CClinicalTrials.gg
CompletedNCT03021824SAGEUpdated Jan 28, 2020

Severe ARDS: Generating Evidence

An observational study in Acute Respiratory Distress Syndrome, Acute Respiratory Failure With Hypoxia and Acute Respiratory Failure, sponsored by Montefiore Medical Center. Completed at 28 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-01-28.

Sponsored by Montefiore Medical Center · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
2,400
Ages
18 Years and older
Sex
All
01

Study summary

An assessment of early management of moderate-severe ARDS in the United States, including ventilator management and use of rescue therapy.

Read the detailed description

Approximately one-quarter of ARDS patients develop severe hypoxemia, which has been associated with mortality rates approximating 40-50%. The majority have been described to present with severe disease at baseline, suggesting an opportunity for early intervention. In addition, use of evidence-based practices in severe ARDS is highly variable and inconsistent; use of unproven treatment modalities is also frequently seen. Given the variability in treatment practices in severe ARDS, an understanding of the patient-level and institutional-level factors contributing to differences in therapeutic approach is needed in order to improve the quality and consistency of care given to these high-risk patients. SAGE is a multicenter, observational cohort study examining the patient-level and institutional characteristics associated with variability in management of patients with moderate to severe ARDS, factors associated with survival or need for adjuvant therapy, and variability in ventilator management of patients on extracorporeal membrane oxygenation. Findings from this observational study can subsequently be used to inform future interventional trial development.

02

Conditions studied

  • Acute Respiratory Distress Syndrome
  • Acute Respiratory Failure With Hypoxia
  • Acute Respiratory Failure

Keywords

  • Acute Respiratory Distress Syndrome
  • ARDS
  • Acute Lung Injury
  • ALI
  • Mechanical Ventilation
  • Extracorporeal Membrane Oxygenation
  • Neuromuscular Blockade
  • Vasodilator Agents
  • Prone Position
  • ECMO
  • Acute Respiratory Failure
03

In context

Respiratory Distress Syndrome

1,597 studies on the registry are indexed under Respiratory Distress Syndrome; 312 are open to participants now.

This study's enrollment of 2,400 is above the median of 100 across 540 observational studies indexed under Respiratory Distress Syndrome.

Browse Respiratory Distress Syndrome studies →

Lead sponsor

Montefiore Medical Center is the lead sponsor of 402 studies on the registry; 70 are open to participants now.

Of its 81 completed or terminated interventional studies of FDA-regulated products, 73 (90%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

All adults admitted to participating ICUs with study-defined moderate-to-severe ARDS.

Inclusion criteria

  1. Age > 18 years
  2. Patients with acute respiratory failure requiring invasive mechanical ventilation via an endotracheal tube or tracheostomy with current or planned admission to the ICU
  3. Moderate-severe ARDS as defined by fulfillment of all of the following within 48 hours:

    1. Bilateral opacities detected on chest radiograph or CT, not fully explained by effusions, lung collapse, or nodules
    2. Respiratory failure not fully explained by cardiac failure or fluid overload
    3. PaO2/FiO2 ratio \< 150 with a minimum of 5 cmH20 PEEP

Exclusion criteria

Exclusion Criteria:

There are no exclusion criteria.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
2,400 participants (actual)
Patient registry
No

Groups and cohorts

  • Moderate-Severe ARDS

    All adults admitted to participating ICUs with study-defined moderate-to-severe ARDS.

06

What researchers measure

Primary outcomes

  1. Hospital Mortality

    Time frame: 28 Days

  2. Use of Adjunctive Therapy

    Time frame: 28 Days

Secondary outcomes

  1. Ventilator-Free Days

    Time frame: 28 Days

  2. ICU-Free Days

    Time frame: 28 Days

  3. Organ Failure

    Time frame: 7 Days

07

Study locations

28 sites
  • University of Arizona
    Tucson, Arizona 85721, United States
  • Los Angeles County + University of Southern California Medical Center
    Los Angeles, California 90033, United States
  • University of California, Los Angeles
    Los Angeles, California 90095, United States
  • Mayo Clinic
    Jacksonville, Florida 32224, United States
  • Emory University
    Atlanta, Georgia 30322, United States
  • University of Kentucky Medical Center
    Lexington, Kentucky 40536, United States
  • Saint Agnes Hospital
    Baltimore, Maryland 21229, United States
  • Johns Hopkins University
    Baltimore, Maryland 21287, United States
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • Baystate Medical Center
    Springfield, Massachusetts 01199, United States
  • University of Michigan Medical Center
    Ann Arbor, Michigan 48109, United States
  • Saint Joseph Mercy Ann Arbor
    Ypsilanti, Michigan 48197, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Regions Hospital
    Saint Paul, Minnesota 55101, United States
  • Montefiore Medical Center
    Bronx, New York 10467, United States
  • Northwell Health
    Manhasset, New York 11030, United States
  • Columbia University Medical Center
    New York, New York 10032, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • East Carolina University
    Greenville, North Carolina 27834, United States
  • University of Cincinnati Medical Center
    Cincinnati, Ohio 45219, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • Ohio State University Medical Center
    Columbus, Ohio 43210, United States
  • Oregan Health and Science University Hospital
    Portland, Oregon 97239, United States
  • Temple University Hospital
    Philadelphia, Pennsylvania 19140, United States
  • Intermountain Medical Center
    Murray, Utah 84107, United States
  • University of Utah Hospital
    Salt Lake City, Utah 84132, United States
  • Harborview Medical Center
    Seattle, Washington 98104, United States
08

References and documents

Publications

  • Qadir N, Bartz RR, Cooter ML, Hough CL, Lanspa MJ, Banner-Goodspeed VM, Chen JT, Giovanni S, Gomaa D, Sjoding MW, Hajizadeh N, Komisarow J, Duggal A, Khanna AK, Kashyap R, Khan A, Chang SY, Tonna JE, Anderson HL 3rd, Liebler JM, Mosier JM, Morris PE, Genthon A, Louh IK, Tidswell M, Stephens RS, Esper AM, Dries DJ, Martinez A, Schreyer KE, Bender W, Tiwari A, Guru PK, Hanna S, Gong MN, Park PK; Severe ARDS: Generating Evidence (SAGE) Study Investigators; Society of Critical Care Medicine's Discovery Network. Variation in Early Management Practices in Moderate-to-Severe ARDS in the United States: The Severe ARDS: Generating Evidence Study. Chest. 2021 Oct;160(4):1304-1315. doi: 10.1016/j.chest.2021.05.047. Epub 2021 Jun 4. PubMed 34089739 ↗

Individual participant data

Plan to share: Yes

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 28, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03021824
Lead sponsor
Montefiore Medical Center
Collaborators
University of Michigan, Duke University, University of California, Los Angeles
Responsible party
Sponsor
First posted
Jan 16, 2017
Start date
Oct 1, 2016
Primary completion
Apr 30, 2017
Completion
Apr 30, 2017
Last update
Jan 28, 2020

Study contacts

Nida Qadir, MD
principal investigator · Montefiore Medical Center
Pauline Park, MD
principal investigator · University of Michigan
Raquel Bartz, MD
principal investigator · Duke University
Michelle N Gong, MD
principal investigator · Montefiore Medical Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2019. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion