ClinicalTrials.gg
RecruitingNCT07787312Updated Aug 26, 2026

Masseter and Rectus Femoris Ultrasound for Dysphagia and Sarcopenia in Critically Ill Patients

An observational study in Dysphagia and Sarcopenia, sponsored by Sara Casanova Prieto. Recruiting at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-26.

Sponsored by Sara Casanova Prieto · Observational

From the registry’s dates

  • Started Feb 2026; still recruiting 9 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
323
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 39 studies in Deglutition Disorders with a site in Spain — 11 open to participants now, 11 under way, none of them phase 3. Deglutition Disorders · Spain.

Started
2026
with 3 others
Observational
8 of 39
3 open now
Primary completion
2027-12
later than 7 of 10 live
Registered
38th of 39
by date

Among the 39 studies in Deglutition Disorders with a site in Spain, this one is one of 4 that started in 2026, is one of 8 observational ones, reaches primary completion later than 7 of the 10 other live ones, and was the 38th registered.

By phase

39 studies; the count open now beside each. This study's row is marked.

No phase25 · 8 open
Observationalthis study8 · 3 open
Phase 22 · 0 open
Phase 1/21 · 0 open
Phase 2/31 · 0 open
Phase 31 · 0 open
Phase 41 · 0 open

By the year they started

First in 2010; this study’s year is marked. 4 started in 2026.

Size and results

Median enrollment 62 across the 31 interventional studies, 90 across the 8 observational. Of the 23 that completed or were terminated, 2 (9%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 39 studies in Deglutition Disorders with a site in Spain, or all of them as a file.
02

Study summary

Dysphagia and sarcopenia are common complications in critically ill patients and are associated with increased morbidity, prolonged hospitalization, nutritional complications, and poorer clinical outcomes. Muscle ultrasound is a non-invasive bedside technique that may provide objective information on muscle mass and help identify patients at increased risk of these conditions.

This single-center observational diagnostic accuracy study will evaluate the association between masseter muscle thickness measured by ultrasound and the presence of dysphagia in critically ill adult patients after extubation and in patients with a tracheostomy. Dysphagia will be assessed using the Modified Volume-Viscosity Swallow Test (MECVVm). Ultrasound measurements of the masseter and rectus femoris muscles will also be evaluated to investigate their relationship with sarcopenia and relevant clinical outcomes.

The study aims to determine the diagnostic performance of masseter muscle ultrasound for identifying dysphagia, establish ultrasound cut-off values associated with dysphagia and sarcopenia, and explore whether these measurements may facilitate early risk stratification in critically ill patients.

03

Conditions studied

  • Dysphagia
  • Sarcopenia

Keywords

  • Post-extubation dysphagia
  • Masseter muscle
  • Rectus femoris muscle
  • Muscle ultrasound
  • Critical illness
  • Intensive care unit
  • MECV-V
  • Muscle mass
04

Who can participate

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

Study population

Adult critically ill patients admitted to the Intensive Care Unit of Hospital General Universitario Gregorio Marañón who require invasive mechanical ventilation for more than 48 hours. The study population includes patients assessed after extubation and patients with a tracheostomy who meet the predefined eligibility criteria and are clinically suitable for dysphagia assessment.

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

  • Age ≥18 years.
  • Critically ill patients requiring invasive mechanical ventilation for >48 hours.
  • Extubated patients: extubation 6-36 hours before study assessment.
  • Tracheostomized patients: surgical or percutaneous tracheostomy considered clinically suitable to initiate oral feeding, tolerating spontaneous breathing without mechanical ventilation for at least 6 hours/day, and negative cuff-leak test.
  • Awake and cooperative, with effective cough and ability to manage oral secretions.
  • Written obtained.

Exclusion criteria

Exclusion Criteria:

  • Documented pre-existing oropharyngeal dysphagia.
  • Inability to undergo study assessment within 36 hours after extubation.
  • In tracheostomized patients, positive cuff-leak test before study assessment.
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
323 participants (estimated)
Patient registry
No

Groups and cohorts

  • Extubated Critically Ill Patients

    Adult critically ill patients who received invasive mechanical ventilation for at least 48 hours and are assessed after extubation. Participants undergo masseter and rectus femoris muscle ultrasound and dysphagia assessment using the modified Volume-Viscosity Swallow Test (MECVVm) according to the study protocol.

  • Tracheostomized Critically Ill Patients

    Adult critically ill patients with a tracheostomy who meet the study eligibility criteria. Participants undergo masseter and rectus femoris muscle ultrasound and dysphagia assessment using the modified Volume-Viscosity Swallow Test (MECVVm) according to the study protocol.

06

What researchers measure

Primary outcomes

  1. Association Between Masseter Muscle Thickness and Dysphagia

    Maximum masseter muscle thickness will be measured by ultrasound and its association with the presence of dysphagia will be assessed. Dysphagia will be determined using the modified Volume-Viscosity Swallow Test (MECVVm). The association will be evaluated separately in extubated critically ill patients and critically ill patients with a tracheostomy.

    Time frame: At the time of dysphagia assessment: 6 to 36 hours after extubation in extubated patients, or once tracheostomized patients tolerate at least 6 hours/day of spontaneous breathing without mechanical ventilation.

Secondary outcomes

  1. Occurrence of Dysphagia in Critically Ill Patients

    The proportion of participants with dysphagia will be determined using the modified Volume-Viscosity Swallow Test (MECVVm). Dysphagia occurrence will be assessed separately in extubated critically ill patients and critically ill patients with a tracheostomy.

    Time frame: At the time of dysphagia assessment: 6 to 36 hours after extubation in extubated patients, or once tracheostomized patients tolerate at least 6 hours/day of spontaneous breathing without mechanical ventilation.

  2. Risk Factors Associated With Dysphagia

    Demographic, clinical, severity-of-illness, mechanical ventilation, airway management, neurological, nutritional, and functional variables collected during the ICU stay will be analyzed to identify factors independently associated with dysphagia, as determined by the modified Volume-Viscosity Swallow Test (MECVVm), in extubated and tracheostomized critically ill patients.

    Time frame: From ICU admission to the time of dysphagia assessment, up to 4 months

  3. Ability of Masseter Muscle Ultrasound to Identify Risk of Sarcopenia

    The ability of masseter muscle ultrasound to identify critically ill patients at risk of sarcopenia will be evaluated by comparing masseter muscle thickness with ultrasound measurements of the rectus femoris muscle.

    Time frame: At 48 hours after invasive mechanical ventilation and at dysphagia assessment (6-36 hours after extubation or, in tracheostomized patients, when tolerating at least 6 hours/day without mechanical ventilation), up to 4 months after ICU admission.

  4. Ultrasound Cut-off Values for Dysphagia and Sarcopenia

    Receiver operating characteristic (ROC) curve analysis will be used to determine optimal cut-off values for masseter and rectus femoris muscle thickness for discriminating dysphagia and sarcopenia in critically ill patients. Diagnostic performance will be assessed using sensitivity, specificity, positive and negative predictive values, and the Youden index.

    Time frame: At dysphagia assessment, up to 4 months after ICU admission.

  5. Association of Dysphagia and Sarcopenia With Clinical Outcomes

    The association between dysphagia and sarcopenia, as assessed by the study procedures, and relevant clinical outcomes will be evaluated. Clinical outcomes include ICU length of stay, nutritional complications, and mortality.

    Time frame: From ICU admission through 6 months after ICU discharge

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Mourtzakis M, Parry S, Connolly B, Puthucheary Z. Skeletal Muscle Ultrasound in Critical Care: A Tool in Need of Translation. Ann Am Thorac Soc. 2017 Oct;14(10):1495-1503. doi: 10.1513/AnnalsATS.201612-967PS. PubMed 28820608 ↗
  • Martinez de Lagran Zurbano I, Laguna LB, Soria CV, Guisasola CP, Marcos-Neira P. Utility of the modified Volume-Viscosity Swallow Test for bedside screening of dysphagia in critically ill patients. Clin Nutr ESPEN. 2023 Feb;53:214-223. doi: 10.1016/j.clnesp.2022.12.021. Epub 2022 Dec 23. PubMed 36657916 ↗
  • Gonzalez-Fernandez M, Perez-Nogueras J, Serrano-Oliver A, Torres-Anoro E, Sanz-Arque A, Arbones-Mainar JM, Sanz-Paris A. Masseter Muscle Thickness Measured by Ultrasound as a Possible Link with Sarcopenia, Malnutrition and Dependence in Nursing Homes. Diagnostics (Basel). 2021 Aug 31;11(9):1587. doi: 10.3390/diagnostics11091587. PubMed 34573928 ↗
  • Gonzalez-Fernandez M, Arbones-Mainar JM, Ferrer-Lahuerta E, Perez-Nogueras J, Serrano-Oliver A, Torres-Anoro E, Sanz-Paris A. Ultrasonographic Measurement of Masseter Muscle Thickness Associates with Oral Phase Dysphagia in Institutionalized Elderly Individuals. Dysphagia. 2021 Dec;36(6):1031-1039. doi: 10.1007/s00455-020-10234-8. Epub 2021 Jan 19. PubMed 33462765 ↗

Individual participant data

Plan to share: No — Individual participant data (IPD) will not be publicly shared due to participant confidentiality and data protection requirements. Aggregated and anonymized study results will be reported in scientific publications and presentations.

09

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

Started Feb 2026 (actual). Primary completion is estimated for Dec 2027, 22 months after the start.

Of 117 non-industry observational studies under Deglutition Disorders, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 52. This study's planned 22 months is below that.

Counting every sponsor, half of 120 studies reached it within 25 months; a quarter within 11 and three quarters within 49.

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

Registered
Aug 17, 2026
First posted
Aug 26, 2026
StartActual
Feb 3, 2026
Primary completionEst.
Dec 2027
CompletionEst.
Aug 2028
Last update
Aug 26, 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 Aug 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07787312
Lead sponsor
Sara Casanova Prieto
Collaborators
Fundación para la Investigación Biomédica del Hospital Gregorio Maranon
Responsible party
Sara Casanova Prieto (Principal Investigator, Hospital General Universitario Gregorio Marañon) — Sponsor-investigator
First posted
Aug 26, 2026
Start date
Feb 3, 2026
Primary completion
Dec 2027 (estimated)
Completion
Aug 2028 (estimated)
Last update
Aug 26, 2026

Study contacts

SARA CASANOVA PRIETO, MD
Contact
sara.casanova@salud.madrid.org
+34665286063

Oversight

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

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