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New hope for kids with rare lung condition: inhaled protein therapy in trial
NCT ID NCT06431776
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests an inhaled drug called molgramostim in children aged 6 to 18 with autoimmune pulmonary alveolar proteinosis (aPAP), a rare disease where protein builds up in the lungs and makes breathing hard. All 5 participants will take the drug daily via a nebulizer for 12 months. Researchers will check lung function, exercise ability, and quality of life to see if the treatment helps and is safe.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- molgramostim (a lab-made protein that helps immune cells clear protein buildup in the lungs)
- What this could lead to
- If it works, this could point toward a treatment for children with a rare lung disease that currently has limited options.
- What could go wrong
- This is a very small, early-phase trial with only 5 children, so results may not apply to everyone. The treatment requires daily nebulizer use for a year, and side effects are still being studied.
Why investors are watching
Savara Inc. is running a Phase 3 trial of inhaled molgramostim in 5 pediatric patients with autoimmune pulmonary alveolar proteinosis (aPAP). For a small company, this readout matters because it tests whether the drug improves breathing and activity in children, a group not covered by existing data, and a positive result could expand the drug's approved use.
If it works: A positive result could support regulatory approval for pediatric aPAP, broadening the drug's market beyond adults. That would give Savara a new patient population and a stronger commercial story.
If it fails: The trial has only 5 participants, so results may be hard to interpret, and the drug could fail to show benefit or cause safety problems. Trials often fail, and a negative or delayed readout could hurt the company's prospects.
AI-written from the trial record. Speculative, and not investment advice.
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 5 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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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6 to 18 years
- 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: * Be ≥6 and \<18 years of age, at the time of signing the informed consent and informed assent (if applicable). * Have a history of pulmonary alveolar proteinosis, based on examination of a lung biopsy, bronchoalveolar lavage cytology, or a high-resolution computed tomogram of the chest. * Have a positive serum anti-GM-CSF autoantibody test result confirming aPAP. * Have a hemoglobin (Hb)-adjusted diffusing capacity of the lung for carbon monoxide (DLCO) ≤70% predicted at Screening. Exclusion Criteria: * Have a diagnosis of hereditary (congenital) or secondary PAP, or a metabolic disorder of surfactant production. * Have undergone treatment with Lung Lavage (WLL) within 1 month of Baseline
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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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Ludwig Maximilians Universität München - Dr. von Haunersches Kinderspital - Kinderklinik und Kinderpoliklinik
RECRUITINGMünchen, 80337, Germany
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