Can a japanese ARDS drug fix deadly clots in septic shock?

NCT ID NCT07214103

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times

Summary

This study tests whether sivelestat, a drug used in Japan for lung injury, can help restore the body's ability to break down harmful blood clots in people with septic shock. About 120 adults with septic shock and early blood clotting problems will receive either sivelestat or a placebo for 72 hours. The main goal is to see if sivelestat raises plasminogen levels, a key protein for dissolving clots.

What this could mean

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

Active substance
Sivelestat (a drug that blocks neutrophil elastase, given as a continuous IV infusion for 72 hours)
What this could lead to
If it works, this could point toward a new treatment to improve blood clot breakdown in septic shock patients, potentially reducing organ damage and death.
What could go wrong
This is an early Phase IIb trial with only 120 patients, so results may not be conclusive. The drug has not been proven for this specific condition, and risks like bleeding or allergic reactions are possible.

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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

  • Hôpitaux Universitaires de Strasbourg

    Strasbourg, France, 67091, France

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