Can stem cell vesicles save lives in severe ARDS?
NCT ID NCT05354141
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether a single intravenous dose of ExoFlo, made from bone marrow stem cell vesicles, can lower the death rate in hospitalized adults with moderate-to-severe ARDS. About 970 participants will receive either ExoFlo or a placebo. The main goal is to see if ExoFlo reduces deaths within 60 days and helps patients get off ventilators and oxygen faster.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ExoFlo (bone marrow stem cell derived extracellular vesicles)
- What this could lead to
- If it works, this could provide a new treatment to reduce deaths and speed recovery in patients with severe lung inflammation (ARDS).
- What could go wrong
- This is still an experimental treatment. Even in phase 3, it may not prove better than placebo, and side effects from the intravenous vesicles are possible.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 970 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2022
- Expected to finish
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Dec 2027
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 to 75 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: 1. Men and women aged 18-75 years of age 2. Presence of the following criteria for moderate to severe ARDS as defined by the Berlin Criteria within 24 hours of the first infustion: 1. Onset within 7 days of known clinical insult or requiring increasing respiratory rate, increasing oxygen flows, or increased work of breathing, and 2. Bilateral lung opacities not fully explained by pleural effusions, atelectasis, or nodules, and 3. PaO2/FiO2 (P/F ratio) ≤ 200 mm Hg, and 4. Invasive or noninvasive ventilation with a minimum PEEP 5 cm H2O or minimum of continuous positive airway pressure (CPAP) 5 cm H2O, or High Flow Nasal Oxygen at ≥ 30 L/min, and 5. Respiratory failure not fully explained by cardiac failure or fluid overload. Exclusion Criteria: 1. Lack of signed and dated informed consent form (either by the individual or by the individual's healthcare proxy). 2. Stated unwillingness to comply with all study procedures and availability for the duration of the study 3. Vulnerable populations such as pregnant patients, children, individuals with severe physical or mental disabilities who cannot provide meaningful consent. 4. Active malignancy requiring treatment within the last two years, with the exception of non-melanoma skin cancers. 5. Major physical trauma in the last 2 days, including motor vehicle accidents, assaults, mechanical falls with sequelae of significant bleeding or craniofacial bruising, and surgeries, such that not one or more injury may be undiagnosed at time of screening. 6. Duration of mechanical ventilation exceeds 3 days or 72 hours from diagnosis of ARDS. 7. ALT or AST \> 8 x Upper Limit of Normal (ULN). 8. Documented history of cirrhosis. 9. DNR order, as in electing not to receive chest compressions, cardiac defibrillation, cardiac drugs, or intubation. 10. Moribund-expected survival \< 24 hours. 11. Severe metabolic disturbances at randomization (e.g., ketoacidosis, pH \< 7.2) 12. Patient currently connected to Extracorporeal Membrane Oxygenation at initiation of screening. 13. If the candidate, either a male or female of reproductive potential, is unwilling to two methods of highly effective birth control contraception such as condoms with oral contraceptive pill or choose to remain abstinent if already practicing abstinence during the screening period. The required duration of usage of double method OR maintenance of abstinence must include the time from the beginning of the screening period until Day 61, day of withdrawal or early termination 14. Use of investigational COVID-19 agents or any other investigational agents within 30 days prior to the first dose.
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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
32 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Direct Biologics Investigational Site
RECRUITINGPhoenix, Arizona, 85012, United States
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Direct Biologics Investigational Site
RECRUITINGLittle Rock, Arkansas, 72205, United States
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Direct Biologics Investigational Site
RECRUITINGDavis, California, 95817, United States
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Direct Biologics Investigational Site
RECRUITINGIrvine, California, 92627, United States
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Direct Biologics Investigational Site
RECRUITINGSacramento, California, 95817, United States
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Direct Biologics Investigational Site
RECRUITINGWashington D.C., District of Columbia, 20010, United States
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Direct Biologics Investigational Site
RECRUITINGJacksonville, Florida, 32224, United States
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Direct Biologics Investigational Site
RECRUITINGBoise, Idaho, 83712, United States
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Direct Biologics Investigational Site
RECRUITINGIowa City, Iowa, 52242, United States
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Direct Biologics Investigational Site
RECRUITINGSilver Spring, Maryland, 20910, United States
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Direct Biologics Investigational Site
RECRUITINGBoston, Massachusetts, 02115, United States
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Direct Biologics Investigational Site
RECRUITINGBurlington, Massachusetts, 01805, United States
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Direct Biologics Investigational Site
RECRUITINGSpringfield, Massachusetts, 01199, United States
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Direct Biologics Investigational Site
RECRUITINGDetroit, Michigan, 48202, United States
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Direct Biologics Investigational Site
RECRUITINGRochester, Minnesota, 55905, United States
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Direct Biologics Investigational Site
RECRUITINGJackson, Mississippi, 39202, United States
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Direct Biologics Investigational Site
RECRUITINGFlushing, New York, 11368, United States
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Direct Biologics Investigational Site
RECRUITINGQueens, New York, 11040, United States
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Direct Biologics Investigational Site
RECRUITINGThe Bronx, New York, 10467, United States
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Direct Biologics Investigational Site
RECRUITINGDurham, North Carolina, 27710, United States
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Direct Biologics Investigational Site
RECRUITINGWinston-Salem, North Carolina, 27157, United States
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Direct Biologics Investigational Site
RECRUITINGCincinnati, Ohio, 45219, United States
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Direct Biologics Investigational Site
RECRUITINGCleveland, Ohio, 44106, United States
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Direct Biologics Investigational Site
RECRUITINGPortland, Oregon, 97239, United States
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Direct Biologics Investigational Site
RECRUITINGCharleston, South Carolina, 29425, United States
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Direct Biologics Investigational Site
RECRUITINGKnoxville, Tennessee, 37996, United States
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Direct Biologics Investigational Site
RECRUITINGNashville, Tennessee, 37235, United States
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Direct Biologics Investigational Site
RECRUITINGDallas, Texas, 75246, United States
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Direct Biologics Investigational Site
RECRUITINGFort Worth, Texas, 76104, United States
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Direct Biologics Investigational Site
RECRUITINGHouston, Texas, 77030, United States
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Direct Biologics Investigational Site
NOT_YET_RECRUITINGMurray, Utah, 84107, United States
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Direct Biologics Investigational Site
RECRUITINGSalt Lake City, Utah, 84101, 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