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Lung Injury clinical trials

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NCT ID: NCT00159510 Terminated - Sepsis Clinical Trials

Studies of Acute Lung Injury (ALI) and Acute Respiratory Distress Syndrome

MB-NO
Start date: April 2004
Phase: Phase 1
Study type: Interventional

Nitric oxide (NO) plays a pivotal role in maintenance of normal vascular tone. However, in sepsis the excessive production of NO results in myocardial depression, vasoplegia, and cytotoxic effects, thus promoting shock and multiple organ dysfunction. A recently completed study from our group showed advantageous cardiovascular effects of continuously infused methylene blue (MB), an inhibitor of NO pathway, in human septic shock. In another investigation, we have found that the combination of inhaled NO and continuously infused MB attenuates endotoxin-induced acute lung injury (ALI) in sheep. Our intention is, in a new study, to test the hypothesis that the combination of MB and NO (MB+NO) improves both cardiovascular and pulmonary functions as well as clinical outcome in patients with septic shock and ALI. Forty mechanically ventilated patients diagnosed with hyperdynamic septic shock and ALI, will be randomized to groups receiving 1. Conventional treatment (control group)(n =10); 2. MB infusion in addition to conventional treatment (n=10); 3. Inhaled NO in addition to conventional treatment (n=10); 4. MB infusion combined with inhaled NO (MB+NO) in addition to conventional treatment (n=10).

NCT ID: NCT00143468 Completed - ARDS Clinical Trials

The Specific Elastance in Acute Lung Injury/Acute Respiratory Distress Syndrome (ALI/ARDS) Patients

Start date: March 2005
Phase: N/A
Study type: Interventional

The investigators aim to study the specific elastance in ALI/ARDS patients during invasive mechanical ventilation.

NCT ID: NCT00141726 Completed - Clinical trials for Respiratory Distress Syndrome, Adult

Study of Enbrel (Etanercept) for the Treatment Sub-Acute Pulmonary Dysfunction After Allogeneic Stem Cell Transplant

Start date: October 2003
Phase: Phase 2
Study type: Interventional

The purpose of this study is to determine the effectiveness of etanercept in the treatment of patients with sub-acute lung injury following a bone marrow transplant. This study will also examine the toxicity of treatment with etanercept as well as whether there is an improved quality of life in these patients.

NCT ID: NCT00133614 Completed - Acute Lung Injury Clinical Trials

Prone Positioning in Pediatric Acute Lung Injury

Start date: August 2001
Phase: Phase 3
Study type: Interventional

The purpose of this trial is to test the hypothesis that at the end of 28 days, infants and children with acute lung injury treated with prone positioning would have more ventilator-free days than those treated with supine positioning.

NCT ID: NCT00127491 Completed - Clinical trials for Acute Respiratory Distress Syndrome

Mechanical Ventilation, Directed by Esophageal Pressure Measurements, in Patients With Acute Lung Injury

Start date: May 2004
Phase: N/A
Study type: Interventional

The purpose of this study is to see whether esophageal pressure (PES) measurements will allow the investigators to choose the best method of mechanical ventilation in patients with acute lung injury (ALI).

NCT ID: NCT00112164 Terminated - Clinical trials for Respiratory Distress Syndrome, Adult

Activated Protein C to Treat Acute Lung Injuries

Start date: January 2005
Phase: Phase 2
Study type: Interventional

The purpose of this study is to test the efficacy of activated Protein C (Xigris) for improving clinical outcomes in individuals with acute lung injury (ALI).

NCT ID: NCT00060450 Terminated - Clinical trials for Ischemia-Reperfusion Injury

Inhaled Nitric Oxide in Prevention/Treatment of Ischemia-Reperfusion Lung Injury Related to Lung Transplantation

Start date: August 2001
Phase: Phase 3
Study type: Interventional

The purpose of this study is to evaluate the effects of inhaled nitric oxide on both short-term physiology as well as on the development of ischemia-reperfusion lung injury (IRLI) in the immediate post transplant period. The specific hypothesis is that inhaled NO post lung transplantation will improve gas exchange/hemodynamic and thus reduce the development of post transplant IRLI.

NCT ID: NCT00036062 Completed - Acute Lung Injury Clinical Trials

A Phase II Study to Determine the Efficacy and Safety of Sivelestat in Subjects With Acute Lung Injury

Start date: August 2001
Phase: Phase 1/Phase 2
Study type: Interventional

The purpose of this study is to determine whether sivelestat will reduce the amount of time a patient must spend on a ventilator and/or increase the chance of survival of patients with acute lung injury.