Clinical trial Recruiting at 2 sites Observational Ages 18 and up

Monitoring end-tidal carbon dioxide levels in COPD exacerbations

Official title: Monitoring of the End-tidal Carbon Dioxide (EtCO2 ) as a Severity Criterion in COPD Exacerbations: a Prospective Observational Study

Run by University Hospital, Grenoble · NCT05704881 · Data updated 2026-11-12

This study is testing if measuring carbon dioxide levels in the breath can help doctors figure out how severe a COPD flare-up is for patients coming to the emergency room.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment240 (estimated)
SponsorUniversity Hospital, Grenoble
Academic / other
Locations2 sites (Grenoble, Isère and 1 other locations)
StatusRecruiting
StartedMarch 3, 2023
Main results expectedSeptember 3, 2026
Study endsDecember 3, 2026
Registry record updatedApril 15, 2026
Trial IDNCT05704881 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older presenting to the emergency department with acute dyspnea and a documented history of COPD.

Probably not a fit

Patients with hypotension, those already ventilated, or non-communicative individuals 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 aims to evaluate the use of end-tidal carbon dioxide (EtCO2) measurements as a predictive tool for the severity of exacerbations in patients with chronic obstructive pulmonary disease (COPD). Conducted in the emergency departments of Grenoble and Lyon University Hospitals, patients presenting with acute dyspnea and a history of COPD will have their EtCO2 levels measured upon arrival. The study will assess whether these measurements can help identify patients at higher risk for severe exacerbations, thereby improving early detection and treatment strategies. Data will be collected from medical records 24 hours post-admission to analyze the correlation between EtCO2 levels and patient outcomes.

Why it matters

Potential benefit: If successful, this study could enhance early detection and treatment of severe COPD exacerbations, potentially improving patient survival rates.

How similar studies have gone: While the use of EtCO2 monitoring in COPD exacerbations is a recognized practice, this specific approach to predicting severity is novel and has not been extensively tested in prior studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* All patient presenting to the emergency department with acute dyspnea and with a history of COPD documented or reported by the patient and/or family
* Male or female≥18 years old who did not oppose to participating in the study

Exclusion Criteria:

* Hypotension (SBP \< 90 mmHg or MBP \< 65 mmHg)
* Patient already included in the study during a previous visit to the emergency department
* Patient already ventilated with invasive or NIV during admission to the emergency department
* COPD exacerbation rejected after medical and additional examinations
* Non-communicative or non-French speaking patients, or with impaired comprehension, or with impaired consciousness
* Protected persons referred to in articles L1121-6 and L1121-8 of French public health code (deprived of liberty, tutorship or curatorship)

Where it's running

  • CHU Grenoble Alpes
    Grenoble, Isère, France
    Recruiting
  • Hospices Civils de Lyon
    Lyon, Rhône, France
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.