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RecruitingNCT07065565NOVA-01Updated Nov 9, 2026

Tubeless Tracheal and Carinal Reconstruction

An interventional study of non-intubated tracheal and carinal reconstruction and intubated tracheal and carinal reconstruction in Tracheal Disease and Airway Disease, sponsored by Shuben Li. Recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Shuben Li · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Mar 2025, registered Jul 2025).
  • Started Mar 2025; still recruiting 1 year 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
176
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

In recent year, non-intubated anesthesia had emerged as an available alternative for thoracic procedure. Whether non-intubated tracheal/carinal reconstruction confers distinct perioperative advantages over the conventional intubated approach remains uncertain. The purpose of this study was to evaluate the safety and perioperative outcomes of non-intubated versus intubated approaches in tracheal and carinal reconstruction.

Read the detailed description

Tracheal/carinal resection and reconstruction remains a technically demanding procedure with high risks of morbidity and mortality. Traditionally, tracheal surgery is performed under intubated anesthesia, with intermittent endotracheal ventilation to maintain oxygenation during airway reconstruction. However, endotracheal intubation with cross-field ventilation obstructs the surgical field and potentially complicating the reconstruction procedure. Non-intubated anesthesia have has gained widespread adoption for modern thoracic surgery. However, the safety and feasibility of non-intubated tracheal and carinal reconstruction have not been studied by randomized controlled trial. So, this randomized controlled trial aims to evaluate whether the non-intubated approach offers comparable short-term and long-term outcomes to the conventional intubated procedure.

02

Conditions studied

  • Tracheal Disease
  • Airway Disease

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Keywords

  • non-intubated anesthesia
  • airway disease
  • tracheal reconstruction
  • carinal reconstruction
03

In context

Tracheal Diseases

33 studies on the registry are indexed under Tracheal Diseases; 7 are open to participants now.

This study's planned enrollment of 176 is above the median of 34 across 22 interventional studies indexed under Tracheal Diseases.

Browse Tracheal Diseases studies →

Lead sponsor

Shuben Li is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Airway diseases were diagnosed by chest enhanced CT and bronchoscopy
  2. The patients with age ≥ 18 and ≤ 80 years old
  3. ASA () stage: I-III
  4. sign the . -

Exclusion criteria

Exclusion Criteria:

  1. The patients have proved history of congestive heart failure, angina without good control with medicine; -proved penetrating myocardial infarction; hypertension with bad control; valvulopathy with clinical significance; arrhythmia with high risk and out of control
  2. The patients have severe systematic intercurrent disease, such as active infection or poorly controlled diabetes; coagulation disorders; hemorrhagic tendency or under treatment of thrombolysis or anticoagulant therapy
  3. Airway anatomical abnormalities due to a history of surgery
  4. Patients present with other
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
176 participants (estimated)

Study arms

  • Experimental
    Non-intubated group

    Surgical procedure: non-intubated tracheal and carinal reconstruction

    Procedure: non-intubated tracheal and carinal reconstruction

  • Active comparator
    Intubated group

    Surgical procedure: intubated tracheal and carinal reconstruction

    Procedure: intubated tracheal and carinal reconstruction

Interventions

  • Procedurenon-intubated tracheal and carinal reconstruction

    non-intubated tracheal and carinal reconstruction

  • Procedureintubated tracheal and carinal reconstruction

    intubated tracheal and carinal reconstruction

06

What researchers measure

Primary outcomes

  1. Conversion rate

    The rate of conversion to intubated approach in the operation

    Time frame: postoperative in-hospital stay up to 30 days

  2. Postoperative complications rate

    Number and severity of adverse events that are related to the treatment of each patient. Postoperative treatment-related complications were assessed by the Clavien-Dindo Classification. Treatment-related adverse events as assessed by CTCAE v5.0.

    Time frame: postoperative in-hospital stay up to 30 days

Secondary outcomes

  1. Operative time

    Operative time was defined as the time between the start of the surgery (incision) and the finish of surgery (closure of the skin).

    Time frame: postoperative in-hospital stay up to 30 days

  2. Length of stay (LOS)

    Length of stay is the duration for enrolled patients until the date of meeting the criteria of hospital discharge since the date of surgery.

    Time frame: postoperative in-hospital stay up to 30 days

  3. Postoperative ICU stay

    Postoperative hospital stay is the duration for each patients until the date of meeting the criteria of ICU discharge since the date of surgery.

    Time frame: postoperative in-hospital stay up to 30 days

  4. Intraoperative bleeding loss

    blood loss in the operation

    Time frame: postoperative in-hospital stay up to 30 days

  5. Length of resection

    Length of resection in the operation

    Time frame: postoperative in-hospital stay up to 30 days

  6. Reconstruction time

    Reconstruction time was defined as the time between the start of resection (tracheal) and the finish of reconstruction (tracheal).

    Time frame: postoperative in-hospital stay up to 30 days

  7. Volume of postoperative drainage

    The volume of postoperative drainage of the patient was the sum of his daily drainage volume after the surgery.

    Time frame: postoperative in-hospital stay up to 30 days

  8. 1-year disease-free survival (DFS)

    DFS at 1 year after surgery

    Time frame: 1 year after surgery

  9. 1-year overall survival(OS)

    OS after surgery

    Time frame: 1 year after surgery

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Mar 2025 (actual). Primary completion is estimated for May 2028, 37 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 4, 2025
First posted
Jul 15, 2025
StartActual
Mar 26, 2025
Primary completionEst.
May 1, 2028
CompletionEst.
Aug 31, 2028
Last update
Nov 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07065565
Lead sponsor
Shuben Li
Responsible party
Shuben Li (Deputy Director, The First Affiliated Hospital of Guangzhou Medical University) — Sponsor-investigator
First posted
Jul 15, 2025
Start date
Mar 26, 2025
Primary completion
May 1, 2028 (estimated)
Completion
Aug 31, 2028 (estimated)
Last update
Nov 9, 2026

Study contacts

Shuben Li
Contact
13500030280@163.com
86+(020) 8306 2114

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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