Pirfenidone to Prevent Fibrosis in Ards.
NCT05075161 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 130
Last updated 2026-05-08
Summary
Acute respiratory distress syndrome (ARDS) is a severe form of acute lung injury and a major cause of Intensive Care Unit (ICU) admission worldwide. Despite a large number of randomized clinical trials, a specific and effective pharmacological approach for patients with ARDS is still lacking.
Fibroproliferation is a crucial part of the host defence response, and severe fibrotic lung disease affects ARDS patients even years after acute phase resolution.
Pirfenidone is an oral anti-fibrotic drug, approved and largely used for treatment of idiopathic pulmonary fibrosis (IPF). The effect of Pirfenidone in ARDS has been evaluated only in animal models.
This is a randomized controlled study to evaluate for the first time the efficacy of Pirfenidone in ARDS.
Conditions
- Acute Respiratory Distress Syndrome (ARDS)
Interventions
- DRUG
-
From days 1-7: 801mg/day; from days 8-14:1602mg/day, from day 15 to ICU discharge 2403 mg/day. All drugs will be delivered by a nasogastric tube divided in 3 daily doses.
- DRUG
-
All drugs will be delivered by a nasogastric tube divided in 3 daily doses.
Sponsors & Collaborators
-
Università Vita-Salute San Raffaele
lead OTHER
Principal Investigators
-
Giovanni Landoni, Professor · Università Vita-Salute San Raffaele
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-06-01
- Primary Completion
- 2026-06-30
- Completion
- 2026-12-31
Countries
- Italy
- Kazakhstan
Study Locations
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