Status:

NOT_YET_RECRUITING

iNO300 Therapy in Critically Ill Patients With Pneumonia

Lead Sponsor:

Massachusetts General Hospital

Conditions:

Critical Illness

Pneumonia

Eligibility:

All Genders

18+ years

Phase:

EARLY_PHASE1

Brief Summary

The goal of this clinical trial is to learn the formation and recovery rate of methemoglobin (MetHb) in severely sick patients with pneumonia who receive high doses of inhaled nitric oxide (iNO) thera...

Detailed Description

This study is designed as a pilot, double-blinded, randomized controlled trial to investigate levels of methemoglobin in the treatment group versus the control group and efficacy of high dose inhaled ...

Eligibility Criteria

Inclusion

  • 18 years or older
  • Intubated and mechanically ventilated
  • Within 72h of diagnosis of community- or hospital-acquired pneumonia
  • Written informed consent obtained from patients or legally authorized representatives

Exclusion

  • Baseline methemoglobin 3% or higher
  • Genetic diseases including glucose-6-phosphate dehydrogenase deficiency, cytochrome b5 reductase deficiency, sickle cell disease
  • Oxygen saturation \< 88% on 100% inspired fraction of oxygen
  • Anemia with hemoglobin \< 7.0 g/dl
  • Acute cardiogenic shock requiring inotropic or mechanical support with an ejection fraction less than 20%
  • eGFR \< 30 ml/min/1.73m2 or use of continuous renal replacement therapy
  • Receiving inhaled NO therapy or decision to initiate inhaled NO therapy within 24 hours post randomization
  • A decision to do-not-resuscitate (DNR)
  • Enrollment in another experimental antimicrobial treatment protocol
  • Patients for whom follow-up is expected to be impossible

Key Trial Info

Start Date :

January 1 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2026

Estimated Enrollment :

34 Patients enrolled

Trial Details

Trial ID

NCT06950294

Start Date

January 1 2026

End Date

December 1 2026

Last Update

December 26 2025

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