JUST BREATHE, Breathing Life Into Innovative Therapies for ARDS (Master Record)

Recruiting now · Phase 2 · Has a placebo group

Conditions studied: Acute Respiratory Distress Syndrome (ARDS), ARDS, ARDS (Acute Respiratory Distress Syndrome), Acute Respiratory Distress Syndrome

In brief

This is a Phase 2 multicenter, randomized, double-blinded, placebo-controlled study that will evaluate the safety and efficacy of host-directed therapeutics in hospitalized adults diagnosed with Acute Respiratory Distress Syndrome (ARDS) utilizing a platform trial design. Participants will be randomized to receive either a placebo or one of the active treatments. This record describes the default procedures and analyses for all cohorts. Each specific cohort may have additional eligibility requirements, safety and efficacy procedures, or endpoints, which will be described in the corresponding intervention-specific records on clinicaltrials.gov listed below in the detailed description.

Key facts

Study ID

NCT06703073

Run by

PPD Development, LP

People needed

600

Starts

2025-06-10

Expected to finish

2028-09-01

Last updated by the study team

2026-07-31

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Each participant must meet all of the following criteria to be enrolled in this study:
• Participant (or their Legally Authorized Representative (LAR)) provides informed consent and agrees to comply with protocol requirements
• Participant is at least 18 years of age or older at the time of consent.
• Participant with signs and symptoms of ARDS according to the Berlin definition of ARDS.
• Note that participants on noninvasive ventilation may be screened.
• Participant of childbearing potential must agree to either abstinence or use at least one primary form of contraception, not including hormonal contraception, from the time of screening through Day 28. Additional cohort-specific requirements may apply
• Participant agrees to not participate in another investigational interventional study while participating in this study (i.e., through Day 90).

You may not qualify if…

• Participants will be excluded from the study if any of the following apply:
• Participant with ARDS or at risk of developing ARDS due to the following reasons: trauma, large volume aspiration, or transfusion.
• Participant with pulmonary edema due to cardiogenic pulmonary edema/fluid overload or hypoxemia primarily attributable atelectasis, in the absence of a predisposing risk factor for ARDS.
• Participant who demonstrates an improvement in oxygenation and ventilatory support 24 hours prior to or during screening up to randomization, such that per investigator clinical judgement, the participant is expected to have significant improvement in lung function over subsequent 24 hours regardless of additional interventions.
• Participant is known to be pregnant, nursing, or with a positive (urine and/or serum test) pregnancy test.
• Participant is anticipated to be transferred to another hospital which is not a study site within 72 hours.
• Participant is not expected to survive for 72 hours.
• Participant has been on invasive mechanical ventilation or ECMO for ARDS for more than 48 hours for ARDS at the time of consent.
• Participant has an underlying clinical condition where, in the opinion of the Investigator and based on their clinical judgement, it would be extremely unlikely that the participant would come off ventilation
• Participant has severe COPD requiring continuous long-term home oxygen therapy or mechanical ventilation (noninvasive ventilation or via tracheotomy) except for CPAP or bi-level positive airway pressure used solely for sleep-disordered breathing.
• Participant has interstitial lung disease or idiopathic pulmonary fibrosis requiring continuous chronic home oxygen therapy.
• Participant has NY Heart Association Class IV congestive heart failure.
• Participant has a known allergy to any study medication or any of its excipients.
• Participant is receiving systemic immunosuppressive therapy for solid organ or hematopoietic cancer or transplant anti-rejection medication therapy OR systemic immunosuppressive corticosteroids (prednisone ≥20 mg daily or equivalent). NOTE: Patients onreceiving chronic low dose immunosuppressive therapy may be enrolled(e.g., prednisone <20 mg/day or equivalent) and patients on stable, long-term maintenance immunosuppression (e.g., tacrolimus, mycophenolate, orsirolimus) and patients receiving physiologic replacement and hormonal therapies for breast cancer (e.g., tamoxifen, letrozole) or prostate cancer (leuprolide, bicalutamide) for >60 days may be eligible at the investigator's discretion of the investigator in consultation with the medical monitor.
• Participant is receiving ongoing cytotoxic chemotherapy (IV or oral), OR combination targeted/immunotherapy regimens for cancer within the past 60 days. Note: Participants receiving non-myelosuppressive cancer therapy (e.g., hormonal therapy or selected targeted / immunotherapy regimens) may be eligible if therapy has been stable ≥60 days; The use of hydroxyurea to manage patients with chronic myeloid leukemia, polycythemia vera, essential thrombocythemia or sickle cell disease is permitted.
• Participant received treatment with an investigational immunomodulator or immunosuppressant drugs within 5 half-lives or 30 days (whichever is longer) before randomization.
• Participant with concurrent infections or history of the following:
• Known active tuberculosis,
• Known active Hepatitis B, or
• HIV and a CD4 count less than 50 or a detectable viral load of >200 copies/mL HIV RNA.
• Participant received treatment with any other investigational drugs within 30 days prior to consent.
• Participant had a history of abdominal fistula, gastrointestinal perforation, intra-abdominal abscess within 28 days of screening or inadequate wound healing secondary to major thoracoabdominal surgery at the time of screening.
• Participant is considered by the investigator, for any reason, to be an unsuitable candidate for the study.
• Participant may have additional cohort-specific requirements.

Where it is running

• Swedish Medical Center — Seattle, Washington, United States (enrolling)
• Community Regional Medical Center — Fresno, California, United States (enrolling)
• Long Beach Memorial Medical Center — Long Beach, California, United States (enrolling)
• University of California Irvine Medical Center — Orange, California, United States (enrolling)
• University of California Davis Medical Center - Pulmonary Medicine — Sacramento, California, United States (enrolling)
• Stanford Medical Center — Stanford, California, United States (enrolling)
• University of Michigan Hospital — Ann Arbor, Michigan, United States (enrolling)
• Henry Ford Health Hospital — Detroit, Michigan, United States (enrolling)
• Mayo Clinic — Rochester, Minnesota, United States (enrolling)
• Robert Wood Johnson Medical School — New Brunswick, New Jersey, United States (enrolling)
• Montefiore Hospital - Moses Campus — The Bronx, New York, United States (enrolling)
• University of North Carolina at Chapel Hill — Chapel Hill, North Carolina, United States (enrolling)
• Durham VA Medical Center — Durham, North Carolina, United States (enrolling)
• Mercy Health - St. Vincent Medical Center — Toledo, Ohio, United States (enrolling)
• The University of Oklahoma Health Sciences Center — Oklahoma City, Oklahoma, United States (enrolling)
• Oregon Health and Science University — Portland, Oregon, United States (enrolling)
• Medical University of South Carolina (MUSC) — Charleston, South Carolina, United States (enrolling)
• Vanderbilt University Medical Center — Nashville, Tennessee, United States (enrolling)
• Baylor All Saints Medical Center — Fort Worth, Texas, United States (enrolling)
• Intermountain Medical Center — Murray, Utah, United States (enrolling)
• MedStar Washington Hospital Center — Washington D.C., District of Columbia, United States (enrolling)
• Nova Clinical Research — Bradenton, Florida, United States (enrolling)
• North Florida / South Georgia Veterans Health System — Gainesville, Florida, United States (enrolling)
• Sarasota Memorial Hospital — Sarasota, Florida, United States (enrolling)
• St. Luke's Boise Medical Center — Boise, Idaho, United States (enrolling)

Full record on ClinicalTrials.gov

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