Readiness for EXtubation (REXs) score for patients on invasive mechanical ventilation
Official title: A New Tool for Extubation Readiness in Mechanically Ventilated Patients: Readiness for EXtubation Score (REXs STUDY)
Run by Medipol University · NCT07098611 · Data updated 2026-11-12
This will test the Readiness for EXtubation (REXs) score to see if it can predict which ICU patients on invasive mechanical ventilation can be safely extubated.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 89 Years |
| Sex | All |
| Enrollment | 470 (estimated) |
| Sponsor | Medipol University Academic / other |
| Locations | 7 sites (Punta Arenas and 6 other locations) |
| Status | Recruiting |
| Started | June 15, 2025 |
| Main results expected | December 30, 2026 |
| Study ends | December 30, 2026 |
| Registry record updated | May 5, 2026 |
| Trial ID | NCT07098611 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
ICU patients who are in the weaning process from invasive mechanical ventilation and meet readiness-for-extubation clinical criteria, excluding tracheostomized or pregnant patients, are ideal candidates.
✕Probably not a fit
Patients who are tracheostomized, pregnant, have diaphragmatic pacers, lack legal guardian consent, or are enrolled in other studies are not eligible and unlikely to benefit from this score.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational, multi-center study aims to develop and validate a multi-component Readiness for EXtubation (REXs) score using clinical parameters and spontaneous breathing trial results in patients undergoing weaning from invasive mechanical ventilation. The score will be derived and calibrated across participating ICUs, with extubation success defined as not requiring invasive mechanical support within 48 hours. Standard inclusion and exclusion criteria will be applied and sites will report findings following the STROBE guidance. Collected data will be used to test predictive performance and optimize score thresholds before broader validation.
Why it matters
Potential benefit: If successful, the REXs score could help clinicians reduce failed extubations and avoid unnecessary prolonged ventilation.
How similar studies have gone: Other multi-component weaning and extubation prediction scores and SBT-based approaches have been used with mixed success, so REXs builds on prior work but is not yet definitive.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: \- Patients who are in the weaning process from mechanical ventilation after being connected to invasive mechanical ventilation in the intensive care unit. Exclusion Criteria: * Patients without legal guardian consent. * Tracheostomized patients. * Patients enrolled in other studies. * Individuals with diaphragmatic pacers. * Pregnant patients.
Where it's running
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University of Magallanes
Punta Arenas, Chile Recruiting -
Cairo University
Cairo, Egypt Recruiting -
Shahid Beheshti University of Medical Sciences
Tehran, Iran Recruiting -
A.O.R.N. "Dei Colli" Monaldi Hospital
Naples, Italy Recruiting -
Monaldi-Cotugno Hospital
Naples, Italy Recruiting -
Hospital General Universitario Morales Meseguer
Murcia, Spain Recruiting
Show 1 more location
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İstanbul Medipol University
Istanbul, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: Berkan Basançelebi
- Email: berkan.basancelebi@medipol.edu.tr
- Phone: +90 444 8 544
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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.