[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100642635":3},{"organization":4,"armGroups":7,"interventions":18,"overallOfficials":24,"centralContacts":25,"locations":24,"responsibleParty":35,"collaborators":24,"id":37,"slug":38,"hasResults":39,"nctId":40,"briefTitle":41,"officialTitle":42,"acronym":43,"eligibilityCriteria":44,"healthyVolunteers":39,"sex":45,"minAge":46,"maxAge":24,"enrollmentInfo":47,"targetDuration":24,"studyType":50,"phases":51,"briefSummary":53,"conditions":54,"keywords":56,"overallStatus":58,"whyStopped":24,"lastUpdateSubmitDate":59,"lastUpdatePostDateStruct":60,"startDateStruct":63,"completionDateStruct":65,"leadSponsor":67,"locationsCount":24},{"fullName":5,"class":6},"Rise Therapeutics LLC","INDUSTRY",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Cohort 1: 9E9 CFU\u002Fday","EXPERIMENTAL","Participants with late-stage, non-resolving Acute Respiratory Distress Syndrome (ARDS) will receive R-3750 at a dose of 9 × 10⁹ CFU\u002Fday administered once daily. Study treatment may be administered orally as capsules or enterally via nasogastric (NG) or orogastric (OG) tube if required.",[13],"Drug: R-3750",{"label":15,"type":10,"description":16,"interventionNames":17},"Cohort 2: 9E10 CFU\u002Fday","Participants with late-stage, non-resolving Acute Respiratory Distress Syndrome (ARDS) will receive R-3750 at a dose of 9 × 10¹⁰ CFU\u002Fday administered once daily. Study treatment may be administered orally as capsules or enterally via nasogastric (NG) or orogastric (OG) tube if required.",[13],[19],{"type":20,"name":21,"description":22,"armGroupLabels":23,"otherNames":24},"DRUG","R-3750","R-3750 is an investigational live biotherapeutic product administered once daily at either 9 × 10⁹ CFU\u002Fday or 9 × 10¹⁰ CFU\u002Fday. Study treatment may be administered orally as capsules or enterally via nasogastric (NG) or orogastric (OG) tube when oral administration is not feasible.",[9,15],null,[26,31],{"name":27,"role":28,"phone":29,"phoneExt":24,"email":30},"Janet L Stephens, PhD","CONTACT","650-417-8556","jstephens@risetherapeutics.com",{"name":32,"role":28,"phone":33,"phoneExt":24,"email":34},"Christian F Freguia, PhD","215-923-1818","cfreguia@risetherapeutics.com",{"type":36,"investigatorFullName":24,"investigatorTitle":24,"investigatorAffiliation":24,"oldNameTitle":24,"oldOrganization":24},"SPONSOR","100642635","phase-1-r-3750-in-patients-with-late-stage-acute-respiratory-distress-syndrome-ards-100642635",false,"NCT07646028","R-3750 in Patients With Late-Stage Acute Respiratory Distress Syndrome (ARDS)","A Phase 1, Open-Label Study to Evaluate the Safety, Tolerability, and Immunomodulatory Effects of R-3750 in Patients With Late-Stage Acute Respiratory Distress Syndrome (ARDS)","R-3750 ARDS","Inclusion Criteria:\n\n* Age ≥18 years at the time of consent.\n* Acute Respiratory Distress Syndrome (ARDS) meeting the contemporary clinical definition including all of the following occurring within a 24-hour interval:\n* Hypoxemia defined as PaO2\u002FFiO2 ≤300 mmHg, or SpO2\u002FFiO2 ≤315 if SpO2 is ≤97%;\n* Bilateral pulmonary infiltrates\u002Fopacities on chest imaging consistent with pulmonary edema or fibroproliferative lung injury and not fully explained by pleural effusions, lobar collapse, or atelectasis;\n* Requirement for positive pressure respiratory support, including invasive mechanical ventilation via endotracheal tube;\n* Respiratory failure not fully explained by left atrial hypertension or cardiogenic pulmonary edema; if measured, pulmonary artery wedge pressure should be ≤18 mmHg.\n* Late-stage, non-resolving ARDS, defined as:\n* At least 7 days and no more than 28 days since ARDS onset at the time of enrollment; and\n* Persistent bilateral infiltrates since ARDS onset; and\n* Continued need for substantial respiratory support since ARDS onset.\n* On the day of enrollment, ongoing respiratory impairment demonstrated by:\n* PaO2\u002FFiO2 ≤300 mmHg, or\n* SpO2\u002FFiO2 ≤315 if SpO2 is ≤97%.\n* Subject is receiving invasive mechanical ventilation, or other protocol-defined intensive respiratory support as approved by the Sponsor\u002FMedical Monitor.\n* The treating team considers the subject an appropriate candidate for enteral administration of study drug, including by nasogastric (NG), orogastric (OG), or other enteral tube, and there is an intention to provide enteral nutrition or medication administration through the gastrointestinal tract.\n* For subjects unable to provide consent, legally authorized representative (LAR) consent is obtainable in accordance with local regulations and Institutional Review Board (IRB)\u002FEthics Committee requirements.\n* The investigator judges that the subject is likely to remain under protocol-compatible management and follow-up for the duration of the treatment and key follow-up period.\n\nExclusion Criteria:\n\n* Age \\\u003C18 years.\n* More than 28 days since onset of ARDS at the time of enrollment.\n* ARDS that is clearly resolving rapidly, in the judgment of the investigator, such that enrollment in a 28-day rescue-therapy study is not clinically appropriate.\n* Pregnancy or breastfeeding.\n* Participation in another interventional investigational drug or biologic study within 30 days prior to enrollment, or within 5 half-lives of the investigational product, whichever is longer, unless approved by the Sponsor and Medical Monitor.\n* Extracorporeal support for gas exchange at the time of study entry, including ECMO.\n* Inability to use the gastrointestinal tract for study drug administration, including but not limited to:\n\n  * Continuous gastric suction\u002Fdrainage that would preclude dosing,\n  * Bowel discontinuity preventing enteral delivery,\n  * Open abdomen,\n  * Dependence on total parenteral nutrition with no enteral access,\n  * Other conditions that, in the investigator's judgment, make enteral dosing infeasible.\n* Known or suspected bowel ischemia, gastrointestinal perforation, uncontrolled GI bleeding, or other severe gastrointestinal disorder that would substantially increase risk from enteral dosing.\n* Not committed to full supportive care, with the exception that subjects with a do-not-resuscitate order may be eligible if all other indicated intensive supportive treatments are being provided.\n* AIDS by CDC criteria, including documented AIDS-defining illness or CD4 count \\\u003C200 cells\u002Fmm³, if known.\n* Severe immunosuppression, including any of the following:\n* Cytotoxic chemotherapy within 3 weeks prior to enrollment,\n* High-dose corticosteroid exposure defined as cumulative prednisone ≥300 mg equivalent within 21 days prior to enrollment,\n* Ongoing systemic corticosteroid therapy \\>15 mg\u002Fday prednisone equivalent within 7 days prior to enrollment, unless justified as part of standard ARDS care and approved by the Medical Monitor,\n* Other severe acquired or iatrogenic immunodeficiency considered clinically significant by the investigator.\n* Active uncontrolled infection outside the lung that, in the judgment of the investigator, would confound safety assessment or increase subject risk.\n* Severe chronic respiratory disease likely to confound ARDS assessment or outcomes, including:\n* Advanced COPD requiring chronic home oxygen,\n* Clinically significant pulmonary fibrosis or interstitial lung disease,\n* Other severe chronic lung, chest wall, or neuromuscular disorders causing chronic respiratory failure.\n* Diffuse alveolar hemorrhage due to vasculitis.\n* Malignancy or other irreversible chronic condition for which estimated 6-month mortality is ≥50%, in the investigator's judgment.\n* Morbid obesity or body habitus that would substantially impair protocol assessments or ventilatory interpretation, if deemed clinically significant by the investigator.\n* Any condition that, in the opinion of the investigator or Medical Monitor, would make participation unsafe, interfere with interpretation of study results, or be inconsistent with study objectives.","ALL","18 Years",{"count":48,"type":49},20,"ESTIMATED","INTERVENTIONAL",[52],"PHASE1","The goal of this clinical trial is to learn if R-3750 is safe in \\[in patients with late-stage, non-resolving Acute Respiratory Distress Syndrome (ARDS) . The main question\\[s\\] it aims to answer are:\n\n1. the favorable safety profile\n2. clinical improvement that includes reduced ventilator dependence and improved lung function.\n\nParticipants will be given oral capsules daily and\u002For enteral nasogastric or orogastric (NG\u002FOG tube) if necessary.",[55],"Acute Respiratory Distress Syndrome",[57,55],"ARDS","NOT_YET_RECRUITING","2026-06-09",{"date":61,"type":62},"2026-06-12","ACTUAL",{"date":64,"type":49},"2026-09-01",{"date":66,"type":49},"2028-12-31",{"name":5,"class":6}]