NCT07842510Recruiting
Controlled Versus Standard Oxygen Therapy in ICU Patients With Acute Exacerbation of COPD
Effect of a Controlled Versus Standard Oxygen Therapy Strategy in ICU Patients With Acute Exacerbation of COPD: A Randomized Controlled Trial
Source: ClinicalTrials.gov · Last updated 25 Sept 2026
Brief summary (registry, in English)
Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide. Acute exacerbations frequently require intensive care unit (ICU) admission. Oxygen therapy is an essential component of treatment; however, excessive oxygen administration may aggravate hypercapnia and respiratory acidosis. Current international guidelines recommend titrated oxygen therapy targeting an oxygen saturation of 88-92% in patients with acute exacerbation of COPD, but evidence supporting this strategy in critically ill ICU patients remains limited. This randomized controlled trial aims to compare a controlled oxygen therapy strategy (target oxygen saturation 88-92%) with standard oxygen therapy (oxygen saturation \>94%) in ICU patients admitted with acute exacerbation of COPD. The primary objective is to determine whether controlled oxygen therapy reduces the duration of mechanical ventilation (invasive and non-invasive). Secondary objectives include assessing the 28-day mortality, ICU length of stay, the need for invasive mechanical ventilation, and adverse events related to hyperoxia.
- Status (registry)
- Recruiting
- Study type
- Interventional
- Enrollment
- 240 (estimated)
- First submitted
- 3 Sept 2026
- Start date
- 1 Jan 2026
- Primary completion date
- 1 Jan 2027
- Lead sponsor
- Hôpital Universitaire Taher Sfar
- Diseases
- COPD
- NCT number
- NCT07842510
What you commit to
- Study type: Interventional
- Planned participants: 240
- From 1 Jan 2026 to the primary completion date, 1 Jan 2027
- 2 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other illness
- Active terminal malignancy
Lab values
- Severe decompensated heart failure with a left ventricular ejection fraction \< 30%
Other
- Endotracheal intubation performed before enrollment
- Refusal to participate in the study
Who the study is looking for
- Age ≥ 40 years
- Established diagnosis of chronic obstructive pulmonary disease (COPD) according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria
- Admission to the intensive care unit for an acute exacerbation of COPD, with or without respiratory acidosis
- Written informed consent provided by the participant or their legally authorized representative
Age in the registry: 40 years to - · Sex: All · Does not accept healthy volunteers
Sites (2)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Dhouha Ben Braiek Coordinator of this site? Confirm its status | Kairouan | Tunisia | Not yet recruiting |
| Taher Sfar Mahdia Hospital Coordinator of this site? Confirm its status | Mahdia | Tunisia | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.