Last reviewed · How we verify

Surfactant nebulisation

University of Zurich · Phase 3 active Small molecule ✓ Verified May 2026

Surfactant nebulisation is a Pulmonary surfactant replacement therapy Small molecule drug developed by University of Zurich. It is currently in Phase 3 development for Acute respiratory distress syndrome (ARDS), Respiratory distress syndrome in premature infants.

Surfactant nebulisation delivers pulmonary surfactant directly to the lungs via inhalation to improve gas exchange and reduce respiratory distress.

Surfactant nebulisation is used to treat conditions such as Neonatal Respiratory Distress Syndrome and Preterm Birth, particularly in preterm neonates. It involves administering a surfactant agent, specifically Curosurf, via nebulization to help alleviate respiratory distress.

Likelihood of approval
58.3% vs 58.3% industry baseline
If approved by FDA: likely 2028–2030
Steps remaining: NDA/BLA submission
Confidence: High
Why this estimate
  • Baseline phase 3 → approval rate +58.3pp
    Industry-wide phase 3 drugs reach approval ~58.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2028–2030
EMA EU 2029–2031 +0.7 yr
MHRA GB 2029–2031 +0.7 yr
Health Canada CA 2029–2032 +0.9 yr
TGA AU 2029–2032 +1.2 yr
PMDA JP 2029–2032 +1.5 yr
NMPA CN 2030–2033 +2.3 yr
MFDS KR 2029–2032 +1.4 yr
CDSCO IN 2029–2033 +1.8 yr
ANVISA BR 2030–2033 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameSurfactant nebulisation
SponsorUniversity of Zurich
Drug classPulmonary surfactant replacement therapy
ModalitySmall molecule
Therapeutic areaRespiratory/Pulmonology
PhasePhase 3

Mechanism of action

Pulmonary surfactant is a naturally occurring mixture of lipids and proteins that reduces surface tension in the alveoli, preventing alveolar collapse and improving lung compliance. Nebulisation allows direct delivery of exogenous surfactant to the respiratory tract, bypassing systemic absorption and maximizing local therapeutic effect. This approach is intended to treat conditions characterized by surfactant deficiency or dysfunction.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about Surfactant nebulisation

What is Surfactant nebulisation?

Surfactant nebulisation is a Pulmonary surfactant replacement therapy drug developed by University of Zurich, indicated for Acute respiratory distress syndrome (ARDS), Respiratory distress syndrome in premature infants.

How does Surfactant nebulisation work?

Surfactant nebulisation delivers pulmonary surfactant directly to the lungs via inhalation to improve gas exchange and reduce respiratory distress.

What is Surfactant nebulisation used for?

Surfactant nebulisation is indicated for Acute respiratory distress syndrome (ARDS), Respiratory distress syndrome in premature infants.

Who makes Surfactant nebulisation?

Surfactant nebulisation is developed by University of Zurich (see full University of Zurich pipeline at /company/university-of-zurich).

What drug class is Surfactant nebulisation in?

Surfactant nebulisation belongs to the Pulmonary surfactant replacement therapy class. See all Pulmonary surfactant replacement therapy drugs at /class/pulmonary-surfactant-replacement-therapy.

What development phase is Surfactant nebulisation in?

Surfactant nebulisation is in Phase 3.

What are the side effects of Surfactant nebulisation?

Common side effects of Surfactant nebulisation include Transient oxygen desaturation, Airway obstruction, Pulmonary inflammation.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing