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Acute Respiratory Distress Syndrome

Acute respiratory distress syndrome is a serious lung condition in which inflammation and fluid leaking into the tiny air sacs stop oxygen from reaching the blood. Among supplements, only vasoactive intestinal peptide, also called aviptadil, has been studied, and the evidence is rated strong, but trials gave mixed results: a smaller trial found better survival at 60 days, while a larger one found no difference. So whether it helps remains uncertain, and the findings mostly come from people critically ill with COVID-19.

Sources: PMID 41368449

Supplements studied
0
Medicines and peptides
1
Graded outcomes
1
No supplement studies yetWe haven’t found supplement studies for Acute Respiratory Distress Syndrome. The medicines and peptides studied for it are listed below.

Prescription medicines and peptides studied, for context

These are not supplements. Most need a prescription, and some are research compounds with no approved use.

1 medicine or peptide

Vasoactive Intestinal Peptide (VIP/Aviptadil): outcomes studied for Acute Respiratory Distress Syndrome
GradeOutcomeEffectSizeStudiesPeopleStudies list
ARDS/Respiratory Failure

Mixed results: Small RCT (n=196) showed improved 60-day survival with IV aviptadil vs placebo. Larger TESICO trial (n=461) found no difference in primary endpoint (alive and free from respiratory failure at day 60). Clinical benefit uncertain.

NoneNo effect5 studies

Studies that measured ards/respiratory failure

and 2 more on the Vasoactive Intestinal Peptide (VIP/Aviptadil) page

Key findings

  • ARDS/Respiratory FailureVasoactive Intestinal Peptide (VIP/Aviptadil)

Studies cited

5 studies from PubMed

  1. Aviptadil Therapy in Acute Respiratory Distress Syndrome Patients: A Systematic Review and Meta-analysis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2025 · PMID 41368449
  2. A Clinical Approach for the Use of VIP Axis in Inflammatory and Autoimmune DiseasesInt J Mol Sci, 2019 · PMID 31861827
  3. Immunomodulation of innate immune responses by vasoactive intestinal peptide (VIP): its therapeutic potential in inflammatory diseaseClin Immunol, 2009 · PMID 19604262
  4. Inhalation of vasoactive intestinal peptide in pulmonary hypertensionEur Respir J, 2008 · PMID 18978135
  5. Vasoactive intestinal peptide modulates proinflammatory mediator synthesis in osteoarthritic and rheumatoid synovial cellsRheumatology (Oxford), 2004 · PMID 14657510