Can a common steroid heal COVID-Damaged lungs?
NCT ID NCT07380152
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This completed phase 1 trial tested whether the steroid prednisolone can help people with persistent lung damage after a moderate to severe COVID-19 infection. One hundred adults with abnormal lung scans and reduced lung function were randomly assigned to receive either prednisolone or a placebo for one month, followed by a gradual dose reduction. The study measured improvements in lung imaging, breathing tests, and quality of life over 10 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Prednisolone (a corticosteroid drug)
- What this could lead to
- If it works, this could point toward a treatment for long-term lung damage after COVID-19, helping patients breathe easier and recover function.
- What could go wrong
- This is a small, early-phase trial (phase 1) with only 100 people. The drug may not improve lung outcomes, and corticosteroids have side effects like weight gain, high blood sugar, and increased infection risk.
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
-
Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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100 people
The number who actually took part.
- Started
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Aug 2021
- Finished
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Dec 2022
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria * Over 18 years of age; * Diagnosis of COVID-19 by RT-PCR (Reverse transcription polymerase chain reaction), a test that detects the presence of viral antigen in nasal and oropharyngeal secretions or chest tomography typical of COVID-19 according to radiological standardization for COVID-19 cases (Machnicki, 2021); * Pulmonary involvement with persistent disease identified on high-resolution computed tomography of the chest; * Reduction in DLCO (percentage of predicted), with measurements less than or equal to 80%. Exclusion criteria * Previous diagnosis of pulmonary embolism; * Previous and decompensated heart failure with electrocardiographic changes, chest X-ray with increased cardiac silhouette, and signs in the clinical examination suggestive of heart failure; * History of acute myocardial infarction in the last month or angina pectoris; Absolute contraindications to the use of corticosteroids or other comorbidities that prevent the use of corticosteroids such as uncontrolled diabetes, untreated glaucoma, current infections such as pneumonia or tuberculosis, and untreated psychiatric disorders; * Pregnancy and lactation; * Inability to perform stress tests such as walking tests and spirometry due to critically ill neuropathy or sequelae of stroke, among other limiting pathologies. The patient will be informed of the risks related to corticosteroid treatment, and this information will be included in the consent form.
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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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Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto
Ribeirão Preto, São Paulo, 14015-010, Brazil