Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT06513949

Anti-CD14 Treatment With IC14 in Hospitalized ARDS Patients

Led by Implicit Bioscience · Updated on 2025-08-20

56

Participants Needed

2

Research Sites

119 weeks

Total Duration

On this page

Sponsors

I

Implicit Bioscience

Lead Sponsor

U

University of Washington

Collaborating Sponsor

AI-Summary

What this Trial Is About

Hospitalized patients with ARDS will be randomized to intravenous treatment with a monoclonal antibody against CD14, called IC14, or placebo. They will be followed for 28 days. The primary outcome is the day 4 oxygenation index assessed as a continuous measure.

CONDITIONS

Official Title

Anti-CD14 Treatment With IC14 in Hospitalized ARDS Patients

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 years or older
  • On mechanical ventilation with ARDS diagnosed by Berlin Criteria within 48 hours
  • P:F ratio less than 300
  • Positive end-expiratory pressure (PEEP) of 5 cm H2O or higher
  • Bilateral lung opacities on chest x-ray or CT scan not fully explained by other causes
  • Respiratory failure not fully explained by heart failure or fluid overload
  • Symptoms or clinical insult within 1 week
  • Patient or legal representative able to give written informed consent
Not Eligible

You will not qualify if you...

  • Significant pre-existing organ dysfunction prior to hospitalization including:
    • Lung: Receiving home oxygen therapy
    • Heart: Congestive heart failure with ejection fraction less than 20%
    • Kidney: End-stage renal disease requiring dialysis or eGFR less than 30 mL/min
    • Liver: Severe chronic liver disease (Child-Pugh Class C) or very high liver enzymes
    • Hematologic: Platelet count less than 50,000/mm3
  • Co-existing infections including:
    • HIV not virally suppressed with CD4 counts 500 or less
    • Active or inadequately treated tuberculosis
    • Active hepatitis B or C infection
  • Treatment within 30 days or five half-lives with certain immunosuppressants or immunomodulators
  • Receiving comfort measures only
  • Requiring more than two vasopressors
  • Pregnant
  • Prisoners
  • History of hypersensitivity or reaction to IC14
  • Currently breastfeeding
  • Bronchoscopy safety exclusions including:
    • P:F ratio less than 100 on 100% oxygen
    • Mean pulmonary artery pressure over 55 mmHg
    • Severe cardiovascular instability
    • Intracranial pressure 20 mmHg or higher
    • Acute ischemic heart disease
    • Supported on extracorporeal membrane oxygenation
    • Endotracheal tube smaller than 6.5 mm

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

Harborview Medical Center

Seattle, Washington, United States, 98104

Actively Recruiting

2

University of Washington

Seattle, Washington, United States, 98195

Actively Recruiting

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Research Team

L

Linzee Mabrey, MD, MSc

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Anti-CD14 Treatment With IC14 in Hospitalized ARDS Patients | DecenTrialz