New drug shows promise for ARDS patients in major trial
NCT ID NCT04909697
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This clinical trial tested a drug called sivelestat sodium in 324 adults with acute respiratory distress syndrome (ARDS) and systemic inflammation. The drug aims to block a harmful enzyme that damages lung tissue. Researchers measured whether it improved oxygen levels and reduced the need for a breathing machine.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- sivelestat sodium
- What this could lead to
- If it works, this could provide a new treatment option for ARDS patients, potentially improving oxygen levels and reducing time on a ventilator.
- What could go wrong
- This is a completed Phase 4 trial, but results are not yet widely reported. The drug may not show significant benefit over standard care, and side effects 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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
324 people
The number who actually took part.
- Started
-
Apr 2022
- Finished
-
Oct 2025
- 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
-
18 to 75 years
- Sex
-
Anyone
- Healthy volunteers
-
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. Males and females \> 18 years old and \<75 years old (non-pregnant, non-lactating females). 2. Patients fulfilled the Berlin diagnostic criteria of acute respiratory distress syndrome, with a arterial oxygen partial pressure (PaO2) to fraction of inspired oxygen (FiO2) between 150 mmHg and 300 mmHg. 3. Signed written informed consent has been obtained Exclusion Criteria: 1. History of chronic respiratory disease 2. Single cardiogenic pulmonary edema 3. Apach2 score ≥21 points 4. Complicated with end-stage disease, or poor prognosis judged by the clinical doctor in charge 5. ARDS course\>3 days 6. Agranulocytosis or receiving immunosuppressive agents or high doses of corticosteroids (methylprednisolone\>40mg/day) 7. Pregnancy or breastfeeding 8. Participated in this study 9. Do not agree to participate in this experiment
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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
-
Sichuan provincial people's hospital
Chengdu, Sichuan Privince, China
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
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