Respiratory

Bronchiolitis Obliterans Syndrome

Also known as BOS, constrictive bronchiolitis, post-transplant BO

Bronchiolitis obliterans syndrome is a progressive fibro-obliterative disorder of the small airways that represents the major form of chronic lung allograft dysfunction following lung or haematopoietic stem cell transplantation. It is chara

ORPHA:1303 ↗Prevalence Affects approximately 50% of lung transplant recipients by 5 years post-transplantOnset Post-transplant or post-injury (any age)

97

studies recruiting now

as of 7 Sept 2026

778

studies registered in total

as of 7 Sept 2026

13

countries with a recruiting site

as of 7 Sept 2026

21 Jan 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 97 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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Patient organisations

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About Bronchiolitis Obliterans Syndrome

Bronchiolitis obliterans syndrome is a progressive fibro-obliterative disorder of the small airways that represents the major form of chronic lung allograft dysfunction following lung or haematopoietic stem cell transplantation. It is characterised by concentric fibrosis of bronchiolar walls leading to airflow obstruction that is not fully reversible with bronchodilators. Non-transplant causes include toxic fume inhalation, connective tissue disease, and autoimmune conditions, but the post-transplant form is most prevalent and studied.

Common clinical features

Progressive airflow obstruction (declining FEV1)Dyspnoea on exertionDry coughReduced exercise toleranceRecurrent respiratory infectionsAir trapping on CT imagingAbsence of acute rejection features

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Treatments being studied

12 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Phase 3Cyclosporine (Capimune)
Phase 3Azithromycin (Azasite)
Phase 3Clarithromycin (Biaxin)
Phase 2/3Pirfenidone (Esbriet)
Phase 2Ruxolitinib (Jakavi)
Phase 2Budesonide (Aircort)
Phase 2Bortezomib
Phase 2Nintedanib (Nintedanib component of ofev)

+ 4 more in development

Before you apply

Things trial teams commonly ask about for Bronchiolitis Obliterans Syndrome. Not eligibility rules; those are set by each study.

  • BOS is staged by percentage decline in FEV1 from post-transplant baseline (BOS 0-3); confirm your current BOS stage as trials often specify eligible stages.
  • Active acute rejection or concurrent infection usually disqualifies patients; ensure these are resolved and documented before applying.
  • Time since transplant and immunosuppression regimen are common eligibility variables; have your transplant centre provide a detailed medication history.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).