COVIDNOCHE Trial (HFNO Versus CPAP Helmet) in COVID-19 Pneumonia
NCT04381923 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2022-04-05
Summary
The purpose of the COVIDNOCHE trial (HFNO versus CPAP Helmet Evaluation in COVID-19 Pneumonia) is to evaluate the comparative effectiveness of standard care non-invasive respiratory support (helmet CPAP versus HFNO) for acute hypoxemic respiratory failure from COVID-19 pneumonia on ventilator-free days (primary outcome) and other clinical outcomes measured up to 90 days.
Conditions
- Severe Acute Respiratory Syndrome Coronavirus 2
- Hypoxemic Respiratory Failure
- Pneumonia, Viral
- COVID
Interventions
- DEVICE
-
Helmet Continuous Positive Airway Pressure (CPAP)
Helmet CPAP will be initiated at a pressure of 5 cmH20 and fraction of inspired oxygen (Fi02) of \< 60%. If oxygen saturation (Sp02) remains \< 92%, pressure will be increased to 10 cmH20. FiO2 will then be tapered to target a SpO2 ≥ 92%. Breaks with intervening HFNO use will be provided as needed for meals and during hours of sleep.
- DEVICE
-
High Flow Nasal Oxygen (HFNO)
HFNO will be initiated at a flow rate of 40 LPM and a fraction of inspired oxygen (Fi02) of \< 60%. If oxygen saturation (SpO2) remains \< 92%, the flow rate will be increased to 60 LPM. FiO2 will then be adjusted to target a SpO2 ≥ 92%. Patients with discomfort due to HFNO may have their flow rate decreased until the discomfort resolves.
Sponsors & Collaborators
- lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- SINGLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-11-15
- Primary Completion
- 2022-11-15
- Completion
- 2022-12-15
- FDA Device
- Yes
Countries
- United States
Study Locations
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