The purpose of this study is to evaluate safety, tolerability and efficacy of BZ371B in intubated patients with severe Acute Respiratory Distress Syndrome.
Acute respiratory distress syndrome (ARDS) is a severe medical condition that is triggered by an alveolar capillary membrane damage resulted from several causes. Among these causes, respiratory viral infections such as SARS-CoV-2 can be responsible for the development of the disease. ARDS presents a high mortality rate, which may range from 33-52%. The main difficulty for the treatment of this disease is dealing with hypoxia. Nitric Oxide inhalation therapy has proven to increase oxygenation and Ventilation/Perfusion by it's vasodilation property. However, there are several limitations for it's use, such as the need of a specialized equipment, systemic side effects, etc. The use of others vasodilation medications are not indicated due to their systemic systemic exposure and non-selective vasodilation. BZ371B is a small peptide that acts as a NO synthase (NOS) enhancer, inducing local NO production, and is capable to present local vasodilation effect increasing blood flow regulation, by a new and innovative mechanism of action.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
1
Intubated patients suffering from ARDS will receive BZ371B in a dose of 12 mg. This will be divided into 2 nebulizations, each with 10 ml. The first nebulization is at a dose of 3 mg and the second at a dose of 9 mg.
InCor USP
São Paulo, Brazil
P/F ratio
PaO2 divided by FiO2 measurement
Time frame: 4 days
Shunt ratio
Shunt ratio measurement
Time frame: 4 days
Ventilation-Perfusion (V/Q) ratio
V/Q measurement
Time frame: 4 days
Systemic blood pressure (SBP)
SBP measurement
Time frame: 4 days
Cardiac Function
Heart Rate (HR) and Ejection Fraction measurement
Time frame: 4 days
Adverse Effect
Adverse effect evaluation of compound use and application
Time frame: 4 days
Pulmonary arterial pressure (PAP)
PAP measurement
Time frame: 4 days
Pulmonary vascular resistence
Pulmonary vascular resistance measurement
Time frame: 4 days
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