A Phase II study to understand the safety and effects of inhaled SNG001, the study medication, in patients who are mechanically ventilated due to a respiratory viral infection in the lungs
Severe viral chest infections, such as flu or COVID-19, can make people extremely unwell and require help from a breathing machine (ventilator) in an intensive care unit (ICU). This trial is testing an inhaled medicine called SNG001 to see if it can help these critically ill patients recover. SNG001 contains interferon beta, a protein the human body naturally produces to fight off viral infections. In this study, the medicine is delivered directly into the lungs through the breathing tube using a special mister (nebuliser). The trial has two parts. The first part checks that the medicine is safe at different doses. The second part compares SNG001 to a dummy treatment (placebo) in up to 450 patients to see if it speeds up recovery. All patients continue to receive their standard hospital care throughout the trial.
At a glance
What is this study about?
When viruses like flu, RSV, or COVID-19 cause severe lung infections, patients can become critically ill with viral pneumonia. In the most severe cases, patients are admitted to an intensive care unit (ICU) and connected to a mechanical ventilator, which is a machine that helps them breathe. While ventilators keep patients alive, doctors need better treatments that actively fight the virus directly in the lungs to speed up recovery.
This study tests a medicine called SNG001. SNG001 is a mist containing interferon beta-1a, a man-made version of a natural protein your body produces to defend itself against viral attacks. By delivering this protein straight into the lungs through the ventilator's breathing tubes, researchers hope to boost the lungs' natural defences right where the infection is located.
The trial takes place in two stages. The first stage tests the safety of SNG001 in a small group of patients to find the best dose. Once safety is confirmed, the second stage will test how well the medicine works compared to an inactive liquid (a placebo) in a larger group of patients. An independent safety board monitors the study at all times.
Finding a treatment that helps clear lung viruses faster could help patients come off breathing machines sooner, reduce the time they spend in intensive care, and improve their long-term recovery. The knowledge gained from this trial could help shape how severe viral chest infections are treated in the NHS and across the world.
Key takeaways
- Tests an inhaled, natural virus-fighting protein (SNG001) for severe viral lung infections.
- Aimed at patients in intensive care who are currently on a mechanical breathing machine.
- Treatment is given daily through the breathing tube for up to 14 days.
- Patients continue to receive all their normal intensive care medications and support.
- Participation is entirely voluntary and overseen by an independent safety committee.
Who may be eligible?
This trial is specifically for adults who are admitted to an intensive care unit and need a mechanical breathing machine because of a confirmed lung virus. Eligible viruses include the flu, COVID-19, RSV, common cold viruses (rhinovirus), and other respiratory viruses confirmed by a hospital swab test.
Timing is very important for this study. The patient must receive their first dose of the study medicine within 48 hours of having their breathing tube put in. In the first part of the study, patients in the UK must be between 35 and 50 years old. In the second part, participants can be 18 to 49 years old with an existing condition that weakens their immune system, or 50 years and older with or without immune problems.
Because patients on breathing machines are usually asleep under sedation, consent is often provided by a family member or legal representative in line with UK law, until the patient is well enough to make decisions for themselves. Women under 55 must also have a negative pregnancy test to take part.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Currently admitted to an intensive care unit (ICU)
- Connected to a mechanical breathing machine (ventilated) within the last 48 hours
- Confirmed positive test for a respiratory virus (such as flu, COVID-19, or RSV)
- Aged 18 or older (specific age criteria apply depending on health history and study stage)
- Negative pregnancy test for women under 55 years of age
What does participation involve?
Because participants are already in intensive care, taking part does not require any extra clinic visits. Patients are given the study medicine or a dummy treatment once a day through their breathing machine using a nebuliser, which turns the liquid medicine into a fine mist. Treatment lasts for up to 14 days, or until the patient is well enough to leave hospital, whichever comes first. Doctors and nurses will run routine ICU checks, take blood and breathing samples to measure virus levels, and carefully track recovery. Taking part will not interrupt any of the patient's normal intensive care medicines or standard treatments.
Potential risks and benefits
Locations (16)
- Aberdeen Royal InfirmaryApproximateAberdeen, Scotland
- University Hospitals Birmingham NHS Foundation TrustCity onlyBirmingham, England
- Bradford Teaching Hospitals NHS Foundation TrustCity onlyBradford, England
- Royal Sussex County HospitalApproximateBrighton, England
- Cardiff and Vale U H BCity onlyCardiff, Wales
- Glasgow Royal InfirmaryUnverifiedGlasgow, Scotland
- Hull University Teaching Hospitals NHS TrustUnverifiedHull, England
- Leicester Royal InfirmaryUnverifiedLeicester, England
- University College London Hospitals NHS Foundation TrustUnverifiedLondon, England
- Royal Free London NHS Foundation TrustUnverifiedLondon, England
- St George's Healthcare NhstUnverifiedLondon, England
- The James Cook University HospitalUnverifiedMiddlesbrough, England
Common questions
What is SNG001?
SNG001 is an inhaled medicine containing interferon beta, a natural protein that helps the body's immune system recognise and fight off viral infections in the lungs.
How is the medicine given to someone on a breathing machine?
It is turned into a fine mist using a device called a nebuliser, which attaches directly to the breathing tube so the medicine flows straight into the lungs.
Will normal hospital treatment stop if a patient joins the study?
No. Patients will continue to receive all standard NHS intensive care treatments, oxygen, antibiotics, and antiviral medicines alongside the study treatment.
What happens if the patient cannot give consent?
Because patients on ventilators are heavily sedated, a family member or legal representative can give permission on their behalf, following strict UK clinical trial rules.
What is a placebo?
In Part 2 of the study, some patients will receive a placebo, which looks identical to the real medicine but contains no active ingredients. This helps scientists prove whether SNG001 really works.
How to find out more
Sophie Hemmings
Always speak to your GP or specialist before deciding to take part in a study.
Discussion
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