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NCT05147636: EXSUPEEP

EXtubation With SUctioning or With Positive End-Expiratory Pressure in Intensive Care Unit

Completed NA Last updated 5 December 2025
What this trial tests

NA trial testing Extubation with PEEP in Extubation in Intensive Care Unit in 425 participants. Completed in 19 March 2025.

Timeline
22 March 2023
Primary endpoint
19 March 2025
19 March 2025

Quick facts

Lead sponsorCentre Hospitalier de Bourg en Bresse
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposesupportive care
Enrollment425
Start date22 March 2023
Primary completion19 March 2025
Estimated completion19 March 2025
Sites11 locations across France

Drugs / interventions tested

Conditions studied

Sponsor

Centre Hospitalier de Bourg en Bresse

Who can join

18 and older, any sex, with Extubation in Intensive Care Unit. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Extubation in intensive care unit is a risky situation. Its failure is associated with an increase in the duration of mechanical ventilation and high morbidity and mortality. Our hypothesis is that the extubation procedure associating prior endotracheal aspiration followed by ablation of the intubation probe under the application of a PEEP, would make it possible both to avoid the leakage of secretions towards the lower airways and the alveolar recruitment, compared to extubation with concomitant endotracheal aspiration. By these mechanisms, this extubation procedure combining prior endotracheal aspiration followed by ablation of the tube under the application of a PEEP, would make it possible to increase the ventilator free days from any mechanical ventilation.

Publications & conference data

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

  1. Applying positive end-expiratory pressure before and during endotracheal tube removal versus extubation with concomitant aspiration: protocol for the randomised controlled multicentre EXSUPEEP trial.
    Sedillot N, Kallel H, Robine A, Pineda JA, et al · · 2025 · PMID 39947817 · DOI 10.1136/bmjopen-2024-092354

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