Clinical trial Recruiting at 1 site Observational Ages 18 and up

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.

More Acute Respiratory Distress Syndrome trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment1000 (estimated)
SponsorSoutheast University, China
Academic / other
Locations1 site (Nanjing, Jiangsu)
StatusRecruiting
StartedJanuary 1, 2026
Main results expectedJanuary 31, 2029
Study endsJanuary 31, 2029
Registry record updatedJanuary 2, 2026
Trial IDNCT07284888 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

Similar studies

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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.