Which steroid best fights ARDS? a Head-to-Head trial aims to find out
NCT ID NCT06496997
First seen Sep 01, 2026 · Last updated Sep 02, 2026 · Updated 1 time
Summary
This trial tests three steroid drugs, methylprednisolone, dexamethasone, and hydrocortisone, in people with acute respiratory distress syndrome (ARDS), a severe lung condition that often requires a ventilator. The goal is to see if one steroid works better than the others at reducing deaths within 28 days. Researchers will also track how many patients need a ventilator, how long they stay in the ICU and hospital, and any side effects like infections or high blood sugar. The study enrolls adults on mechanical ventilation who meet the standard criteria for ARDS.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Three steroid drugs: methylprednisolone, dexamethasone, and hydrocortisone
- What this could lead to
- If one steroid proves more effective, it could become the preferred treatment for ARDS, potentially improving survival and reducing time on a ventilator.
- What could go wrong
- This is a mid-stage trial, so results may not be conclusive. Steroids carry risks like infections and high blood sugar, and the best drug may not clearly emerge.
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
-
Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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195 people
The number who actually took part.
- Started
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Aug 2024
- Finished
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Aug 2025
- 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
-
Children (under 18), adults (18 to 64) and older adults (65 and over)
- 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: We include patients receiving mechanical ventilation for hypoxemic respiratory failure if they met the diagnostic criteria for ARDS according to the American-European Consensus definition, as later reclassified on the basis of the 2012 Berlin criteria for the diagnosis of ARDS, defined as: 1. Presence of acute hypoxemic respiratory failure (an arterial oxygen partial pressure to fraction of inspired oxygen ratio (PaO2/FiO2) of ≤ 300 mm Hg, requiring supplemental oxygen administrated by simple face mask, nasal cannula, or other similar oxygen-delivery device to maintain oxygen saturation at greater than 93% within the first 48 h of the onset of ARDS) 2. Onset within 7 days of insult, or new (within 7 days) or worsening respiratory symptoms 3. Bilateral opacities on chest x-ray or CT not fully explained by effusions, lobar or lung collapse, or nodules 4. Cardiac failure not the primary cause of acute respiratory failure Exclusion Criteria: We exclude patients with acute hypoxemic respiratory failure caused by congestive heart failure
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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.
Contacts and locations
Locations
-
Fayoum University
Al Fayyum, Egypt
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can adjusting breathing effort during ventilation improve lung function in ARDS?
- Three blood markers may flag who develops lung failure after chest injury
- Can a Radiation-Free scan reveal how ARDS treatments reshape lung blood flow?
- Can a Lung-Opening maneuver change a key injury marker in ARDS?
- Could simply sitting up ease breathing in severe lung failure?
- Could lung fluid proteins reveal a new way to track severe lung injury?