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Evaluation of the safety and efficacy of monophosphoryl lipid A

Evaluation of the safety and efficacy of monophosphoryl lipid A as an immunoregulatory molecule for preventing the severity and complications of hospital-acquired infections in a phase I/II clinical study.

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
IRCT
Registry ID
IRCT20170903036041N8
Enrollment
27
Registered
2025-12-17
Start date
2025-12-22
Completion date
Unknown
Last updated
2026-02-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients admitted to the intensive care unit. Encounter for other specified special examinations

Interventions

Intervention 1: Intervention group (Phase one): 50 microgram as an aqueous suspension administered via inhalation once at the patient’s entry into the study. Intervention 2: Intervention group (Phase

Sponsors

Iran University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: Patients admitted to the intensive care unit, requiring invasive procedures such as mechanical ventilation or intravascular catheterization, or patients released from surgery ICU stay of less than 24 hours before injection Age 18 years and older High likelihood of at least 3 days of hospitalization in the intensive care unit

Exclusion criteria

Exclusion criteria: Presence of infection by culture method before injection History of allergy to vaccine injections History of chronic (more than 14 days) use of immunosuppressive or immunomodulatory medications within the past 6 months History of any immune system disorder History of receiving immunoglobulins or other blood products within 90 days before the first injection

Design outcomes

Primary

MeasureTime frame
Assessment of the safety of the drug administered via inhalation in healthy volunteers. Timepoint: Duration of hospitalization. Method of measurement: Patient medical records/ patient assessment.;Determination of the safe dose in ICU patients. Timepoint: Duration of hospitalization. Method of measurement: Patient medical records/ patient assessment.;Evaluation of the reduction in complications and severity of hospital-acquired infections of ICU patients at the dose determined in Part 1 of Phase 2. Timepoint: Duration of hospitalization. Method of measurement: Patient medical records/ patient assessment.

Secondary

MeasureTime frame
Vital signs (temperature, pressure, heart rate, respiration rate). Timepoint: Duration of hospitalization. Method of measurement: Patient medical records/ patient assessment.;Changes in blood parameters. Timepoint: Day 0, Day 3, Day 14 of hospitalization. Method of measurement: Blood sampling followed by laboratory assessment of CRP, lactate, albumin, creatinine, and ESR.;Sequential organ failure assessment score (SOFA). Timepoint: Day 0, Day 3, Day 14 of hospitalization. Method of measurement: Patient medical records/ patient assessment.;Glasgow Coma Scale. Timepoint: Day 0, day 1, day 3, day 7 and day 14 of hospitalization. Method of measurement: Patient medical records/ patient assessment.;Determination of the effective dose, defined as a significant change in immune-system blood and nasopharyngeal biomarkers. Timepoint: Day 0 and Day 1. Method of measurement: Measurement of immune-system blood and nasophryngeal biomarkers.;Determination of the effective dose, defined as a significant change in immune-system blood biomarkers. Timepoint: Day 0, Day 3, Day 14 of hospitalization. Method of measurement: Measurement of immune-system blood biomarkers.;Mortality. Timepoint: 28 days after receiving intervention. Method of measurement: Patient discharge status and 28-day follow-up phone call after receiving the intervention.;Safety of interventions assessed by evaluating adverse events related to the interventions. Timepoint: Day 0, day 1, day 3, day 7 and day 14 of hospitalization. Method of measurement: Patient medical records/ patient assessment.;Length of stay in the intensive care unit. Timepoint: Total duration of hospitalization. Method of measurement: Patient medical records.;Duration of use of invasive respiratory support. Timepoint: Total duration of hospitalization. Method of measurement: Patient medical records/ patient assessment.;Incidence of infection and its type. Timepoint: Duration of hospitalization. Method of measurement: Patient medical records/ patie

Countries

Iran (Islamic Republic of)

Contacts

Public ContactMohammad Reza Sadrzadeh

Tehran University of Medical Sciences

m.sadrzadeh@nivadpharmed.com+98 21 6435 2255

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 7, 2026