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NCT07074210

Value of Volume Oxygenation Index to Detect Early Failure of Non-invasive Ventilation in Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Not yet recruiting Last updated 20 July 2025
What this trial tests

trial testing non invasive ventilation in COPD in 190 participants. Not yet recruiting.

Timeline
15 July 2025
Primary endpoint
15 January 2026
15 July 2026

Quick facts

Lead sponsorAssiut University
StatusNot yet recruiting
Study typeOBSERVATIONAL
Enrollment190
Start date15 July 2025
Primary completion15 January 2026
Estimated completion15 July 2026

Drugs / interventions tested

Conditions studied

Sponsor

Assiut University

Who can join

18 and older, any sex, with COPD or Non Invasive Ventilation (NIV). Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Non-invasive ventilation (NIV) is an evidence-based treatment for patients with acute respiratory failure due to an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). In patients with COPD and acute hypercapnic respiratory failure, NIV improves gas exchange, reduces the work of breathing, and decreases the length of hospital stay and mortality \[1\]. Furthermore, when compared to invasive ventilation, NIV leads to fewer complications, such as ventilator-related infections \[2\]. These findings have resulted in guideline recommendations for the use of NIV in acute respiratory failure due to an exacerbation of COPD \[3\].NIV failure has been defined as the need for endotracheal intubation (ETI) or death. Its rate varies greatly between 5% and 60%, depending on numerous factors \[4\]. The Volume Oxygenation (VOX) index, initially developed to predict treatment failure of high flow nasal cannula therapy, has demonstrated the ability to estimate early increases in respiratory drive. Within the first 2 h, the VOX index exhibits a discriminative potential of 0.88 (95 % CI 0.79-0.97) in predicting HFNC failure \[5\]. Based on this premise, we hypothesize that the VOX index could be a predictive tool for NIV treatment failure.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other trials of non invasive ventilation

Trials testing the same drug.

Other recruiting trials for COPD

Currently open trials in the same condition.

Other Assiut University trials

Trials by the same sponsor.

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Data sources for this page

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