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Difficult Mechanical Ventilation WeaningEasy WeanNCT06926231

Non-medicinal Technique and Dyspnea in Weaning Patients

A study testing Protocolized medical hypnosis in people with Difficult Mechanical Ventilation Weaning and Spontaneous Breathing Trial, run by Hospices Civils de Lyon at 5 sites in France.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This is a randomized, controlled, multicenter, open-label, category 2, parallel-arm study of efficacy and superiority. The target population are patients hospitalized in the intensive care unit (ICU), ventilated with invasive mechanical ventilation for 24 hours or more and having failed a spontaneous breathing trial… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Protocolized medical hypnosis
Could I receive a placebo?
No, everyone receives an active treatment
How many people
82 participants
Where
5 sitesFrance
Study dates
1 Jun 2025to 1 Jun 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult patient
  • hospitalized in the intensive care unit
  • receiving invasive mechanical ventilation for 24 hours or more.
  • who has failed at least one spontaneous breathing trial

Who cannot join

  • Patient already intubated during current ICU stay (including transfer from another ICU unit), with successful extubation during stay.
  • Tracheostomized patient or patient with a short-term tracheostomy project.
  • Patients with chronic neuromuscular pathologies (myopathy, amyotrophic lateral sclerosis, multi-system atrophy, non-exhaustive list).
  • Patient no longer eligible for SBT at time of inclusion (hemodynamic, neurological or respiratory criterion)
  • Psychiatric pathology identified in the medical record, diagnosed by a psychiatrist and for which medication is prescribed (bipolar disorder, schizophrenia, anxiety-depressive disorder, non-exhaustive list).
  • Recent brain injury, within < 3 months (stroke, cardiopulmonary arrest with neurological prognosis, non-exhaustive list) objectivated by medical imagery.
Show all 20Show fewer
  • Cognitive impairment or delirium associated with resuscitation, identified by a positive CAM-ICU (Confusion Assessment Method for the Intensive Care Unit) test (dynamic parameter).
  • Ocular Glasgow score lower than 4/4 and motor response lower than response to simple commands.
  • Delirium tremens with Cushman score > 7 (dynamic parameter).
  • Language barrier, patient who does not use French in everyday life.
  • Deaf or hearing-impaired patients.
  • Re-sedated patient following the failed SBT the day before inclusion.
  • Pregnant, parturient or breastfeeding women, objectified by a negative pregnancy test in women of childbearing age.
  • Patient for whom a limitation of therapeutics has been decided, including the absence of a re-intubation project.
  • Patient whose consent cannot be obtained (directly or in front of a relative or witness).
  • Patient already included in the same study or in another study sharing the same primary outcome.
  • Patient deprived of liberty by judicial or administrative decision.
  • Patient of legal age under legal protection (guardianship, curators).
  • Patient not affiliated to a social security system or beneficiary of a similar system.
  • Patient participating in another interventional research study with an exclusion period still in effect at pre-inclusion.

Trial locations and contacts

5 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Christelle TOMBALIAN contact

+ 33 4 26 10 92 65

ghn.easywean@chu-lyon.fr

5 sites in 1 country

France5 sites
  • Hôpital de Fleyriat - Centre hospitalier de Bourg-en-Bresse - Réanimation Soins continus

    Bourg-en-Bresse, 01012

    Caroline REVOL, Registered Nurse, + 33 474454230, crevol@ch-bourg01.fr

  • CHU Clermont Ferrand - Hôpital Gabriel Montpied - Médecine Intensive Réanimation

    Clermont-Ferrand, 6300

    Edouard DUGAT, Medical doctor, +33 4 73 75 18 57, edugat@chu-clermontferrand.fr

  • CHU Grenoble Alpes - Hôpital Michallon - Médecine Intensive Réanimation

    La Tronche, 38700

    Prescillia GAMON, Registered Nurse, +33 4 76 76 71 09, pgamon@chu-grenoble.fr

  • Hospices Civils de Lyon - Hôpital de la Croix Rousse - Médecine Intensive Réanimation

    Lyon, 69004

    Christelle TOMBALIAN, Registered Nurse, + 33 4 26 10 92 65, ghn.easywean@chu-lyon.fr

  • Hospices Civils de Lyon - Hôpital Lyon Sud - Réanimation Polyvalente

    Pierre-Bénite, 69495

    Anaelle CAILLET, Registered Nurse, anaelle.caillet@chu-lyon.fr

Other trials in France

About this study

Official title: Impact of a Non-medicinal Technique Medical Hypnosis on Perceived Dyspnea in Difficult Ventilatory Weaning Patients: a Multicenter Randomized Controlled Trial.

This is a randomized, controlled, multicenter, open-label, category 2, parallel-arm study of efficacy and superiority.

The target population are patients hospitalized in the intensive care unit (ICU), ventilated with invasive mechanical ventilation for 24 hours or more and having failed a spontaneous breathing trial (SBT, i.e. weaning test of invasive mechanical ventilation [IMV]).

Read more

The primary objective is to evaluate the efficacy of medical hypnosis in reducing dyspnea experienced before the SBT in patients identified as difficult to wean in the ICU, compared with the protocolized standard of care.

The primary outcome is the mean value of the daily visual analog scale (VAS) of dyspnea, self-assessed by the patient, measured immediately after the hypnosis session (before SBT) from Day-0 to Day-7 or until extubation. In the control group, the daily value (from D0 to D7 or extubation) of the self-assessed dyspnea VAS will be measured immediately before SBT.

The protocol will be divided into two arms: a control arm in which standard of care practices regarding the daily SBT will be protocolized, and an interventional arm in which patients will receive protocolized medical hypnosis before the daily SBT in addition to the protocolized standard of care. The intervention (hypnosis or control) will be performed daily for 7 days (or until extubation, if applicable). The primary outcome will be assessed daily over the same period.

Being tested
Protocolized medical hypnosis, Protocolized standard of care
Keywords
difficult mechanical ventilation weaning, dyspnea, mechanical ventilation, spontaneous breathing trial, hypnosis
Medical subject headings
Dyspnea

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Protocolized medical hypnosisBehavioural

    Patients who will receive protocolized medical hypnosis before the SBT every day between inclusion and day 7. Medical hypnosis sessions will consist in the administration of a 5-min hypnotic text by a loudspeaker installed in the ICU room, after selection of a hypnotic theme (sea, mountain or animals) by the participant. The hypnosis session will involve an induction phase, a suggestion phase and an emergence phase, along with self-hypnosis tips. The hypnosis session will immediately precede the SBT (<2h). The intervention is administered before the SBT daily from the randomization to day 7 or until extubation.

  • Protocolized standard of careBehavioural

    The protocolized standard of care will consist in the description of authorized human/behavioral patient-nurse interactions and patient installation prior to the daily SBT.

Study groups in NCT06926231
Study groupRoleWhat they receive
Medical hypnosisExperimentalPatients who will receive protocolized medical hypnosis before the SBT every day between inclusion and day-7. Medical hypnosis sessions will consist in the administration of a 5-min hypnotic text by a loudspeaker installed in the ICU room, after selection of a hypnotic theme (sea, mountain or animals) by the participant. The hypnosis session will involve an induction phase, a suggestion phase and an emergence phase, along with self-hypnosis tips. The hypnosis session will immediately precede the SBT (<2h). The intervention is administered before the SBT daily from the randomization to day 7 or until extubation.
Receives: Behavioral: Protocolized medical hypnosis
Standard of careActive comparatorPatients who will receive protocolized standard of care (without medical hypnosis) before the SBT, every day between inclusion and day 7.
Receives: Behavioral: Protocolized standard of care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean value of self-reported daily visual analog scale of dyspnea after the intervention or the control strategy

    Mean value of self-reported daily visual analog scale (VAS) of dyspnea, measured immediately after the hypnosis session (before SBT) from day 0 to day 7 or until extubation. In the control group, the daily value (from day 0 to day 7 or extubation) of self-reported VAS of dyspnea will be measured immediately before SBT. The outcome measure consists in the mean value of the daily measures collected during this period.

    Measured: Immediately after the hypnosis session (before SBT) from day 0 to day 7 or until extubation. In the control group, the daily value (from day 0 to day 7 or extubation) of self-reported VAS of dyspnea will be measured immediately before SBT.

Secondary outcomes (14)
  1. Mean MV-RDOS score (Mechanical Ventilation-Respiratory Distress Observation Scale) after the intervention or the control strategy

    The outcome is a scale evaluating respiratory distress assessed by the treating team, as a reliable surrogate of self-reported dyspnea in non-communicative intubated patients The minimum and maximum values are 0 and 16. An RDOS score of less than 3 indicates respiratory comfort; An RDOS score greater than or equal to 3 signifies respiratory distress and need for palliation Higher RDOS scores signify a worsening condition The outcome measure consists in the mean value of the daily measures collected during this period.

    Measured: Immediately after the hypnosis session (before SBT) from day 0 to day 7 or until extubation. In the control group, the daily value (from day 0 to day 7 or extubation) of MV-RDOS will be measured immediately before SBT.

  2. Mean VAS of dyspnea at the end of the SBT

    Mean value of self-reported daily visual analog scale (VAS) of dyspnea, measured immediately after the hypnosis session (before SBT) from day 0 to day 7 or until extubation. In the control group, the daily value (from day 0 to day 7 or extubation) of self-reported VAS of dyspnea will be measured immediately before SBT.

    The SBT protocol lasts 30 minutes at the end of which the dyspnea VAS will be evaluated.

    The outcome measure consists in the mean value of the daily measures collected during this period.

    Measured: Immediately at the end of the daily protocolized SBT, which is performed every day from day 0 to day 7 or until extubation in all patients. Measured daily at the end of the SBT, from day 0 to day 7 or until extubation. Up to 28 days

  3. Mean MV-RDOS at the end of SBT

    The outcome is a scale evaluating respiratory distress assessed by the treating team, as a reliable surrogate of self-reported dyspnea in non-communicative intubated patients The minimum and maximum values are 0 and 16. An RDOS score of less than 3 indicates respiratory comfort; An RDOS score greater than or equal to 3 signifies respiratory distress and need for palliation Higher RDOS scores signify a worsening condition The SBT protocol lasts 30 minutes at the end of which the MV-RDOS will be evaluated.

    The outcome measure consists in the mean value of the daily measures collected during this period.

    Measured: Immediately at the end of the daily protocolized SBT, which is performed every day from day 0 to day 7 or until extubation in all patients.

  4. Mean VAS of anxiety at the end of SBT

    Mean value of self-reported daily visual analog scale (VAS) of anxiety, measured immediately after the hypnosis session (before SBT) from day 0 to day 7 or until extubation. In the control group, the daily value (from day 0 to day 7 or extubation) of self-reported VAS of anxiety will be measured immediately before SBT.

    The SBT protocol lasts 30 minutes at the end of which the anxiety VAS will be evaluated. The outcome measure consists in the mean value of the daily measures collected during this period.

    Measured: Immediately at the end of the daily protocolized SBT, which is performed every day from day 0 to day 7 or until extubation in all patients.

  5. Mean VAS of pain at the end of SBT

    Mean value of self-reported daily visual analog scale (VAS) of pain, measured immediately after the hypnosis session (before SBT) from day 0 to day 7 or until extubation. In the control group, the daily value (from day 0 to day 7 or extubation) of self-reported VAS of pain will be measured immediately before SBT.

    The SBT protocol lasts 30 minutes at the end of which the pain VAS will be evaluated.

    Measured: Immediately at the end of the daily protocolized SBT, which is performed every day from Day 0 to Day 7 or until extubation in all patients. The outcome measure consists in the mean value of the daily measures collected during this period.

  6. Respiratory physiology

    Respiratory rate (in bpm, beats per minute) and O2 percutaneous saturation (in %)

    Measured: Value of respiratory rate and SpO2, measured immediately at the beginning of the SBT, and worst value observed during the daily SBT, between inclusion and day 7 or extubation

  7. Hemodynamic status

    Heart rate (in bpm) and mean arterial pressure (in mmHg / millimetre of mercury)

    Measured: Value of heart rate and mean arterial pressure, measured immediately at the beginning of the SBT, and worst value observed during the daily SBT, between inclusion and day 7 or extubation

  8. Quality of applied intervention and control strategies

    Rate of medical hypnosis sessions and standard of care sessions in each group achieving predefined quality criteria. Predefined quality criteria are: interruption, quality of the interaction, duration of the intervention, impossibility to apply the strategy, adverse event

    Measured: Up to Day 7

  9. Feasibility: enrolment

    Number of subjects included divided by total number of eligible subjects

    Measured: At the end of the study recruitment.

  10. Feasibility: hypnosis training

    Number of hypnosis training sessions for paramedics of participating centers actually carried out in participating centers during the study.

    Measured: At the end of the recruitment.

  11. Safety: neurological impact of strategies

    Highest value of the Richmond Agitation Sedation Scale (-5 to +4) observed daily during the hypnosis session or control intervention.

    Measured: The RASS value will be assessed continuously during the duration of the intervention in Gp1 or during the protocolized observation period in Gp2, and its highest value will be reported. It will be reported daily in each group, between inclusion and D7.

  12. Invasive mechanical ventilation weaning

    Ventilator free days (VFD) : number of days alive without invasive mechanical ventilation, between the date of last successful extubation and day 28. A score of 0 is allocated in case of death between inclusion and day 28.

    Measured: Measured at day 28

  13. Reintubation

    Rate of reintubation within 7 days of extubation, until day 28.

    Measured: Measured at day 28

  14. ICU length of stay

    Number of days between randomization and ICU discharge.

    Measured: through study completion, up to 28 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Apr 2025
  2. Study start1 Jun 2025 (estimated)
  3. Primary completion1 Jun 2027 (estimated)
  4. Study completion1 Jun 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
82 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06926231
Sponsor's protocol ID
69HCL24_0209
Other IDs
ID-RCB
Acronym
Easy Wean
Status last verified
Apr 2025
First submitted
19 Mar 2025
Last updated
23 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Protocolized medical hypnosis in people with Difficult Mechanical Ventilation Weaning and Spontaneous Breathing Trial, run by Hospices Civils de Lyon at 5 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 23 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Christelle TOMBALIAN (+ 33 4 26 10 92 65, ghn.easywean@chu-lyon.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean value of self-reported daily visual analog scale of dyspnea after the intervention or the control strategy (time frame: Immediately after the hypnosis session (before SBT) from day 0 to day 7 or until extubation. In the control group, the daily value (from day 0 to day 7 or extubation) of self-reported VAS of dyspnea will be measured immediately before SBT.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 May 2025.

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