Status:

WITHDRAWN

COVIDNOCHE Trial (HFNO Versus CPAP Helmet) in COVID-19 Pneumonia

Lead Sponsor:

University of Pennsylvania

Conditions:

Severe Acute Respiratory Syndrome Coronavirus 2

Hypoxemic Respiratory Failure

Eligibility:

All Genders

18+ years

Phase:

NA

Brief 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 CP...

Detailed Description

Coronavirus disease 2019 (COVID-19) is a respiratory illness that can cause acute arterial hypoxemia. Treatment with invasive ventilation improves oxygenation yet results in death in over 50% of cases...

Eligibility Criteria

Inclusion

  • Adult patients with confirmed COVID-19 with an Sp02 \< 92% on ≥ 6 liters NC admitted to a Penn Medicine advanced respiratory unit. An advanced respiratory unit is a unit capable of non-invasive respiratory support such as an ICU or intermediate care unit.

Exclusion

  • Patients will be excluded if they meet ≥ 1 of the following criteria based on current Penn Medicine respiratory guidelines and prior trials of non-invasive respiratory support:
  • Respiratory failure related to other etiology (e.g. exacerbation of chronic obstructive pulmonary disease, acute pulmonary edema)
  • Baseline oxygen requirement
  • Diagnosis of acute or chronic hypoventilation
  • Tracheostomy
  • Claustrophobia
  • Prior intubation during hospitalization
  • Urgent need for endotracheal intubation
  • Other contraindications to non-invasive respiratory support (glasgow coma scale lower than 8, absence of airway protective gag reflex, elevated intracranial pressure, upper airway obstruction)
  • Patient dose not wave to receive the assigned intervention.

Key Trial Info

Start Date :

November 15 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 15 2022

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT04381923

Start Date

November 15 2021

End Date

December 15 2022

Last Update

April 5 2022

Active Locations (1)

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1

University of Pennsylvania

Philadelphia, Pennsylvania, United States, 19104