaction during ARDS with mechanical ventilation
This project will follow adults with ARDS on mechanical ventilation to see how positive‑pressure breathing affects the right heart over time and how that relates to circulation.
-
Umbilical‑cord mesenchymal stem cell and secretome therapy for severe ARDS
This trial tests whether IV umbilical‑cord mesenchymal stem cells, alone or with secretome, help adults with severe ARDS recover lung function and reduce inflammation.
-
Human umbilical cord mesenchymal stem cell injection for moderate to severe ARDS
This will test whether a single injection of human umbilical cord mesenchymal stem cells can help adults with moderate to severe ARDS that hasn't improved after standard treatment.
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.