Empowering Respiratory Therapists to Restrict Nebulized 3% Saline and N-Acetylcysteine During Mechanical Ventilation.
Jonathon D Truwit, Kellianne Fleming, Rahul S Nanchal
https://pubmed.ncbi.nlm.nih.gov/40028879/Actively Recruiting
Led by PPD Development, LP · Updated on 2026-07-31
600
Participants Needed
41
Research Sites
8 weeks
Total Duration
Researchers are conducting a Phase 2 multicenter, randomized, double-blinded, placebo-controlled platform trial to evaluate host-directed therapeutic candidates for hospitalized adults diagnosed with Acute Respiratory Distress Syndrome ARDS. The study aims to assess the safety and efficacy of multiple investigational treatments compared to placebo, while all participants continue receiving standard ARDS care as determined by their doctors. Each treatment is studied in its own cohort within the overall platform design. Participants will be randomized to receive one of several treatments or placebo. Cohort A receives vilobelimab, administered as up to six intravenous doses on specified days if still hospitalized and appropriate. Cohort B receives a single intravenous dose of paridiprubart on Day 1, and Cohort C receives a single intravenous dose of bevacizumab on Day 1. Matching placebos are given accordingly. Treatment starts after screening, which must occur within 24 hours of consent, and continues through hospital discharge. Participants will be followed for about 90 days total, including a screening period, in-hospital treatment, and post-discharge follow-up extending two weeks after Day 90. They will undergo physical exams, laboratory tests, biomarker collections, ECGs, chest imaging, and questionnaires throughout the study. Researchers will measure outcomes such as mortality at Day 28 and later, oxygenation improvements, ventilator use, functional status, hospital resource use, and adverse events to evaluate treatment effects and safety.
CONDITIONS
JUST BREATHE, Breathing Life Into Innovative Therapies for ARDS (Master Record)
J
Just Breathe Trial Team
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PPD Development, LP
Lead Sponsor
Biomedical Advanced Research and Development Authority
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Vilobelimab (Investigational) | Placebo (Cohort A) | Paridiprubart (Investigational) | Placebo (Cohort B) | Bevacizumab (Investigational) | Placebo (Cohort C) | Standard‑of‑Care Supportive Management |
|---|---|---|---|---|---|---|---|
| What it is | A monoclonal antibody targeting complement C5a, administered intravenously under the platform protocol | Matched placebo infusion to vilobelimab | An anti‑TLR4 antibody administered as single IV dose per trial platform protocol | Matched placebo infusion to paridiprubart | An anti‑VEGF antibody (bevacizumab) administered as single IV dose per platform protocol | Matched placebo infusion to bevacizumab | Supports supportive ARDS management including lung‑protective ventilation, corticosteroids, neuromuscular blockade, and tailored PEEP |
| Role in trial | Tested as investigational therapy for ARDS under Cohort A | Control arm for Cohort A | Tested as investigational therapy for ARDS under Cohort B | Control arm for Cohort B | Tested as investigational therapy for ARDS under Cohort C | Control arm for Cohort C | Reflects the supportive treatments all participants receive across cohorts outside investigational interventions |
| Primary use | Investigational immunomodulator targeting complement-mediated inflammation in ARDS | Placebo comparator to control for investigational effect | Investigational anti‑TLR4 therapy designed to moderate ARDS‑related immune response | Placebo comparator for paridiprubart | Investigational anti‑VEGF antibody intended to reduce vascular permeability in ARDS | Placebo comparator for bevacizumab delivery | Supportive ARDS treatment to manage oxygenation and lung injury |
| How it is given or performed | IV infusion up to 6 doses on Days 1, 2, 4, 8, 15 and 22 as appropriate | IV placebo matching vilobelimab schedule | Single IV infusion of 15 mg/kg up to 1440 mg on Day 1 | Single IV placebo on Day 1 | Single IV infusion of bevacizumab on Day 1 as per protocol | Single IV placebo on Day 1 | Supportive care delivered per ICU practice and guideline recommendations |
| Evidence status | Experimental; early clinical benefit observed in COVID‑19 ARDS (PANAMO trial) but not yet in non‑COVID ARDS | Control condition representing usual care plus placebo | No published efficacy data yet; investigational at this stage | Control condition representing usual care plus placebo | Preclinical rationale exists; no clinical benefit yet in ARDS | Control condition representing usual care plus placebo | Supportive management has demonstrated mortality reduction and improved outcomes in ARDS |
| Important limitations | Benefit shown in COVID‑19 ARDS but unknown efficacy in ARDS from other causes | Placebo provides no therapeutic effect | No efficacy or safety data yet available for ARDS | Placebo provides no therapeutic effect | Clinical data in ARDS lacking; approach is based on physiological rationale | Placebo provides no therapeutic effect | Does not modify underlying ARDS pathophysiology |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - Less than 24 hours
Participants are screened for eligibility to participate in the trial.
Duration - From Day 1 until hospital discharge
Participants receive an investigational drug or placebo starting on Day 1 through their hospital discharge. Treatments vary by cohort: vilobelimab up to 6 IV doses, paridiprubart single IV dose, or bevacizumab single IV dose.
Duration - Approximately 3 months after treatment
Participants are followed for additional health assessments and questionnaires through Day 90 plus 2 weeks after hospital discharge.
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
6
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Jonathon D Truwit, Kellianne Fleming, Rahul S Nanchal
https://pubmed.ncbi.nlm.nih.gov/40028879/PPD Development, LP
Lead Sponsor
Biomedical Advanced Research and Development Authority
Collaborating Sponsor