Could a common nausea drug shield ARDS lungs from further harm?
NCT ID NCT07588217
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether ondansetron, a drug typically used for nausea, can reduce the strong urge to breathe in patients with acute respiratory distress syndrome (ARDS) who are on a ventilator. By lowering this drive, the drug may prevent patients from overworking their lungs and causing additional injury. The trial will enroll 76 adults with moderate-to-severe ARDS and randomly assign them to receive ondansetron or a placebo four times daily, monitoring safety and feasibility for a larger future study.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 76 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2029
An estimate. End dates often move.
- Lead sponsor
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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 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: * Moderate-to-severe ARDS with all of the following: * Hypoxemic respiratory failure with PaO2:FiO2 \< 200 (on IMV with PEEP ≥ 5) * Precipitated within 1 week of an acute condition * Bilateral opacities on chest radiography and computed tomography or bilateral B lines and/or consolidations on ultrasound not fully explained by effusions, atelectasis, or nodules/masses * Pulmonary edema not exclusively or primarily attributable to cardiogenic pulmonary edema/fluid overload * Hypoxemia/gas exchange abnormalities not primarily attributable to atelectasis * IMV initiated \< 96 hours * Extubation not anticipated within 24 hours Exclusion Criteria: * Neuromuscular disease impairing spontaneous breathing * Pregnancy * Liver cirrhosis (Child B or C) or other severe impairment of hepatic function * Bradycardia (baseline pulse\<50/min) on screening day * Known long QT syndrome * History of sustained ventricular tachycardia * Active digestive / abdominal infection44 * QTc prolongation \> 470 msec in men and \> 480 msec in women on screening day * On a medication at high risk of QT prolongation (Table 5)50 * On two or more serotonergic medications (Table 6)51 * Hypersensitivity / intolerance to 5-HT3 antagonists * Patient deemed unlikely to survive past 24 hours or being transitioned to a fully palliative philosophy of care
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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
1 site. 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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Hopital du Sacré-Coeur de Montréal
Montreal, Quebec, H4J 1C5, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a different ventilator mode help ARDS patients breathe on their own faster?
- Can a smarter ventilator setting spare damaged lungs on ECMO?
- Can varying breath size protect lungs on a ventilator?
- Can matching drugs to biology beat ARDS?
- Peer coaching may empower families of Ventilator-Dependent children
- Immune cell infusion aims to free ARDS patients from ventilators