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Procedure
Combined Tracheostomy and Gastrostomy for Respiratory Failure (TPUG Trial)
N/A
Waitlist Available
Research Sponsored by University of Maryland, Baltimore
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Women of childbearing potential must have negative serum or urine pregnancy test during the current hospitalization
Indication for percutaneous gastrostomy including Percutaneous Ultrasound (PUG), Percutaneous Radiologic (PRG), and Percutaneous Endoscopic Gastrostomy (PEG) using an FDA approved gastrostomy kit
Timeline
Screening 3 weeks
Treatment Varies
Follow Up hospital discharge - through study completion, an average of 45 days
Awards & highlights
TPUG Trial Summary
This trial will assess the safety and efficacy of a procedure that combines feeding and breathing tubes for ICU patients who can't eat or breathe on their own.
Who is the study for?
This trial is for adults in the ICU who need help breathing and eating, have no infections at the procedure site, can consent (or have a representative who can), are not pregnant, and don't have conditions like severe ascites or gastroparesis. It's not for those with non-survivable injuries/diseases or expected to live less than 30 days.Check my eligibility
What is being tested?
The study tests if doing a tracheostomy (breathing tube) and gastrostomy (feeding tube) together improves outcomes. Patients will all get a tracheostomy but will be randomly assigned different FDA-approved methods of gastrostomy to see if this combo reduces ICU stay time.See study design
What are the potential side effects?
Possible side effects include infection risks at the insertion sites, complications from anesthesia during procedures such as apnea or loss of positive pressure ventilation, bleeding due to coagulopathy issues, and potential difficulties related to specific anatomies.
TPUG Trial Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am a woman who can have children and my pregnancy test was negative.
Select...
I need a feeding tube placed using a method approved by the FDA.
Select...
I need a tracheostomy with an FDA-approved device.
Select...
I am 18 years old or older.
Select...
I rely on a ventilator to breathe due to respiratory failure.
Select...
I can safely undergo procedures like tracheostomy or gastrostomy at my bedside.
TPUG Trial Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ hospital discharge - through study completion, an average of 45 days
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~hospital discharge - through study completion, an average of 45 days
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Length of stay in ICU
Secondary outcome measures
Demographics
Length of hospital stay
TPUG Trial Design
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Intervention Group (TPUG)Experimental Treatment1 Intervention
The intervention group will receive concomitant percutaneous bedside tracheostomy and PUG.
Group II: Control GroupPlacebo Group2 Interventions
The control group will receive percutaneous bedside tracheostomy along with gastrostomy methods other than PUG, including but not limited to Percutaneous Endoscopic or Radiologic Gastrostomy (PEG or PRG, respectively), or surgical gastrostomy.
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Who is running the clinical trial?
University of Maryland, BaltimoreLead Sponsor
687 Previous Clinical Trials
374,446 Total Patients Enrolled
Dana Beach, RNStudy ChairUniversity of Maryland, Baltimore
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My doctor expects I have less than 30 days to live due to my condition.I am a woman who can have children and my pregnancy test was negative.I have severe lung problems that make it hard for me to breathe without help.I need a feeding tube placed using a method approved by the FDA.I have an infection in my abdomen where a surgery is planned.I have severe fluid buildup in my abdomen.I have been in the hospital for more than 21 days.I have a bleeding disorder that is not under control.I cannot have a tracheostomy due to specific health risks.My doctor has concerns about the safety of a procedure for me.I need a tracheostomy with an FDA-approved device.I have a blockage in the stomach that prevents food from leaving.I am 18 years old or older.I rely on a ventilator to breathe due to respiratory failure.I cannot have procedures done through the skin to feed into my stomach.I have a physical condition that makes certain medical procedures difficult.You have an infection where the doctor plans to put something in your body.The patient's caregivers and family do not agree on the treatment goals.I can safely undergo procedures like tracheostomy or gastrostomy at my bedside.I have severe stomach paralysis.My neck is unstable.My doctors have concerns about me having a specific throat procedure.I have a history of surgeries or abnormalities in my head, neck, or gastrointestinal system.
Research Study Groups:
This trial has the following groups:- Group 1: Control Group
- Group 2: Intervention Group (TPUG)
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Are there still vacancies available for participants in this examination?
"According to clinicaltrials.gov, this trial has concluded recruitment for participants and is no longer seeking volunteers. The study was initially posted on August 1st 2023 and last updated July 12th of the same year. However 193 other trials are presently accepting new patients into their program."
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