Respiratory failure & ventilation

FX06 to rescue SARS-CoV-2-induced acute respiratory distress syndrome: a randomized clinical trial

Crit CarePublished Randomised controlled trial

Primary result · Change in EVLWiResult — go to the resultEstimated effect - 0.8 CI - 3.1; + 2.4

Authors' conclusion

In this unique-dosing-regimen study, FX06 did not lower SARS-CoV-2-induced pulmonary vascular leakage.

Study context

Population
Adults with COVID-19-associated acute respiratory distress syndrome (ARDS) on invasive mechanical ventilation for < 5 days
Participants
25 vs 24
Comparison
IV FX06 vs vehicle placebo
  • FX06n = 25
  • Placebon = 24reference
Primary endpoint
Lowering of transpulmonary thermodilution-derived extravascular lung-water index (EVLWi)
Follow-up
Day 1 to day 7
Methodological detailsmulticentre, double-blinded, placebo-controlled
  • Multicentre
  • Double-blinded
  • Placebo-controlled

Primary result

Change in EVLWi

Estimated effect

- 0.8

CI - 3.1; + 2.4

P = 0.51

Change by group

FX06

- 1.9

median · IQR - 3.3; - 0.5 · mL/kg

Placebo

- 0.8

median · IQR - 5.5; - 1.1 · mL/kg

As reported in the abstract

Further findings

Cardiac indexes, pulmonary vascular permeability indexes, fluid balances, PaO2/FiO2 ratios, duration of mechanical ventilation

Comparable between groups

Safety

VAP

P = 0.009

Adverse events

Adverse event rates similar for the 2 groups

Original publication

FX06 to rescue SARS-CoV-2-induced acute respiratory distress syndrome: a randomized clinical trial. Crit Care. Published 29 August 2023. doi:10.1186/s13054-023-04616-1

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