[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100587711":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":28,"locations":37,"responsibleParty":55,"collaborators":58,"id":100,"slug":18,"hasResults":101,"nctId":102,"briefTitle":103,"officialTitle":104,"acronym":105,"eligibilityCriteria":106,"healthyVolunteers":101,"sex":107,"minAge":108,"maxAge":18,"enrollmentInfo":109,"targetDuration":18,"studyType":112,"phases":113,"briefSummary":115,"conditions":116,"keywords":18,"overallStatus":40,"whyStopped":18,"lastUpdateSubmitDate":118,"lastUpdatePostDateStruct":119,"startDateStruct":122,"completionDateStruct":124,"leadSponsor":126,"locationsCount":127},{"fullName":5,"class":6},"Universitätsklinikum Hamburg-Eppendorf","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Awake prone positioning","ACTIVE_COMPARATOR","The clinical intervention in the Intervention Group is Awake Prone Positioning, a standard therapy in intensive care units worldwide in ARDS care. The intervention should not be started later than 24 hours after randomization. An earlier start, as soon as possible, after randomization is strongly recommended. In patients in the intervention group standard Awake Prone Positioning for at least 10 hours\u002Fday for a length of 72 hours should be applied. The reach the targeted 10 hours \u002F day (per 24 hours), it is strongly recommended to use blocks of a longer time period (e.g. multiple 3-5 hours blocks) within the 24h period to reach the anticipated APP goal. It is recommended that the APP therapy within the targeted intervention for 10 hours\u002Fday (per 24 h period) is not interrupted for more than 2 hours till reaching the goal of 10 hours\u002Fday (per 24h). It is further strongly recommended that one APP session should last at least 3 hours. (...) For more information please see the protocol.",[13],"Other: Awake Prone Positioning",{"label":15,"type":16,"description":17,"interventionNames":18},"Standard supine\u002Fsemi-recumbent positioning","NO_INTERVENTION","Patients randomized to the control arm will receive standard positioning at the discretion of the treating team but excluding APP. Control group patients will remain in their natural choice of position, which is anticipated to favour a supine, semi-recumbent position. The use of awake prone positioning as a so-called rescue intervention is discouraged in the control group and recorded as a protocol violation.\n\nIf patients have to be tracheal intubated and mechanically ventilated treatment should follow current ARDS guidelines. This includes PP in patients with mild to severe ARDS if PaO2\u002FFiO2 is below 150 mmHg.",null,[20],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":18},"Awake Prone Positioning","The clinical intervention in the Intervention Group is Awake Prone Positioning, a standard therapy in intensive care units worldwide in ARDS care. The intervention should not be started later than 24 hours after randomization. An earlier start, as soon as possible, after randomization is strongly recommended. In patients in the intervention group standard Awake Prone Positioning for at least 10 hours\u002Fday for a length of 72 hours should be applied. The reach the targeted 10 hours \u002F day (per 24 hours), it is strongly recommended to use blocks of a longer time period (e.g. multiple 3-5 hours blocks) within the 24h period to reach the anticipated APP goal. It is recommended that the APP therapy within the targeted intervention for 10 hours\u002Fday (per 24 h period) is not interrupted for more than 2 hours till reaching the goal of 10 hours \u002F day (per 24 h). It is further strongly recommended that one APP session should last at least 3 hours. (...) For more information please see the protol.",[9],[25],{"name":26,"affiliation":5,"role":27},"Stefan Kluge, MD","PRINCIPAL_INVESTIGATOR",[29,34],{"name":30,"role":31,"phone":32,"phoneExt":18,"email":33},"Kevin Roedl, MD","CONTACT","+49 40 7410 35315","k.roedl@uke.de",{"name":35,"role":31,"phone":32,"phoneExt":18,"email":36},"Dominik Jarczak, MD","d.jarczak@uke.de",[38],{"facility":39,"status":40,"city":41,"state":42,"zip":43,"country":44,"countryCode":45,"cosmosGeoPoint":46,"geoPoint":51,"contacts":52},"University Medical Center Hamburg-Eppendorf","RECRUITING","Hamburg","Free and Hanseatic City of Hamburg","20246","Germany","DE",{"type":47,"coordinates":48},"Point",[49,50],9.99302,53.55073,{"lat":50,"lon":49},[53,54],{"name":30,"role":31,"phone":32,"phoneExt":18,"email":33},{"name":35,"role":31,"phone":32,"phoneExt":18,"email":36},{"type":27,"investigatorFullName":56,"investigatorTitle":57,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"Stefan Kluge","MD",[59,61,63,65,67,70,72,74,76,78,80,82,84,86,88,90,92,94,96,98],{"name":60,"class":6},"Charite University, Berlin, Germany",{"name":62,"class":6},"Asklepios Kliniken Hamburg GmbH",{"name":64,"class":6},"University Hospital Tuebingen",{"name":66,"class":6},"University Hospital Heidelberg",{"name":68,"class":69},"Klinikum Würzburg Mitte gGmbH, Missioklinik","UNKNOWN",{"name":71,"class":69},"Elisabeth-Krankenhaus Essen",{"name":73,"class":6},"Hannover Medical School",{"name":75,"class":69},"Universitätsklinikum Freiburg",{"name":77,"class":6},"Krankenhaus Barmherzige Brüder, Regensburg",{"name":79,"class":6},"Technical University of Munich",{"name":81,"class":6},"Klinikum Nürnberg",{"name":83,"class":6},"RWTH Aachen University",{"name":85,"class":6},"Lung Clinic Hemer",{"name":87,"class":6},"University of Leipzig",{"name":89,"class":6},"Wuerzburg University Hospital",{"name":91,"class":6},"University Hospital Erlangen",{"name":93,"class":6},"University Hospital Schleswig-Holstein",{"name":95,"class":6},"Klinikum Hanover-Siloah Hospital",{"name":97,"class":6},"Ludwig-Maximilians - University of Munich",{"name":99,"class":6},"Bielefeld University","100587711",false,"NCT06931938","Awake Prone Positioning in Spontaneous Breathing Patients With Acute Hypoxic Respiratory Failure Due to Pneumonia","Awake PROne Positioning in PatientS With Acute Hypoxemic Respiratory Failure in Germany - A Randomized Controlled Study","PROSA","Inclusion Criteria:\n\n* The focus of this trial is to treat patients with respiratory failure. The inclusion criteria are selected accordingly. Patients meeting all of the criteria listed below will be included in the study:\n\n  * Patients in the intensive care unit\n  * High possibility of Pneumonia (community-acquired pneumonia or hospital-acquired pneumo-nia) either diagnosed by chest x-ray or computed tomography or clinically diagnosed at least with one of the following signs\n\n    * Appearance of purulent secretions or changes in characteristics (color, odor, quantity, consistency)\n    * Cough or dyspnea or tachypnea\n    * Evocative auscultation\n  * Presence of acute hypoxemic respiratory failure (PaO2\u002FFIO2 ≤ 300 mmHg or SpO2\u002FFiO2 ≤ 315)\n\nExclusion Criteria:\n\n* Patients are excluded from the study if any of the following criteria are met at screening or before ran-domization, a detailed list is shown in the study manual:\n\n  * Age below 18\n  * Pregnant woman\n  * Patient is unlikely\u002Funable to awake prone positioning, or to be compliant as indicated by the treating team\n  * Prolonged need (≥ 4 days) for HFNO, NIV or CPAP before study inclusion\n  * Urgent need for endotracheal intubation\n  * Invasive Mechanical Ventilation\n  * Shock\n\n    o Defined as need for vasopressor ≥ 0.4 mcg\u002Fkg\u002Fmin to maintain a mean blood pressure of ≥ 65 mmHg or systolic blood pressure ≥ 90 mmHg\n  * Participation in another clinical interventional trial in the last 3 months\n  * Previous Participation in the PROSA Trial\n  * Long-term oxygenation therapy (LTOT) or continuous positive airway pressure (CPAP) therapy before hospital admission\n  * Treatment","ALL","18 Years",{"count":110,"type":111},342,"ESTIMATED","INTERVENTIONAL",[114],"NA","Prone positioning has shown beneficial effects in intubated patients with severe respiratory failure and positive effects in awake patients with COVID-19 pneumonia. Conclusive evidence for patients with AHRF without COVID-19 is still missing. The investigators hypothesis that awake prone position in patients with AHRF is superior to standard supine\u002Fsemi-recumbent position in terms of reducing the rate of tracheal intubation and\u002For all-cause death within 28 days after randomization.",[117],"Acute Hypoxemic Respiratory Failure","2026-04-28",{"date":120,"type":121},"2026-05-04","ACTUAL",{"date":123,"type":121},"2025-04-11",{"date":125,"type":111},"2027-06-30",{"name":5,"class":6},1]