Status:
RECRUITING
Treatment of ARDS With Instilled T3
Lead Sponsor:
University of Minnesota
Conditions:
ARDS, Human
Lung, Wet
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
It is hypothesized that instillation of Liothyronine Sodium (T3) into the airspace will be safe, well tolerated, and will increase alveolar fluid clearance and decrease inflammation in patients with A...
Detailed Description
T3 Therapy in ARDS- Phase 2 Randomized, Unblinded, Intervention versus Non- Intervention Trial. Enrollment 68 participants (50 treatment + 18 control). Purpose- To determine the safety and tolerabilit...
Eligibility Criteria
Inclusion
- Study population is critically ill patients requiring mechanical ventilatory support for ARDS in an intensive care unit.
- Adults (≥18 years of age).
- Male or female (non-pregnant).
- Clinical diagnosis of ARDS (all are required):
- Onset: \<= 7 days.
- Chest x-ray: Bilateral Patchy Opacities, Infiltrates.
- Mechanical Vent Support: PEEP or CPAP Support \>= 5 cm H2O.
- Pulmonary Edema: Not fully explained by cardiogenic etiology.
- Hypoxia: PaO2/FIO2 Ratio \<300, or O2Sat/FIO2 Ratio \<315.
- On mechanical ventilatory support.
- Capable of giving informed consent directly or from the subject's legally authorized representative (LAR) as determined by the site Principal Investigator and/or Sub- Investigators.
Exclusion
- Patients with any of the following conditions will be excluded from this trial:
- Inadequate medical history for determining inclusion/exclusion criteria, as determined by the Principal Investigator and/or Sub- Investigators.
- Unlikely to complete the protocol with clinic follow-up after discharge, as determined by the Principal Investigator and/or Sub- Investigators or hospice status.
- Prior history of thyroid cancer or hyperthyroidism, per thorough patient/family interviews, review of past medical history, medication list, laboratory test.
- Prior history of cardiovascular disease defined as:
- Hypertensive crisis in the past 3 months (systolic \>200, or diastolic \>120 mmHg),
- Sustained ventricular arrhythmia in the past 3 months (duration \>30 seconds)
- Coronary artery disease (documented \>=70% occlusion untreated in any coronary vessel), as per the 2021 ACC/AHA/SCAI Guidelines for Coronary Artery Revascularization.
- Cardiac-related angina pectoris (\>=2 episodes in the past 3 months)
- Myocardial infarction with ischemia on ECG (i.e.,new ST- elevation/depression of \>1mm in contiguous leads).
- Peripheral vascular disease (documented \>=70% occlusion untreated in any peripheral vessel), as per the 2018 ACC/AHA/SCAI/SIR/SVM Guidelines for Appropriate Use Criteria for Peripheral Artery Intervention.
- Decompensated or symptomatic heart failure (i.e., hospitalized for CHF exacerbation, or a change in CHF medications within two weeks prior)
- Currently pregnant or breastfeeding.
- Known allergy to study drug.
Key Trial Info
Start Date :
March 30 2020
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
October 31 2026
Estimated Enrollment :
68 Patients enrolled
Trial Details
Trial ID
NCT04115514
Start Date
March 30 2020
End Date
October 31 2026
Last Update
October 21 2025
Active Locations (2)
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1
M Health Fairview Southdale Hospital
Edina, Minnesota, United States, 55435
2
East Bank Hospital - M Health Fairview University of Minnesota Medical Center
Minneapolis, Minnesota, United States, 55455