New hope for ARDS: major trial tests multiple therapies in hospitalized patients
NCT ID NCT06703073
First seen Jun 27, 2026 · Last updated Jul 31, 2026 · Updated 1 time
Summary
This study tests several experimental treatments for adults hospitalized with acute respiratory distress syndrome (ARDS), a severe lung condition. About 600 participants will receive either a placebo or an active drug to see if the treatments improve survival and are safe. The goal is to find better ways to control this life-threatening illness.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 600 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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Sep 2028
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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18 years and older
- 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 Each participant must meet all of the following criteria to be enrolled in this study: * Participant (or their Legally Authorized Representative (LAR)) provides informed consent and agrees to comply with protocol requirements * Participant is at least 18 years of age or older at the time of consent. * Participant with signs and symptoms of ARDS according to the Berlin definition of ARDS. Note that participants on noninvasive ventilation may be screened. * Participant of childbearing potential must agree to either abstinence or use at least one primary form of contraception, not including hormonal contraception, from the time of screening through Day 28. Additional cohort-specific requirements may apply * Participant agrees to not participate in another investigational interventional study while participating in this study (i.e., through Day 90). Exclusion Criteria Participants will be excluded from the study if any of the following apply: * Participant with ARDS or at risk of developing ARDS due to the following reasons: trauma, large volume aspiration, or transfusion. * Participant with pulmonary edema due to cardiogenic pulmonary edema/fluid overload or hypoxemia primarily attributable atelectasis, in the absence of a predisposing risk factor for ARDS. * Participant who demonstrates an improvement in oxygenation and ventilatory support 24 hours prior to or during screening up to randomization, such that per investigator clinical judgement, the participant is expected to have significant improvement in lung function over subsequent 24 hours regardless of additional interventions. * Participant is known to be pregnant, nursing, or with a positive (urine and/or serum test) pregnancy test. * Participant is anticipated to be transferred to another hospital which is not a study site within 72 hours. * Participant is not expected to survive for 72 hours. * Participant has been on invasive mechanical ventilation or ECMO for ARDS for more than 48 hours for ARDS at the time of consent. * Participant has an underlying clinical condition where, in the opinion of the Investigator and based on their clinical judgement, it would be extremely unlikely that the participant would come off ventilation * Participant has severe COPD requiring continuous long-term home oxygen therapy or mechanical ventilation (noninvasive ventilation or via tracheotomy) except for CPAP or bi-level positive airway pressure used solely for sleep-disordered breathing. * Participant has interstitial lung disease or idiopathic pulmonary fibrosis requiring continuous chronic home oxygen therapy. * Participant has NY Heart Association Class IV congestive heart failure. * Participant has a known allergy to any study medication or any of its excipients. * Participant is receiving systemic immunosuppressive therapy for solid organ or hematopoietic cancer or transplant anti-rejection medication therapy OR systemic immunosuppressive corticosteroids (prednisone ≥20 mg daily or equivalent). NOTE: Patients onreceiving chronic low dose immunosuppressive therapy may be enrolled(e.g., prednisone \<20 mg/day or equivalent) and patients on stable, long-term maintenance immunosuppression (e.g., tacrolimus, mycophenolate, orsirolimus) and patients receiving physiologic replacement and hormonal therapies for breast cancer (e.g., tamoxifen, letrozole) or prostate cancer (leuprolide, bicalutamide) for \>60 days may be eligible at the investigator's discretion of the investigator in consultation with the medical monitor. * Participant is receiving ongoing cytotoxic chemotherapy (IV or oral), OR combination targeted/immunotherapy regimens for cancer within the past 60 days. Note: Participants receiving non-myelosuppressive cancer therapy (e.g., hormonal therapy or selected targeted / immunotherapy regimens) may be eligible if therapy has been stable ≥60 days; The use of hydroxyurea to manage patients with chronic myeloid leukemia, polycythemia vera, essential thrombocythemia or sickle cell disease is permitted. * Participant received treatment with an investigational immunomodulator or immunosuppressant drugs within 5 half-lives or 30 days (whichever is longer) before randomization. * Participant with concurrent infections or history of the following: 1. Known active tuberculosis, 2. Known active Hepatitis B, or 3. HIV and a CD4 count less than 50 or a detectable viral load of \>200 copies/mL HIV RNA. * Participant received treatment with any other investigational drugs within 30 days prior to consent. * Participant had a history of abdominal fistula, gastrointestinal perforation, intra-abdominal abscess within 28 days of screening or inadequate wound healing secondary to major thoracoabdominal surgery at the time of screening. * Participant is considered by the investigator, for any reason, to be an unsuitable candidate for the study. Participant may have additional cohort-specific requirements.
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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
40 sites. 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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Baylor All Saints Medical Center
RECRUITINGFort Worth, Texas, 76104-4110, United States
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Baylor St Luke's Medical Center
NOT_YET_RECRUITINGHouston, Texas, 77030-4202, United States
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Cleveland Clinic
NOT_YET_RECRUITINGCleveland, Ohio, 44195, United States
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Community Regional Medical Center
RECRUITINGFresno, California, 93721-1324, United States
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Denver Health Hospital and Authority
NOT_YET_RECRUITINGDenver, Colorado, 80204-4532, United States
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Duke Lung Transplant Clinic - Clinic 2F/2G - PPDS
NOT_YET_RECRUITINGDurham, North Carolina, 27710-4000, United States
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Durham VA Medical Center
RECRUITINGDurham, North Carolina, 27705-3875, United States
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Henry Ford Health Hospital
RECRUITINGDetroit, Michigan, 48202-2608, United States
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Houston Methodist Hospital
NOT_YET_RECRUITINGHouston, Texas, 77030, United States
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Intermountain Medical Center
RECRUITINGMurray, Utah, 84107-5701, United States
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Lahey Hospital and Medical Center
RECRUITINGBurlington, Massachusetts, 01805-0001, United States
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Long Beach Memorial Medical Center
RECRUITINGLong Beach, California, 90806-1701, United States
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Mayo Clinic
RECRUITINGRochester, Minnesota, 55905-0001, United States
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MedStar Washington Hospital Center
RECRUITINGWashington D.C., District of Columbia, 20010-3017, United States
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Medical University of South Carolina (MUSC)
RECRUITINGCharleston, South Carolina, 29425-8908, United States
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Memorial Sloan Kettering Cancer Center
NOT_YET_RECRUITINGNew York, New York, 10065-6007, United States
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Mercy Health - St. Vincent Medical Center
RECRUITINGToledo, Ohio, 43608-2603, United States
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Montefiore Hospital - Moses Campus
RECRUITINGThe Bronx, New York, 10467, United States
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North Florida / South Georgia Veterans Health System
RECRUITINGGainesville, Florida, 32608-1135, United States
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Northshore University Healthsystem Research Institute
NOT_YET_RECRUITINGEvanston, Illinois, 60201-1700, United States
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Nova Clinical Research
RECRUITINGBradenton, Florida, 34209-4617, United States
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OSF Saint Francis Medical Center-
RECRUITINGPeoria, Illinois, 61637-0001, United States
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Oregon Health and Science University
RECRUITINGPortland, Oregon, 97239-3011, United States
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Renown Institute for Heart & Vascular Health
WITHDRAWNReno, Nevada, 89502-1576, United States
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Robert Wood Johnson Medical School
RECRUITINGNew Brunswick, New Jersey, 08901-1928, United States
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Sarasota Memorial Hospital
RECRUITINGSarasota, Florida, 34239, United States
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St. Luke's Boise Medical Center
RECRUITINGBoise, Idaho, 83712-6241, United States
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Stanford Medical Center
RECRUITINGStanford, California, 94305-2200, United States
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Swedish Medical Center
RECRUITINGSeattle, Washington, 98122-4379, United States
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The University of Oklahoma Health Sciences Center
RECRUITINGOklahoma City, Oklahoma, 73104-3609, United States
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Tufts Medical Center
NOT_YET_RECRUITINGBoston, Massachusetts, 02111, United States
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University Hospitals Cleveland Medical Center
NOT_YET_RECRUITINGCleveland, Ohio, 44106-1716, United States
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University of Alabama Hospital
NOT_YET_RECRUITINGBirmingham, Alabama, 35233-1932, United States
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University of California Davis Medical Center - Pulmonary Medicine
RECRUITINGSacramento, California, 95816-4300, United States
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University of California Irvine Medical Center
RECRUITINGOrange, California, 92868-3201, United States
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University of Michigan Hospital
RECRUITINGAnn Arbor, Michigan, 48109-5000, United States
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University of North Carolina at Chapel Hill
RECRUITINGChapel Hill, North Carolina, 27599-0001, United States
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University of Virginia Health System
NOT_YET_RECRUITINGCharlottesville, Virginia, 22908-0816, United States
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Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37232-0004, United States
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Weill Cornell Medical College
NOT_YET_RECRUITINGNew York, New York, 10065-8722, United States
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Westchester Medical Center
NOT_YET_RECRUITINGValhalla, New York, 10595-1530, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can donated immune cells calm the cytokine storm?
- Steroid dose showdown: can more dexamethasone save lives in respiratory failure?
- Breathing machine settings put to the test in severe lung injury
- Is thicker blood a hidden player in ARDS?
- The hidden breath: how a mismatch between patient and machine may shape ARDS recovery
- Scientists hunt for hidden subgroups in sudden respiratory failure