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Study identifier: NCT04545242 Synced from ClinicalTrials.gov · July 29, 2026
● Recruiting

Efficacy of DEXamethasone in Patients With Acute Hypoxemic REspiratory Failure Caused by INfEctions

Condition: Acute Hypoxemic Respiratory Failure  ·  Sponsor: Hospital Universitario de Gran Canaria Doctor Negrín

PhasePhase 4
Planned participants980
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

About this study

Background: There are no proven therapies specific for pulmonary dysfunction in patients with acute hypoxemic respiratory failure (AHRF) caused by infections (including Covid-19). The full spectrum of AHRF ranges from mild respiratory tract illness to severe pneumonia, acute respiratory distress syndrome (ARDS), multiorgan failure, and death. The efficacy of corticosteroids in AHRF and ARDS caused by infections remains controversial. Methods: This is a multicenter, randomized, controlled, open-label clinical trial testing dexamethasone in mechanically ventilated adult patients with established AHRF (including ARDS) caused by confirmed pulmonary or systemic infections, admitted in a network of Spanish ICUs. Eligible patients will be randomly assigned to receive dexamethasone: either 6 mg/d x 10 days or 20 mg/d x 5 days followed by 10 mg/d x 5 days. The primary outcome is 60-day mortality. The secondary outcome is the number of ventilator-free days at 28 days. All analyses will be done according to the intention-to-treat principle.

This description comes directly from the study's public registry record.

Talk to the study team

Jesús Villar, MD  ·  +34606860027  ·  jesus.villar54@gmail.com

Arthur Slutsky, MD  ·  +14168244000  ·  Arthur.Slutsky@unityhealth.to

Always discuss trial participation with your own doctor first.

Locations (40)

Hospital Universitario Mutua Terrassa (ICU)Terrassa, Barcelona, SpainNot Yet Recruiting
Hospital General La Mancha Centro (ICU)Alcázar de San Juan, Ciudad Real, SpainNot Yet Recruiting
Complejo Hospitalario Universitario de Santiago (Anesthesia)Santiago de Compostela, La Coruña, SpainNot Yet Recruiting
Hospital General El Bierzo (ICU)Ponferrada, León, SpainNot Yet Recruiting
Hospital Universitario del Henares (ICU)Coslada, Madrid, SpainNot Yet Recruiting
Hospital Universitario de Getafe (ICU)Getafe, Madrid, SpainNot Yet Recruiting
Hospital Universitario Severo Ochoa (ICU)Leganés, Madrid, SpainNot Yet Recruiting
Hospital Universitario Puerta de Hierro (ICU)Majadahonda, Madrid, SpainNot Yet Recruiting
Hospital Nuestra Señora del Prado (ICU)Talavera de la Reina, Toledo, SpainNot Yet Recruiting
Hospital Universitario de Cruces (Anesthesia)Barakaldo, Vizcaya, SpainNot Yet Recruiting
Hospital Universitario de Cruces (ICU)Barakaldo, Vizcaya, SpainNot Yet Recruiting
Hospital Universitario de A Coruña (ICU)A Coruña, SpainNot Yet Recruiting

+ 28 more locations — full list on the registry record.

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Source record: clinicaltrials.gov/study/NCT04545242