New drug shows promise for severe pneumonia patients in ICU
NCT ID NCT05962606
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested an experimental drug called AON-D21 in 150 ICU patients with severe community-acquired pneumonia. The goal was to see if adding AON-D21 to standard care is safe and helps patients recover faster compared to a placebo. The trial focused on how quickly patients could stop needing breathing support and monitored side effects.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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150 people
The number who actually took part.
- Started
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Feb 2024
- Finished
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Mar 2026
- 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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18 to 85 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: * Community-acquired pneumonia, confirmed or suspected of bacterial or viral origin. * Admitted to an ICU (or similar unit). * Requiring respiratory support by HFO ≥ 30 L/min with FiO2 ≥ 30% or NIV or IMV or ECMO. * CRP ≥ 50 mg/L. * PaO2/FiO2 ratio ≤ 150 mmHg. * Treatment initiation no more than 48 h after initiation of respiratory support (HFO ≥ 30 L/min with FiO2 ≥ 30%, NIV, IMV or ECMO). * Written informed consent. * Age ≥ 18 years to ≤ 85 years. * Body mass index ≥ 17.5 kg/m² and ≤ 40 kg/m². * For female participants of childbearing potential, agreement to use dual methods of contraception until Day 60. * For male participants with female partners of childbearing potential, agreement to use barrier method of contraception until Day 60 and to refrain from donating sperm during the study and for 3 months after the last infusion. Exclusion Criteria: * Refractory septic shock. * Not expected to survive 72 hours. * Hospital-acquired or ventilator-associated pneumonia or known or suspected pneumonia due to aspiration or other physical injury or trauma or tuberculosis. * Known or suspected hypersensitivity to AON-D21 or any components of the formulation used (e.g., PEG, mannitol or EDTA) or a history of clinically relevant allergy requiring continuous treatment, or of anaphylaxis. * Known fibrotic lung disease, bronchiectasis or any other known severe chronic respiratory disease. * Active malignant disease. * Factors other than a pathogen suspected or confirmed to be causative for the respiratory insufficiency. * Hepatocellular injury defined by an ALT or AST value ≥ 3 times the ULN. Known acute or chronic liver disease with Child-Pugh C (See Appendix 13.6.2). * Any medical disease or condition that, in the opinion of the investigator(s), compromises the participant's safety or compromises the interpretation of the results. * Receiving chronic immunosuppressive therapy in relevant doses. * Known immunodeficiency disease/condition. * Nursing and pregnant women (defined as the state after conception until the termination of gestation, screened in all women of child-bearing potential with a chorionic gonadotrophin (hCG) blood test (local laboratory). * Current or recent participation in an investigational trial. * Systemic treatment with any complement inhibitor. * Known complement deficiency. * Unlikely to remain at the investigational site beyond 96 h.
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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
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Assistance Publique-Hopitaux de Paris (AP-HP)
Paris, France
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CHRU de Tours Hôpital Bretonneau
Tours, France
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CHU Dupuytren
Limoges, France
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Centre Hospitalier Argenteuil
Argenteuil, France
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Centre Hospitalier Départemental Vendée
La Roche-sur-Yon, France
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Centre Hospitalier de Melun
Melun, France
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Charité - Universitätsmedizin Berlin
Berlin, Germany
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Clinique Saint Pierre
Ottignies, Belgium
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Cliniques Universitaires Saint-Luc
Brussels, Belgium
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Cologne-Merheim Hospital Lung Clinic
Cologne, Germany
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Hospital Clinico San Carlos
Madrid, Spain
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Hospital Doctor Josep Trueta
Girona, Spain
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Hospital Universitari Vall d'Hebron
Barcelona, Spain
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Hospital Universitari i Politecnic La Fe de Valencia
Valencia, Spain
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Hotel Dieu - CHU Nantes
Nantes, France
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Hôpital Nord Franche Comté
Trévenans, France
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Liverpool University Hospitals NHS Foundation Trust
Liverpool, United Kingdom
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Mid Yokshire Teaching NHS Trust
Wakefield, United Kingdom
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Nouvel Hôpital Civil
Strasbourg, France
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Royal Berkshire Foundation Trust
Reading, United Kingdom
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Universitaetsklinikum Giessen und Marburg GmbH
Giessen, Germany
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University College London
London, United Kingdom
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University Hospital Bristol and Weston NHS
Bristol, United Kingdom
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University Hospital of Wales
Cardiff, United Kingdom
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University Hospitals Plymouth NHS Trust, Derriford Hospital
Plymouth, United Kingdom
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University of Alabama at Birmingham Heersink School of Medicine
Birmingham, Alabama, 35233, United States
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York Hospital
York, United Kingdom
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Other studies related to the condition(s) this trial covers.
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