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NCT03629431: ANTICIPUSC

Prophylactic Noninvasive Ventilation in vs Postoperative Standard Care in High Risk Patients According to ARISCAT Score

Completed NA Results posted Last updated 27 January 2026
What this trial tests

NA trial testing Prophylactic non-invasive ventilation in Surgical Patients in 266 participants. Completed in 16 October 2019.

Timeline
3 November 2017
Primary endpoint
16 October 2019
16 October 2019

Quick facts

Lead sponsorInstitut Cancerologie de l'Ouest
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposesupportive care
Enrollment266
Start date3 November 2017
Primary completion16 October 2019
Estimated completion16 October 2019
Sites3 locations across France

Drugs / interventions tested

Conditions studied

Sponsor

Institut Cancerologie de l'Ouest — full company profile →

Who can join

18 and older, any sex, with Surgical Patients or Pulmonary Complication. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Acute Respiratory Failure Within the First 7 Days Following Surgery (or Until Hospital Discharge if Occurring First) Primary · Up to 7 days post-surgery or until hospital discharge (study duration: 23 months)

The outcome was reported as the count of participants who experienced acute respiratory failure, defined as the need for invasive or non-invasive mechanical ventilation within 7 days after surgery or until hospital discharge, whichever occurred first. All events were validated by an adjudication committee in this randomized, single-blind trial.

GroupValue95% CI
Postoperative Standard Care35
Prophylactic Non-invasive Ventilation30
Number of Participants With Healthcare-Associated Infections Within 30 Days After Surgery (Defined According to CDC Criteria) Secondary · 30days

The outcome was reported as the count of participants who developed healthcare-associated infections within 30 days after surgery, defined according to the Centers for Disease Control and Prevention (CDC) criteria. All events were validated by an adjudication committee

Pleural effusion
GroupValue95% CI
Postoperative Standard Care41
Prophylactic Non-invasive Ventilation36
Bronchospasm
GroupValue95% CI
Postoperative Standard Care0
Prophylactic Non-invasive Ventilation3
Atelectasis
GroupValue95% CI
Postoperative Standard Care73
Prophylactic Non-invasive Ventilation61
Upper airways obstruction
GroupValue95% CI
Postoperative Standard Care10
Prophylactic Non-invasive Ventilation4
Pulmonary edema
GroupValue95% CI
Postoperative Standard Care15
Prophylactic Non-invasive Ventilation11
Aspiration pneumonitis
GroupValue95% CI
Postoperative Standard Care1
Prophylactic Non-invasive Ventilation2
Respiratory infection
GroupValue95% CI
Postoperative Standard Care3
Prophylactic Non-invasive Ventilation3
Pneumothorax
GroupValue95% CI
Postoperative Standard Care4
Prophylactic Non-invasive Ventilation6
Reintubation Rate Within 7 Days Secondary · 7 days

Number of patients reintubated

GroupValue95% CI
Postoperative Standard Care8
Prophylactic Non-invasive Ventilation9

Adverse events — posted to ClinicalTrials.gov

Time frame: From signature of consent to the end of follow up (30 days). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Postoperative Standard Care
Serious: 19/128 (15%)
Deaths: 2/128
Prophylactic Non-invasive Ventilation
Serious: 15/125 (12%)
Deaths: 3/125

Serious adverse events (20 terms)

ReactionSystemPostoperative Standard CareProphylactic Non-invasive …
BleedingBlood and lymphatic system disorders
Acute Renal FailureRenal and urinary disorders
Hemodynamic failureBlood and lymphatic system disorders
IleusGastrointestinal disorders
mediastinitisRespiratory, thoracic and mediastinal disorders
Transient ischemic attackNervous system disorders
Cardiac arrestCardiac disorders
StrokeNervous system disorders
cardiogenic shockRespiratory, thoracic and mediastinal disorders
cholecystisisHepatobiliary disorders
Convulsive seizurePsychiatric disorders
Cardiac rythm disordersCardiac disorders
bronchail congestionRespiratory, thoracic and mediastinal disorders
Pericardial effusionBlood and lymphatic system disorders
InhalationRespiratory, thoracic and mediastinal disorders
Cardiac failureCardiac disorders
food intoleranceGeneral disorders
pneumopathyRespiratory, thoracic and mediastinal disorders
Multiple organ failureGeneral disorders
Bowel obstructionGastrointestinal disorders
Other adverse events (8 terms — click to expand)

ReactionSystemPostoperative Standard CareProphylactic Non-invasive …
Postoperative Pulmonary ComplicationRespiratory, thoracic and mediastinal disorders
Cardiovascular disordersCardiac disorders
Complications of non-invasive ventilationGeneral disorders
Digestive disordersGastrointestinal disorders
InfectionInfections and infestations
Multiple organ failureGeneral disorders
psycahtric disordersPsychiatric disorders
chirurgical complicationGeneral disorders

Most-reported serious reactions: Bleeding, Acute Renal Failure, Hemodynamic failure, Ileus, mediastinitis, Transient ischemic attack, Cardiac arrest, Stroke.

Data from ClinicalTrials.gov NCT03629431 adverse events section.

Sponsor's own description

Postoperative pulmonary complications are one of the most common complications after surgery. Noninvasive ventilation has been proposed post-operatively to prevent postoperative pulmonary complications. Prophylactic noninvasive ventilation performed systematically in a non-specific population is without interest. The difficulty for the practitioner is to target patients at higher risk of developing a postoperative pulmonary complications in order to guiding them to a post-operative specialized care pathway. The use of the ARISCAT score, validated on a large European prospective cohort, makes it possible to evaluate, preoperatively, the risk of occurrence of postoperative pulmonary complication in the patient. The hypothesis of the present research is that early postoperative preventive treatment with noninvasive ventilation, in patients at risk of postoperative pulmonary complications according to the preoperative evaluation according to the ARISCAT score, could have an interest in reducing these complications with a superior efficiency over standard techniques.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Postoperative prophylactic intermittent noninvasive ventilation versus usual postoperative care for patients at high risk of pulmonary complications: a multicentre randomised trial.
    Abrard S, Rineau E, Seegers V, Lebrec N, et al · · 2023 · cited 18× · PMID 34996593 · DOI 10.1016/j.bja.2021.11.033

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