UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058595
Receipt number R000066020
Scientific Title Prospective observational study on the relationship between diaphragmatic action potentials and extubation outcomes during ventilatory management
Date of disclosure of the study information 2025/07/25
Last modified on 2025/07/25 14:01:29

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Basic information

Public title

Prospective observational study on the relationship between action potentials emitted by the diaphragm during ventilatory management and the possibility of extubation

Acronym

diaphragmatic action potential test

Scientific Title

Prospective observational study on the relationship between diaphragmatic action potentials and extubation outcomes during ventilatory management

Scientific Title:Acronym

diaphragmatic action potential test

Region

Japan


Condition

Condition

Respiratory failure requiring ventilator management in the intensive care unit

Classification by specialty

Anesthesiology Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Continuous evaluation of Edi (Electrical activity of the diaphragm) and its relationship to VFD28 (ventilator free days at 28days)

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Evaluate the relationship between the Edi from intubation to extubation and the VFD28.

Key secondary outcomes

Relationship between UAB (unassisted breathing) and Edi at 30 days, and mortality and Edi at 30 days


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

100 years-old >

Gender

Male and Female

Key inclusion criteria

1. 18 years of age or older
2. Patients who started ventilator management by oral intubation
3. Cases in which muscle relaxants are administered at the start of ventilation
4.Can be managed in Assist/Control Mode
5. Ventilated with Puritan Bennett980/840, SERVO-U Ventilator, Hamilton C6
6.Patients expected to survive more than 24 hours

Key exclusion criteria

1. patients who were intubated upon ICU admission
2. pregnant women
3. patients whose diaphragmatic function is not expected to recover (e.g., end-stage neuromuscular disease)
4. Artificial respiration for more than 8 hours prior to admission to the ICU
5. patients who have been in the ICU within the past month
6. patients who have undergone invasive positive pressure ventilation for non-surgical reasons within the past month
7. whose Code is DNAR
8. lack of equipment such as Servo series, NAVA Catheter, etc. 8.
9. absence of investigator
10. failure to obtain research consent
11. drug intoxication
12. brain death

Target sample size

80


Research contact person

Name of lead principal investigator

1st name YUSUKE
Middle name
Last name NAITO

Organization

Nara Medical University

Division name

Department of Anesthesiology

Zip code

634-8522

Address

840 Shijo-cho, Kashihara, Nara

TEL

0744-22-3051

Email

schneider.yusuke@gmail.com


Public contact

Name of contact person

1st name YUSUKE
Middle name
Last name NAITO

Organization

Nara Medical University

Division name

Department of Anesthesiology

Zip code

634-8522

Address

840 Shijo-cho, Kashihara, Nara

TEL

0744-22-3051

Homepage URL


Email

schneider.yusuke@gmail.com


Sponsor or person

Institute

Nara Medical University

Institute

Department

Personal name



Funding Source

Organization

not applicable

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nara Medical University Medical Ethics Review Committee Secretariat

Address

840 Shijo-cho, Kashihara, Nara

Tel

0744-22-3051

Email

ino_rinri@naramed-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 07 Month 25 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2025 Year 06 Month 23 Day

Date of IRB

2025 Year 06 Month 23 Day

Anticipated trial start date

2025 Year 06 Month 24 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

NA


Management information

Registered date

2025 Year 07 Month 25 Day

Last modified on

2025 Year 07 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066020