Prone positioning for adults with moderate-to-severe ARDS in the ICU
Official title: Practices of Prone Positioning Ventilation in Patients With Moderate-to-Severe ARDS in Intensive Care Units: A Registry-Based Observational Study
Run by Southeast University, China · NCT07284888 · Data updated 2026-11-12
This study will see how prone positioning ventilation works for adults with moderate-to-severe ARDS and whether it is safe for people who also have acute brain injury.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1000 (estimated) |
| Sponsor | Southeast University, China Academic / other |
| Locations | 1 site (Nanjing, Jiangsu) |
| Status | Recruiting |
| Started | January 1, 2026 |
| Main results expected | January 31, 2029 |
| Study ends | January 31, 2029 |
| Registry record updated | January 2, 2026 |
| Trial ID | NCT07284888 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) with moderate-to-severe ARDS on invasive mechanical ventilation—defined by PaO2/FiO2 ≤150 mm Hg, PEEP ≥5 cm H2O, and the 2023 ARDS criteria—are the intended participants.
✕Probably not a fit
Patients with mild ARDS who are not invasively ventilated, those who decline consent, or people treated outside the participating hospital are unlikely to gain benefit from enrolling.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Researchers will use a registry-based observational approach at a single tertiary hospital to collect clinical data on adults with moderate-to-severe ARDS receiving invasive mechanical ventilation. Eligible patients meet PaO2/FiO2 ≤150 mm Hg, PEEP ≥5 cm H2O, and ARDS defined by the 2023 Global Definition. The study will describe practice patterns, patient outcomes, and safety signals with prone position ventilation, and will explore whether chest CT–defined lung morphology (focal vs non-focal) modifies response. As an observational, single-center investigation, it will report associations and hypothesis-generating findings rather than prove causation.
Why it matters
Potential benefit: If successful, the study could help clinicians identify which ARDS patients benefit most from prone ventilation and clarify safety for those with acute brain injury.
How similar studies have gone: Randomized trials have shown that prone ventilation reduces mortality in moderate-to-severe ARDS, but its variation by lung morphology and its safety in acute brain injury remain unclear.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1.Age ≥ 18 years 2. Moderate-to-severe ARDS requiring invasive mechanical ventilation, defined as: 1. PaO₂/FiO₂ ≤ 150 mm Hg, 2. PEEP ≥ 5 cm H₂O, 3. ARDS diagnosed according to the 2023 Global Definition. Exclusion Criteria: 1.Refusal of informed consent by the patient's legally authorized representative
Where it's running
-
Zhongda Hospital, School of Medicine, Southeast University
Nanjing, Jiangsu, China Recruiting
Study contacts
- Study coordinator: Hui Chen, MD
- Email: huichen.icu@gmail.com
- Phone: +8618006138640
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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.