Trial Outcomes & Findings for KL₄Surfactant Treatment in Patients With ARDS (NCT NCT00215553)

NCT ID: NCT00215553

Last Updated: 2018-08-09

Results Overview

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

124 participants

Primary outcome timeframe

Through 28 days

Results posted on

2018-08-09

Participant Flow

Recruitment occurred between May 2001 to February 2006 in hospital ICUs

Participant milestones

Participant milestones
Measure
A.1 Lucinactant
3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours.
A.2 Lucinactant
3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.3 Lucinactant
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.4 Lucinactant
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.1 Lucinactant
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
B.2 Lucinactant
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.3 SoC
Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
Overall Study
STARTED
5
6
6
5
28
38
36
Overall Study
COMPLETED
5
5
4
4
26
32
36
Overall Study
NOT COMPLETED
0
1
2
1
2
6
0

Reasons for withdrawal

Reasons for withdrawal
Measure
A.1 Lucinactant
3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours.
A.2 Lucinactant
3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.3 Lucinactant
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.4 Lucinactant
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.1 Lucinactant
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
B.2 Lucinactant
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.3 SoC
Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
Overall Study
Adverse Event
0
1
2
1
2
6
0

Baseline Characteristics

KL₄Surfactant Treatment in Patients With ARDS

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
A.1 Lucinactant
n=5 Participants
3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours.
A.2 Lucinactant
n=6 Participants
3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.3 Lucinactant
n=6 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.4 Lucinactant
n=5 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.1 Lucinactant
n=28 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
B.2 Lucinactant
n=38 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.3 SoC
n=36 Participants
Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
Total
n=124 Participants
Total of all reporting groups
Age, Categorical
<=18 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
1 Participants
n=24 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
5 Participants
n=7 Participants
5 Participants
n=5 Participants
5 Participants
n=4 Participants
26 Participants
n=21 Participants
32 Participants
n=10 Participants
32 Participants
n=115 Participants
107 Participants
n=24 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
6 Participants
n=10 Participants
4 Participants
n=115 Participants
16 Participants
n=24 Participants
Age, Continuous
52.7 years
STANDARD_DEVIATION 24.0 • n=5 Participants
50.5 years
STANDARD_DEVIATION 17.1 • n=7 Participants
45.6 years
STANDARD_DEVIATION 16.0 • n=5 Participants
41.6 years
STANDARD_DEVIATION 6.2 • n=4 Participants
46.3 years
STANDARD_DEVIATION 12.5 • n=21 Participants
51.8 years
STANDARD_DEVIATION 13.0 • n=10 Participants
47.3 years
STANDARD_DEVIATION 12.6 • n=115 Participants
48.5 years
STANDARD_DEVIATION 13.1 • n=24 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
1 Participants
n=4 Participants
9 Participants
n=21 Participants
22 Participants
n=10 Participants
16 Participants
n=115 Participants
57 Participants
n=24 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
4 Participants
n=7 Participants
2 Participants
n=5 Participants
4 Participants
n=4 Participants
19 Participants
n=21 Participants
16 Participants
n=10 Participants
20 Participants
n=115 Participants
67 Participants
n=24 Participants
Region of Enrollment
United States
5 participants
n=5 Participants
6 participants
n=7 Participants
6 participants
n=5 Participants
5 participants
n=4 Participants
25 participants
n=21 Participants
32 participants
n=10 Participants
23 participants
n=115 Participants
102 participants
n=24 Participants
Region of Enrollment
Canada
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
3 participants
n=21 Participants
5 participants
n=10 Participants
9 participants
n=115 Participants
17 participants
n=24 Participants
Region of Enrollment
Russian Federation
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=10 Participants
4 participants
n=115 Participants
5 participants
n=24 Participants

PRIMARY outcome

Timeframe: Through 28 days

Population: In Part A, 5 subjects provided a reasonable cohort to adequately examine the safety of each treatment regimen. In Part B, 30 subjects were planned to be enrolled in each treatment group (a total of 90 subjects), enough to calculate the dose response curve. Analyses conducted on Intent-to-Treat population (all enrolled subjects).

Outcome measures

Outcome measures
Measure
A.1 Lucinactant
n=5 Participants
3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours.
A.2 Lucinactant
n=6 Participants
3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.3 Lucinactant
n=6 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.4 Lucinactant
n=5 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.1 Lucinactant
n=28 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
B.2 Lucinactant
n=38 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.3 SoC
n=36 Participants
Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
Incidence of Patients Being Alive and Not Receiving Mechanical Ventilation for ≥48 Hours at the End of Day 28.
2 participants
4 participants
4 participants
5 participants
20 participants
26 participants
29 participants

SECONDARY outcome

Timeframe: Through 28 days

Population: In Part A, 5 subjects provided a reasonable cohort to adequately examine the safety of each treatment regimen. In Part B, 30 subjects were planned to be enrolled in each treatment group (a total of 90 subjects), enough to calculate the dose response curve. Analyses conducted on Intent-to-Treat population (all enrolled subjects).

Outcome measures

Outcome measures
Measure
A.1 Lucinactant
n=5 Participants
3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours.
A.2 Lucinactant
n=6 Participants
3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.3 Lucinactant
n=6 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.4 Lucinactant
n=5 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.1 Lucinactant
n=28 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
B.2 Lucinactant
n=38 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.3 SoC
n=36 Participants
Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
Mortality
3 participants
2 participants
0 participants
0 participants
4 participants
9 participants
5 participants

SECONDARY outcome

Timeframe: Through 28 days

Population: In Part A, 5 subjects provided a reasonable cohort to adequately examine the safety of each treatment regimen. In Part B, 30 subjects were planned to be enrolled in each treatment group (a total of 90 subjects), enough to calculate the dose response curve. Analyses conducted on Intent-to-Treat population (all enrolled subjects).

Number of days in ICU

Outcome measures

Outcome measures
Measure
A.1 Lucinactant
n=5 Participants
3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours.
A.2 Lucinactant
n=6 Participants
3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.3 Lucinactant
n=6 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.4 Lucinactant
n=5 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.1 Lucinactant
n=28 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
B.2 Lucinactant
n=38 Participants
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.3 SoC
n=36 Participants
Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
Days in ICU
23.4 days
Standard Deviation 7.06
20.5 days
Standard Deviation 7.53
14.3 days
Standard Deviation 9.81
20.0 days
Standard Deviation 2.74
15.3 days
Standard Deviation 9.01
19.9 days
Standard Deviation 7.66
17.4 days
Standard Deviation 8.10

Adverse Events

A.1 Lucinactant

Serious events: 4 serious events
Other events: 5 other events
Deaths: 0 deaths

A.2 Lucinactant

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

A.3 Lucinactant

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

A.4 Lucinactant

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

B.1 Lucinactant

Serious events: 10 serious events
Other events: 24 other events
Deaths: 0 deaths

B.2 Lucinactant

Serious events: 19 serious events
Other events: 37 other events
Deaths: 0 deaths

B.3 SoC

Serious events: 13 serious events
Other events: 31 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
A.1 Lucinactant
n=5 participants at risk
3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours.
A.2 Lucinactant
n=6 participants at risk
3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.3 Lucinactant
n=6 participants at risk
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.4 Lucinactant
n=5 participants at risk
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.1 Lucinactant
n=28 participants at risk
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
B.2 Lucinactant
n=38 participants at risk
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.3 SoC
n=36 participants at risk
Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
General disorders
Death NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
5.3%
2/38 • Number of events 2 • 28 days
0.00%
0/36 • 28 days
General disorders
Multi-organ failure
40.0%
2/5 • Number of events 2 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • Number of events 1 • 28 days
5.3%
2/38 • Number of events 2 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Infections and infestations
Sepsis NOS
0.00%
0/5 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
7.1%
2/28 • Number of events 2 • 28 days
5.3%
2/38 • Number of events 2 • 28 days
0.00%
0/36 • 28 days
Infections and infestations
Septic shock
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Investigations
Oxygen saturation decreased
0.00%
0/5 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Nervous system disorders
Anoxic encephalopathy
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
5.3%
2/38 • Number of events 2 • 28 days
0.00%
0/36 • 28 days
Nervous system disorders
Metabolic encephalopathy
20.0%
1/5 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
0.00%
0/36 • 28 days
Renal and urinary disorders
Renal failure NOS
20.0%
1/5 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • Number of events 1 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress syndrome
20.0%
1/5 • Number of events 2 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • Number of events 1 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Respiratory, thoracic and mediastinal disorders
Hypoxia
20.0%
1/5 • Number of events 1 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/5 • 28 days
14.3%
4/28 • Number of events 4 • 28 days
5.3%
2/38 • Number of events 2 • 28 days
5.6%
2/36 • Number of events 2 • 28 days
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
5.3%
2/38 • Number of events 2 • 28 days
5.6%
2/36 • Number of events 3 • 28 days
Respiratory, thoracic and mediastinal disorders
Pneumothorax NOS
20.0%
1/5 • Number of events 2 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
14.3%
4/28 • Number of events 4 • 28 days
18.4%
7/38 • Number of events 10 • 28 days
0.00%
0/36 • 28 days
Vascular disorders
Hypotension NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Vascular disorders
Pulmonary embolism
20.0%
1/5 • Number of events 2 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • Number of events 1 • 28 days
0.00%
0/38 • 28 days
0.00%
0/36 • 28 days
Vascular disorders
Ischaemic stroke NEC
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • Number of events 1 • 28 days
0.00%
0/38 • 28 days
0.00%
0/36 • 28 days
Vascular disorders
Venous thrombosis deep limb
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Gastrointestinal disorders
Gastrointestinal haemorrhage NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • Number of events 1 • 28 days
0.00%
0/38 • 28 days
0.00%
0/36 • 28 days
Cardiac disorders
Cardiac arrest
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Gastrointestinal disorders
Necrotising enterocolitis
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • Number of events 1 • 28 days
0.00%
0/38 • 28 days
0.00%
0/36 • 28 days
Cardiac disorders
Bradycardia NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Cardiac disorders
Pulmonary oedema
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Infections and infestations
Empyema NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Infections and infestations
Lung abscess NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Respiratory, thoracic and mediastinal disorders
Respiratory failure (exc neonatal)
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Investigations
Neurologic examination abnormality
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Psychiatric disorders
Agitation aggravated
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • Number of events 1 • 28 days
0.00%
0/38 • 28 days
0.00%
0/36 • 28 days
Nervous system disorders
Confusion
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • Number of events 1 • 28 days
0.00%
0/38 • 28 days
0.00%
0/36 • 28 days
Infections and infestations
Pneumonia pneumococcal
0.00%
0/5 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
0.00%
0/36 • 28 days
Nervous system disorders
Hypoxic encephelopathy
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
General disorders
Haemorrhage NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Cardiac disorders
Supraventricular tachycardia
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Injury, poisoning and procedural complications
Haemothorax
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Cardiac disorders
Cardio-respiratory arrest
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Nervous system disorders
Polyneuropathy NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Cardiac disorders
Ventricular arrythmia NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Investigations
Blood pressure decreased
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Gastrointestinal disorders
Colitis
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • Number of events 1 • 28 days
0.00%
0/38 • 28 days
0.00%
0/36 • 28 days
Surgical and medical procedures
Wound dehiscence
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • Number of events 1 • 28 days
0.00%
0/36 • 28 days
Vascular disorders
Shock haemorrhagic
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Vascular disorders
Gangrene NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Hepatobiliary disorders
Hepatic failure
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Respiratory, thoracic and mediastinal disorders
Respiratory gas exchange disorder
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Surgical and medical procedures
Tracheostomy
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Surgical and medical procedures
Subcutaneous emphysema
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
2.8%
1/36 • Number of events 1 • 28 days
Infections and infestations
Pneumonia NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
2.8%
1/36 • Number of events 1 • 28 days

Other adverse events

Other adverse events
Measure
A.1 Lucinactant
n=5 participants at risk
3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours.
A.2 Lucinactant
n=6 participants at risk
3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.3 Lucinactant
n=6 participants at risk
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
A.4 Lucinactant
n=5 participants at risk
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.1 Lucinactant
n=28 participants at risk
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.
B.2 Lucinactant
n=38 participants at risk
2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.
B.3 SoC
n=36 participants at risk
Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
Blood and lymphatic system disorders
Anaemia NOS
40.0%
2/5 • 28 days
16.7%
1/6 • 28 days
33.3%
2/6 • 28 days
60.0%
3/5 • 28 days
17.9%
5/28 • 28 days
21.1%
8/38 • 28 days
13.9%
5/36 • 28 days
Blood and lymphatic system disorders
Leucocytosis NOS
20.0%
1/5 • 28 days
16.7%
1/6 • 28 days
16.7%
1/6 • 28 days
20.0%
1/5 • 28 days
3.6%
1/28 • 28 days
0.00%
0/38 • 28 days
0.00%
0/36 • 28 days
Blood and lymphatic system disorders
Thrombocythaemia
0.00%
0/5 • 28 days
16.7%
1/6 • 28 days
0.00%
0/6 • 28 days
20.0%
1/5 • 28 days
7.1%
2/28 • 28 days
7.9%
3/38 • 28 days
2.8%
1/36 • 28 days
Cardiac disorders
Atrial fibrillation
20.0%
1/5 • 28 days
16.7%
1/6 • 28 days
16.7%
1/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
5.3%
2/38 • 28 days
0.00%
0/36 • 28 days
Cardiac disorders
Bradycardia NOS
20.0%
1/5 • 28 days
16.7%
1/6 • 28 days
16.7%
1/6 • 28 days
0.00%
0/5 • 28 days
7.1%
2/28 • 28 days
5.3%
2/38 • 28 days
2.8%
1/36 • 28 days
Cardiac disorders
Pulmonary oedema NOS
20.0%
1/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • 28 days
8.3%
3/36 • 28 days
Gastrointestinal disorders
Constipation
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
16.7%
1/6 • 28 days
20.0%
1/5 • 28 days
7.1%
2/28 • 28 days
2.6%
1/38 • 28 days
5.6%
2/36 • 28 days
Gastrointestinal disorders
Diarrhoea NOS
0.00%
0/5 • 28 days
33.3%
2/6 • 28 days
33.3%
2/6 • 28 days
20.0%
1/5 • 28 days
17.9%
5/28 • 28 days
10.5%
4/38 • 28 days
16.7%
6/36 • 28 days
Gastrointestinal disorders
Ileus
0.00%
0/5 • 28 days
16.7%
1/6 • 28 days
0.00%
0/6 • 28 days
20.0%
1/5 • 28 days
3.6%
1/28 • 28 days
5.3%
2/38 • 28 days
2.8%
1/36 • 28 days
Gastrointestinal disorders
Nausea
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
16.7%
1/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • 28 days
0.00%
0/38 • 28 days
5.6%
2/36 • 28 days
General disorders
Multi-organ failure
40.0%
2/5 • 28 days
16.7%
1/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • 28 days
5.3%
2/38 • 28 days
2.8%
1/36 • 28 days
General disorders
Pyrexia
0.00%
0/5 • 28 days
16.7%
1/6 • 28 days
16.7%
1/6 • 28 days
60.0%
3/5 • 28 days
10.7%
3/28 • 28 days
5.3%
2/38 • 28 days
8.3%
3/36 • 28 days
Infections and infestations
Colitis pseudomembranous
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
20.0%
1/5 • 28 days
3.6%
1/28 • 28 days
2.6%
1/38 • 28 days
5.6%
2/36 • 28 days
Infections and infestations
Methicillin-resistant Staphyloccal aureus infection
20.0%
1/5 • 28 days
0.00%
0/6 • 28 days
33.3%
2/6 • 28 days
0.00%
0/5 • 28 days
7.1%
2/28 • 28 days
2.6%
1/38 • 28 days
2.8%
1/36 • 28 days
Infections and infestations
Pneumonia NOS
40.0%
2/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • 28 days
7.9%
3/38 • 28 days
5.6%
2/36 • 28 days
Infections and infestations
Sepsis NOS
40.0%
2/5 • 28 days
16.7%
1/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
7.1%
2/28 • 28 days
10.5%
4/38 • 28 days
2.8%
1/36 • 28 days
Infections and infestations
Sinusitis NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • 28 days
7.9%
3/38 • 28 days
5.6%
2/36 • 28 days
Infections and infestations
Urinary tract infection NOS
0.00%
0/5 • 28 days
16.7%
1/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
7.9%
3/38 • 28 days
8.3%
3/36 • 28 days
Investigations
Bacteria NOS sputum identified
20.0%
1/5 • 28 days
33.3%
2/6 • 28 days
0.00%
0/6 • 28 days
20.0%
1/5 • 28 days
7.1%
2/28 • 28 days
0.00%
0/38 • 28 days
0.00%
0/36 • 28 days
Investigations
Blood pH decreased
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • 28 days
2.6%
1/38 • 28 days
5.6%
2/36 • 28 days
Investigations
Liver function tests NOS abnormal
0.00%
0/5 • 28 days
16.7%
1/6 • 28 days
16.7%
1/6 • 28 days
0.00%
0/5 • 28 days
10.7%
3/28 • 28 days
5.3%
2/38 • 28 days
2.8%
1/36 • 28 days
Investigations
Oxygen saturation decreased
20.0%
1/5 • 28 days
33.3%
2/6 • 28 days
50.0%
3/6 • 28 days
80.0%
4/5 • 28 days
10.7%
3/28 • 28 days
13.2%
5/38 • 28 days
0.00%
0/36 • 28 days
Metabolism and nutrition disorders
Hypernatraemia
60.0%
3/5 • 28 days
33.3%
2/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
10.5%
4/38 • 28 days
2.8%
1/36 • 28 days
Metabolism and nutrition disorders
Hypokalaemia
20.0%
1/5 • 28 days
50.0%
3/6 • 28 days
33.3%
2/6 • 28 days
20.0%
1/5 • 28 days
10.7%
3/28 • 28 days
7.9%
3/38 • 28 days
11.1%
4/36 • 28 days
Nervous system disorders
Confusion
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
10.7%
3/28 • 28 days
5.3%
2/38 • 28 days
8.3%
3/36 • 28 days
Renal and urinary disorders
Renal failure NOS
60.0%
3/5 • 28 days
16.7%
1/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
14.3%
4/28 • 28 days
7.9%
3/38 • 28 days
8.3%
3/36 • 28 days
Renal and urinary disorders
Oliguria
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
0.00%
0/38 • 28 days
8.3%
3/36 • 28 days
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress syndrome
20.0%
1/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
10.7%
3/28 • 28 days
2.6%
1/38 • 28 days
2.8%
1/36 • 28 days
Respiratory, thoracic and mediastinal disorders
Hypoxia
40.0%
2/5 • 28 days
16.7%
1/6 • 28 days
50.0%
3/6 • 28 days
0.00%
0/5 • 28 days
25.0%
7/28 • 28 days
10.5%
4/38 • 28 days
5.6%
2/36 • 28 days
Respiratory, thoracic and mediastinal disorders
Lung infiltration NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • 28 days
5.6%
2/36 • 28 days
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
16.7%
1/6 • 28 days
20.0%
1/5 • 28 days
7.1%
2/28 • 28 days
15.8%
6/38 • 28 days
11.1%
4/36 • 28 days
Respiratory, thoracic and mediastinal disorders
Pneumothorax NOS
60.0%
3/5 • 28 days
16.7%
1/6 • 28 days
0.00%
0/6 • 28 days
20.0%
1/5 • 28 days
17.9%
5/28 • 28 days
23.7%
9/38 • 28 days
13.9%
5/36 • 28 days
Respiratory, thoracic and mediastinal disorders
Respiratory acidosis
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
16.7%
1/6 • 28 days
0.00%
0/5 • 28 days
14.3%
4/28 • 28 days
13.2%
5/38 • 28 days
5.6%
2/36 • 28 days
Skin and subcutaneous tissue disorders
Dermatitis NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
16.7%
1/6 • 28 days
20.0%
1/5 • 28 days
14.3%
4/28 • 28 days
7.9%
3/38 • 28 days
13.9%
5/36 • 28 days
Skin and subcutaneous tissue disorders
Pressure sore
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
16.7%
1/6 • 28 days
40.0%
2/5 • 28 days
3.6%
1/28 • 28 days
2.6%
1/38 • 28 days
5.6%
2/36 • 28 days
Surgical and medical procedures
Subcutaneous emphysema
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • 28 days
5.3%
2/38 • 28 days
5.6%
2/36 • 28 days
Surgical and medical procedures
Tracheostomy
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
16.7%
1/6 • 28 days
0.00%
0/5 • 28 days
3.6%
1/28 • 28 days
2.6%
1/38 • 28 days
5.6%
2/36 • 28 days
Vascular disorders
Hypertension NOS
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
33.3%
2/6 • 28 days
20.0%
1/5 • 28 days
10.7%
3/28 • 28 days
2.6%
1/38 • 28 days
11.1%
4/36 • 28 days
Vascular disorders
Hypotension NOS
0.00%
0/5 • 28 days
16.7%
1/6 • 28 days
50.0%
3/6 • 28 days
20.0%
1/5 • 28 days
17.9%
5/28 • 28 days
18.4%
7/38 • 28 days
13.9%
5/36 • 28 days
Infections and infestations
Septic shock
0.00%
0/5 • 28 days
0.00%
0/6 • 28 days
0.00%
0/6 • 28 days
0.00%
0/5 • 28 days
0.00%
0/28 • 28 days
2.6%
1/38 • 28 days
5.6%
2/36 • 28 days

Additional Information

Robert Segal, MD

Discovery Laboratories, Inc.

Phone: 215-488-9300

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60