Inhaled DNA-buster may shield trauma patients from lung failure
NCT ID NCT03368092
First seen Aug 20, 2026 · Last updated Aug 21, 2026 · Updated 1 time
Summary
This trial tests whether giving an inhaled medication called dornase alfa to severely injured patients on breathing machines can lower their risk of developing acute respiratory distress syndrome (ARDS), a serious lung condition. The drug is thought to break down DNA fragments released after trauma that can trigger lung inflammation. Half of the 500 participants will receive the drug, and half will receive a placebo, with the goal of seeing if the drug reduces ARDS cases from 45% to 30% in the first week.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dornase alfa (Pulmozyme), an inhaled enzyme that breaks down DNA, given as an aerosol in the breathing circuit.
- What this could lead to
- If effective, this could become a simple, early treatment to prevent a life-threatening lung complication in trauma patients, potentially reducing ICU stays and deaths.
- What could go wrong
- This is a phase 3 trial, but success is not guaranteed. The treatment may not reduce ARDS risk, and side effects or complications from the aerosol could occur.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2019
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult (\>18) patient of either sex affiliated to the National Health Service * Severe trauma patient (either blunt or penetrating), Injury Severity Score \> 15 * Under mechanical ventilation for an expected duration \> 48h * Admitted in the ICU * Signed informed consent from the patient's relative * Patient equipped with an indwelling arterial catheter Exclusion Criteria: * Pregnancy or breast feeding * Opposition from the patient or his/her relatives * Protected major (Guardianship) * Contraindication to the use of dornase alfa * Known intolerance to dornase alfa
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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University Hospital, Strasbourg, france
RECRUITINGStrasbourg, 67000, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Could donor stem cells help lungs heal in ARDS?
- ER ultrasound may predict who needs a ventilator
- Can two doctors get the same ultrasound reading? small study tests reliability in breathing emergencies
- Chilling the body to save the lungs: new trial for ARDS