New drug aims to reduce deaths from severe lung failure
NCT ID NCT05947955
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 2 times
Summary
This study tests an experimental drug called recombinant human plasma gelsolin (rhu-pGSN) added to standard care for people with moderate-to-severe acute respiratory distress syndrome (ARDS) caused by pneumonia or other infections. About 600 hospitalized adults will receive either the drug or a placebo, and researchers will measure how many survive at 28 days, how many days they need a ventilator, and other outcomes. The goal is to see if this drug can improve survival and recovery.
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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Oct 2024
- Expected to finish
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Mar 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: 1. Infection followed within a week of documented bilateral infiltrates/opacities consistent with ARDS, as assessed by the admitting emergency department, clinic, intensivist, or ward physician or equivalent caregiver or a radiologist * Investigator or designee to note radiologic findings in the electronic case report form (eCRF) * Radiology report and conclusion should be summarized in the eCRF * A digital copy of the radiograph uploaded and saved for review 2. Acute hypoxemic respiratory failure (moderate-to-severe ARDS) for ≤48 hours associated with suspected or confirmed infection (moderate-to-severe ARDS defined by the ratio of arterial pressure of O2 to the fraction of inspired O2 ≤150). Eligible subjects will be intubated for mechanical ventilation, receiving noninvasive ventilation by continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP), or on HFNO at least 30 L/min of 50% or greater inspired O2. Although it is expected that most eligible subjects will be receiving positive end-expiratory pressure (PEEP) or CPAP ≥5 cm H2O consistent with the original Berlin definition (ARDS Definition Task Force 2012), these measures will not be mandated as entry criteria. 3. Age ≥18 years 4. Informed consent obtained from subject/next of kin/legal proxy 5. Clear or convincing evidence of a precipitating infection during the 7 days preceding the diagnosis of ARDS in the judgement of the screening or primary care team 6. During the course of the study starting at screening and for at least 3 months after their final study treatment: 1. Female subjects of childbearing potential must agree to use 2 medically accepted and approved birth control methods 2. Male subjects with a partner who might become pregnant must agree to use reliable forms of contraception (i.e., vasectomy, abstinence), or an acceptable method of birth control must be used by the partner 3. All subjects must agree not to donate sperm or eggs Exclusion Criteria: 1. Ongoing evidence or suspicion that heart failure, volume overload, pulmonary emboli, atelectasis, chronic lung disease, pleural effusion, cardiac tamponade, or constrictive pericarditis are materially contributing to the clinical or radiological findings bas assessed by the care team or Investigator; an echocardiogram is strongly recommended as part of standard care to exclude a significant contribution of systolic or diastolic heart failure and volume overload. 2. Presence of systemic fungal, yeast, parasitic, or mycobacterial infection 3. Current or planned receipt of extracorporeal membrane oxygenation (ECMO) 4. Pregnant or lactating women 5. Previous splenectomy 6. Any vaccination in the previous 30 days 7. Participation in an investigational clinical trial (e.g., device, drug, or biologic) in the previous 30 days 8. Known allergy to study drug or excipients 9. Weight \>125 kg 10. Active underlying cancer or treatment with systemic chemotherapy or radiation therapy during the last 60 days or likely to require similar treatments during the ensuing 6 months 11. Transplantation of hematopoietic or solid organs, graft versus host disease, or post-transplant lymphoproliferative disease 12. Chronic mechanical ventilation or dialysis 13. Unsuitable for study participation, in the opinion of the Investigator, because of chronic, severe, end-stage, or life-limiting underlying disease unrelated to current infection likely to interfere with management and assessment of ARDS, only comfort or limited (non-aggressive) care is to be given, or life expectancy \<6 months unrelated to acute infection in the opinion of the Investigator.
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
70 sites in 13 countries. 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Locations
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Asst-Spedali Civili di Brescia
RECRUITINGBrescia, 25123, Italy
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Baylor Scott & White Health
RECRUITINGTemple, Texas, 76508, United States
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Bellvitge University Hospital
RECRUITINGBarcelona, 08907, Spain
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Bryan Medical Center
RECRUITINGLincoln, Nebraska, 68506, United States
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CHU Charleroi Marie Curie Hospital
RECRUITINGCharleroi, 6042, Belgium
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CHU Nantes
RECRUITINGNantes, 1, France
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Canisius Wilhelmina Ziekenhuis
RECRUITINGNijmegen, 6532 SZ, Netherlands
Contact Email: •••••@•••••
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Cedars-Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
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Centre Hospitalier Departemental (CHD) Vendee
RECRUITINGLa Roche-sur-Yon, France
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Centre Hospitalier Lyon Sud
RECRUITINGOullins-Pierre-Bénite, 69495, France
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Centre Hospitalier Regional de la Citadelle
RECRUITINGLiège, 4000, Belgium
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Centre Hospitalier de Melun-Senart
RECRUITINGMelun, 77000, France
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Centre intégré universitaire de santé et services sociaux du nord de l'île de Montréal-Hôpital du Sacré de Montréal (CIUSSS-NÎM-HSCM)
RECRUITINGMontreal, Quebec, H4J1C5, Canada
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Clinical County Hospital Timisoara
RECRUITINGTimișoara, 300723, Romania
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Clinique Saint-Pierre Ottignies
RECRUITINGOttignies, 1340, Belgium
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Clínico San Carlos
RECRUITINGMadrid, Spain
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County Clinical Hospital Tirgu Mures
RECRUITINGTârgu Mureş, 540103, Romania
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Derriford Hospital (University Hospitals Plymouth Hospital Trust)
RECRUITINGPlymouth, PL6 8DH, United Kingdom
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Ferenc Csolnoky Hospital of Veszprem County
RECRUITINGVeszprém, H-8200, Hungary
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Fondazione Policlinico A. Gemelli IRCCS
RECRUITINGRome, 00165, Italy
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Foothills Medical Centre
RECRUITINGCalgary, Alberta, AB T2N 5A1, Canada
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Gelderse Vallei Hospital
RECRUITINGEde, Netherlands
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Gelre Hospitals, Department of ICU
RECRUITINGApeldoorn, Netherlands
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General University Hospital
RECRUITINGPrague, 2, 12000, Czechia
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Grey Nuns Hospital
RECRUITINGEdmonton, Alberta, T6L 5X8, Canada
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HUB - Hôpital Erasme
RECRUITINGBrussels, 1070, Belgium
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Hannibal Regional Hospital
RECRUITINGHannibal, Missouri, 63401, United States
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Hopital Pitie-Salpetriere
RECRUITINGParis, 75013, France
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Hospital Clínic Barcelona
RECRUITINGBarcelona, 08030, Spain
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Hospital Universitari Sant Joan de Reus
RECRUITINGTarragona, 43204, Spain
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Hospital Universitari de Tarragona Joan XXIII
RECRUITINGTarragona, 43005, Spain
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, 28041, Spain
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Hospital Universitario de Getafe
RECRUITINGMadrid, 28905, Spain
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Hospital of Siofok
RECRUITINGSiófok, 8600, Hungary
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Hôpital du Kremlin Bicêtre, APHP
RECRUITINGLe Kremlin-Bicêtre, 94275, France
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Jena University Hospital
RECRUITINGJena, 07747, Germany
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Jeroen Bosch Ziekenhuis
RECRUITING's-Hertogenbosch, Netherlands
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Lions Gate Hospital
RECRUITINGNorth Vancouver, British Columbia, V7L 2L7, Canada
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Mayo Clinic
RECRUITINGRochester, Minnesota, 55905, United States
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McGill University Health Centre - Royal Victoria Hospital (MUHC-RVH)
RECRUITINGMontreal, Quebec, H4A 3J1, Canada
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McGovern Medical School - UT Physicians Pulmonary Medicine - Texas Medical Center
RECRUITINGHouston, Texas, 77030, United States
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Medisch Spectrum Twente
RECRUITINGEnschede, 7512 KZ, Netherlands
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National Institute of Pulmonology
RECRUITINGBudapest, H-1121, Hungary
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New York University Grossman School of Medicine
NOT_YET_RECRUITINGNew York, New York, 10016, United States
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Northwestern University - Pulmonary and Critical Care Medicine
RECRUITINGChicago, Illinois, 60611, United States
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Nouvel Hopital Civil
NOT_YET_RECRUITINGStrasbourg, 67091, France
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Penn State Health - Milton S. Hershey Medical Center
RECRUITINGHershey, Pennsylvania, 17033, United States
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Penn State Health - Milton S. Hershey Medical Center
RECRUITINGHershey, Pennsylvania, 17033, United States
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Peter Lougheed Centre
RECRUITINGCalgary, T1Y 6J4, Canada
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Pinderfields Hospital (Mid Yorkshire Teaching NHS Trust)
RECRUITINGWakefield, WF1 4DG, United Kingdom
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Rocky View General Hospital
RECRUITINGCalgary, T2V 1P9, Canada
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Saarland University Hospital
RECRUITINGHomburg, 66421, Germany
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South Health Campus
RECRUITINGCalgary, T3M 1M4, Canada
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Spital Universitar de Urgenta ELIAS (University Emergency Hospital Elias)
RECRUITINGBucharest, Romania
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St. Anne's University Hospital
RECRUITINGBrno, 602 00, Czechia
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Sunnybrook Health Sciences Centre
RECRUITINGToronto, Ontario, M4N 3M5, Canada
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Szabolcs-Szatmar-Bereg County Teaching Hospital, Andras Josa Hospital
RECRUITINGNyíregyháza, H-4400, Hungary
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Szent Damján Greek Catholic Hospital
RECRUITINGKisvárda, 4600, Hungary
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Tenon Hospital
RECRUITINGParis, 75020, France
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UMHAT "Alexandrovska" EAD
RECRUITINGSofia, Bulgaria
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University Health Network (UHN)-Toronto General Hospital (TGH)
RECRUITINGToronto, Ontario, M5G 2N2, Canada
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University Hospital Královské Vinohrady
RECRUITINGPrague, 100 34 10, Czechia
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University Hospital LMU Munich
RECRUITINGMunich, D-81377, Germany
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University Hospital of Bucharest
RECRUITINGBucharest, 050098, Romania
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University Hospital of Bucharest
RECRUITINGBarcelona, 08208, Spain
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University Hospital of Wales
RECRUITINGCardiff, CF14 4XW, United Kingdom
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University of Louisville Hospital - Jewish Hospital
RECRUITINGLouisville, Kentucky, 40202, United States
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University of Louisville-Jewish Hospital
RECRUITINGLouisville, Kentucky, 40202, United States
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University of Pittsburgh Medical Center
RECRUITINGPittsburgh, Pennsylvania, 15261, United States
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Wellstar MCG Augusta University
RECRUITINGAugusta, Georgia, 30912, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Steroid dose showdown: can more dexamethasone save lives in respiratory failure?
- Breathing machine settings put to the test in severe lung injury
- The hidden breath: how a mismatch between patient and machine may shape ARDS recovery
- Scientists hunt for hidden subgroups in sudden respiratory failure
- AI plus ultrasound could catch heart and lung decline before it turns critical