Can an inhaled protein save lungs in Alpha-1? new trial aims to find out

NCT ID NCT04204252

First seen Jun 26, 2026 · Last updated Aug 13, 2026 · Updated 2 times

Summary

This study tests whether inhaling alpha-1 antitrypsin (AAT) daily can slow lung function loss in people with Alpha-1 deficiency and moderate-to-severe lung disease. 220 adults will receive either the drug or a placebo for two years, then all will receive the drug for two more years. Researchers will measure lung function, lung density on CT scans, and quality of life.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Alpha-1 antitrypsin (AAT) for inhalation
What this could lead to
If it works, this could provide a new inhaled treatment to slow lung function decline in people with Alpha-1 antitrypsin deficiency.
What could go wrong
This is a Phase 3 trial, but results are not yet known. The drug may not slow lung decline better than placebo, and daily inhalation requires commitment.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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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

  • Beaumont Hospital

    Dublin, D09 YD60, Ireland

  • Canisius Wilhelmina Hospital (CWZ)

    Nijmegen, 6532SZ, Netherlands

  • Leiden University Medical Center (LUMC)

    Leiden, ZA, 2333ZA, Netherlands

  • Royal Infirmary of Edinburgh

    Edinburgh, EH16 4SA, United Kingdom

  • Skåne University Hospital

    Malmö, SE-20502, Sweden

  • Tays Central Hospital

    Tampere, Finland

  • University Hospital (UZ) Leuven

    Leuven, Belgium

  • University Hospital Southampton NHS Foundation Trust

    Southampton, SO16 6YD, United Kingdom

  • University Hospitals Birmingham NHS Foundation Trust

    Birmingham, B15 2GW, United Kingdom

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