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Not yet recruitingNCT07240649Updated Sep 9, 2026

Emerging Indications for Hyperbaric Oxygen Treatment

A Phase 4 interventional study of Hyperbaric oxygen treatment (HBOT) and 100% Oxygen in Post-COVID-19 Condition, Ulcerative Colitis and Crohn Disease, sponsored by Jay C. Buckey Jr.. Not yet recruiting. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Jay C. Buckey Jr. · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Sex
All
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Study summary

This study will evaluate the effectiveness of hyperbaric oxygen therapy (HBOT) on treating emerging indications (i.e., conditions that have shown to potentially benefit from HBOT) using the Multicenter Registry for Hyperbaric Oxygen Treatment. The study team aims to collect ongoing data on how well HBOT treats these emerging indications, and to add these data to the growing HBO Registry. The research team hypothesizes that HBOT will result in improvements of the condition of the various emerging indications.

Read the detailed description

Currently, the Undersea and Hyperbaric Medical Society (UHMS) has identified 15 conditions where HBO2 can be considered an approved treatment. These range from decompression illness, where the combination of increased pressure, relief of hypoxia, and reduced inflammation from HBO2 help combat the impaired circulation and endothelial damage caused by bubbles, to radiation injury, where the pulses of oxygen promote angiogenesis and wound healing. Because of HBO2's effects on hypoxia and inflammation, more medical diagnoses exist that can benefit from HBO2. HBO2 is typically given in long courses (20-40 treatments), however, and most centers see only a limited number of patients. Therefore, gathering outcome data on HBO2 treatment has been limited, and often, only case reports or small case series are available to support its use. In addition, practice patterns differ across centers, and some centers may use HBO2 successfully for an indication that other centers may not consider it for. To gather more data on HBO2 applications, outcome data from multiple centers need to be combined. The goal of the Multicenter Registry for Hyperbaric Oxygen Treatment is to collect and aggregate these data.

In a recent publication from our group, we presented data for 45 emerging indications for hyperbaric oxygen treatment. A unifying theme among many of these indications is that they involve hypoxia and/or inflammation as prime drivers of the pathology.

For many of the indications the use of HBOT is based on the underlying pathophysiology, where the presence of hypoxia and/or inflammation indicates that HBOT might be useful. The outcome data, however, are based on case reports or small case series. This project will collect consistently acquired outcome data for indications where HBOT is being used, but the underlying data supporting its use is limited.

02

Conditions studied

  • Post-COVID-19 Condition
  • Ulcerative Colitis
  • Crohn Disease
  • Calciphylaxis
  • Frostbite
  • Acute COVID-19
  • Pyoderma Gangrenosum
  • Pterygium
  • Hypospadias
  • Head Trauma
  • Pneumatosis Intestinalis
  • Ischemic Bowel
  • Raynaud Syndrome
  • Malignant Otitis Externa
  • Nonarteritic Anterior Ischemic Optic Neuropathy
  • Central Retinal Vein Occlusion
  • Femoral Head Necrosis
  • Invasive Fungal Infection
  • Chronic Anal Fissure
  • Vasculitic Ulcer
  • Graft-vs-Host Disease
  • Decubitus Ulcer
  • Greater Trochanteric Pain Syndrome
  • Rectovaginal Fistula
  • Pouchitis
  • Tinnitus
  • Clostridium Enterocolitis
  • Branch Retinal Artery Occlusion
  • Axonotmesis
  • Multiple Sclerosis
  • Inclusion Body Myositis
  • Epidermolysis Bullosa (EB)
  • Osteonecrosis
  • Ulcer Ischemic
  • Avascular Necrosis of Bone
  • Prosthesis Related Infections
  • Facial Filler Injections
  • Cystitis Chronic
  • Ligament Injury
  • Anastomosis, Leaking
  • Cartilage Injury
03

In context

Colitis, Ulcerative

1,853 studies on the registry are indexed under Colitis, Ulcerative; 472 are open to participants now.

This study's planned enrollment of 100 is above the median of 70 across 1,236 interventional studies indexed under Colitis, Ulcerative.

Browse Colitis, Ulcerative studies →

Lead sponsor

This is the only study on the registry with Jay C. Buckey Jr. as lead sponsor.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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

  • Patients referred for HBOT with an emerging indication

Exclusion criteria

Exclusion Criteria:

  • to hyperbaric oxygen treatment (untreated seizures, pneumothorax, significant pulmonary airspace pathology that might lead to pulmonary barotrauma, unmanageable confinement anxiety, with CO2 retention)
  • Pregnant persons
Terms in these criteria, in plain language(2)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Hyperbaric oxygen treated group

    This individuals will be receiving hyperbaric oxygen treatment for the condition listed in the conditions section. Patients come daily for the treatment and receive hyperbaric oxygen at 2.0-2.4 atmospheres absolute for 90 minutes at the treatment pressure.

    Device: Hyperbaric oxygen treatment (HBOT) · Drug: 100% Oxygen

Interventions

  • DeviceHyperbaric oxygen treatment (HBOT)

    Hyperbaric oxygen refers to oxygen given at pressures higher than atmospheric pressure (higher than 1.4 ATA) in pressurized chamber.

    Also known as: HBO2

  • Receiving 100% oxygen as part of HBOT

    Also known as: O2

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What researchers measure

Primary outcomes

  1. Quality of Life EuroQOL EQ-5D-5L Questionnaire

    Every individual has quality of life measured using the EuroQol EQ-5D-5L measure. The measure has 5 scales (Mobility, Self-Care, Usual Activities, Pain/Discomfort, and Anxiety/Depression), that each have 5 levels (none, slight, moderate, severe, unable). The scores are calculated using the procedures outlined in the EuroQOL handbook to create a final score on a 0-1 scale. There is also an overall visual analog scale that asks about perceived health on a 0-100 scale. Higher scores indicate better quality of life. Data are aggregated in the Multicenter Registry for Hyperbaric Oxygen Treatment.

    Time frame: Within one week of starting HBO2 and within one week of ending HBO2 treatment

Secondary outcomes

  1. Urogenital Distress Inventory

    Patients with cystitis will complete the Urinogential Distress Inventory (UDI). The six questions ask about symptoms on a 4 point scale (No= 0, Not at all= 1, Somewhat= 2, Moderately= 3, Quite a bit= 4). The UDI scaled score is calculated by adding all scores and multiplying by 6 and then multiply by 25 for the scale score. Missing items are dealt with by using the mean from the answered items only. Higher score = higher disability.

    Time frame: Within one week of starting HBO2 treatments and within one week completing HBO2 treatments

  2. Bowel symptoms questionnaire

    Those with conditions affecting the gastrointestinal tract will complete the bowel symptoms questionnaire. The questionnaire has nine questions that cover the areas of frequency, blood, pain, and urgency. Severity is rated on a 4 point scale from 0 to 4 with 4 being severe. Higher values indicate more symptoms.

    Time frame: Within one week of starting HBO2 treatments and within one week completing HBO2 treatments

  3. Head and Neck Questionnaire

    The head and neck questionnaire has 37 questions selected from the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-H\&N35 and the Groningen Radiotherapy-Induced Xerostomia (GRIX) questionnaire. The questionnaire covers dry mouth, pain, and difficulties with smell and taste. The scores are converted to a 0-100 scale with higher numbers indicating more symptoms.

    Time frame: Within one week of starting HBO2 treatments and within one week completing HBO2 treatments

  4. Perianal Crohn's Symptom Index Questionnaire

    The perianal Crohn's symptom index has 13 questions that cover fistulas, fistula discharge, rectal discharge, bowel frequency, urgency, blood, and pain. The answers are converted to an overall summed score with higher levels indicating more symptoms.

    Time frame: Within one week of starting HBO2 treatments and within one week completing HBO2 treatments

  5. Hip dysfunction and Osteoarthritis Outcome Score (HOOS) Questionnaire

    Individuals with conditions involving the knee or hip will complete the HOOS questionnaire. The questions are divided into symptoms, stiffness, pain, function (daily living), function (sports), and quality of life. Symptoms are measured on a 5 point scale from none to extreme. The answers are computed into individual sub scales for each major area and an overall total score. Higher numbers indicate more symptoms.

    Time frame: Within one week of starting HBO2 treatments and within one week completing HBO2 treatments

  6. Wound Score (Strauss Score)

    Individuals with wounds will have the wound (Strauss) score completed. The score covers five areas (Appearance, Size, Depth, Infection/Bioburden, and Perfusion). Each area is graded from best (2 points) to worst (0 points). Depth also has a possible 1.5 score for subcutaneous tissue involvement. Higher scores are better with healthy wounds in the 7.5 to 10 point range.

    Time frame: Within one week of starting HBO2 treatments and within one week completing HBO2 treatments

  7. Subjective Assessment

    For all enrollees a 4 level subjective assessment will be completed. The scale ranges from 1 resolved/healed to 4 worse with higher levels indicating less improvement.

    Time frame: Within one week of starting HBO2 treatments and within one week completing HBO2 treatments

  8. Calciphylaxis Measurement Package

    For individuals treated for calciphylaxis, data will be collected on the following parameters: Number of wounds Pre and post wound measurements in cm Number of surgical interventions

    Time frame: Within one week of starting HBO2 treatments and within one week completing HBO2 treatments

  9. Frostbite Measurement Package

    For all individuals treated for frostbite data will be collected on: Number of wounds Wound measurements in cm Number of surgical interventions

    Time frame: Within one week of starting HBO2 treatments and within one week completing HBO2 treatments

  10. Pyoderma Gangrenosum Measurement Package

    For all individuals treated for pyoderma gangrenous data will be collected on: Number of wounds Wound measurements in cm Number of surgical interventions

    Time frame: Within one week of starting HBO2 treatments and within one week completing HBO2 treatments

  11. Raynaud Syndrome Measurement Package

    For all individuals treated for Raynaud's data will be collected on: Number of wounds Wound measurements in cm Number of surgical interventions

    Time frame: Within one week of starting HBO2 treatments and within one week completing HBO2 treatments

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Tanaka HL, Rees JR, Zhang Z, Ptak JA, Hannigan PM, Silverman EM, Peacock JL, Buckey JC; Multicenter Registry for Hyperbaric Oxygen Treatment Consortium. Emerging Indications for Hyperbaric Oxygen Treatment: Registry Cohort Study. Interact J Med Res. 2024 Aug 20;13:e53821. doi: 10.2196/53821. PubMed 39078624 ↗
  • Harlan NP, Ptak JA, Rees JR, Cowan DR, Fellows AM, Moses RA, Kertis JA, Hannigan PM, Juggan SA, Peacock J, Bennett M, Buckey JC. International Multicenter Registry for Hyperbaric Oxygen Therapy: Results through June 2021. Undersea Hyperb Med. 2022 Third Quarter;49(3):275-287. PubMed 36001560 ↗
  • Harlan NP, Ptak JA, Rees JR, Cowan DR, Fellows AM, Kertis JA, Hannigan PM, Peacock JL, Buckey JC. Development of an International, Multicenter, Hyperbaric Oxygen Treatment Registry and Research Consortium: Protocol for Outcome Data Collection and Analysis. JMIR Res Protoc. 2020 Aug 17;9(8):e18857. doi: 10.2196/18857. PubMed 32579537 ↗
  • 1. Huang ET. Hyperbaric Medicine Indications Manual. 15th ed. North Palm Beach, FL: Best Publishing Company; 2023 2023. 445 p.
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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Dec 2035, 109 months later.

Of 48 non-industry phase 4 interventional studies under Colitis, Ulcerative, half reached primary completion within 56 months of starting (the median), counting those still running; a quarter within 33 and three quarters within 66. This study's planned 109 months is above that.

Counting every sponsor, half of 63 studies reached it within 43 months; a quarter within 25 and three quarters within 63.

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

Registered
Oct 26, 2025
First posted
Nov 21, 2025
StartEst.
Nov 2026
Primary completionEst.
Dec 2035
CompletionEst.
Dec 2035
Last update
Sep 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.
No changes since tracking began. The registry record was last updated on Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07240649
Lead sponsor
Jay C. Buckey Jr.
Collaborators
Dartmouth College
Responsible party
Jay C. Buckey Jr. (Principal Investigator, Dartmouth-Hitchcock Medical Center) — Sponsor-investigator
First posted
Nov 21, 2025
Start date
Nov 2026 (estimated)
Primary completion
Dec 2035 (estimated)
Completion
Dec 2035 (estimated)
Last update
Sep 9, 2026

Study contacts

Samantha Leigh
Contact
samantha.m.leigh@dartmouth.edu
540-819-5715
Jay Buckey
principal investigator · Dartmouth-Hichcock Medical Center

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Oxygen

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