About this trial
This is a Phase 2, multicenter study in adult participants with an acute COPD exacerbation and type 2 inflammation
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Physician-diagnosed COPD with duration of ≥12 months.
Must have experienced at least 1 COPD exacerbation requiring the use of systemic corticosteroids.
Participants in a stable condition must have a documented historical peripheral blood eosinophil count of ≥250 cells/μL and/or FeNO ≥ 25 ppb.
Current or former smoker with a history of smoking of ≥10 pack-years.
Disqualifiers
Regular use of immunosuppressive medication 12 weeks or 5 half-lives prior to randomization, whichever is longer.
Current diagnosis or a history of asthma, according to the Global Initiative for Asthma; or participants with a current diagnosis or history of Asthma COPD Overlap Syndrome.
Other respiratory disorders that might compromise the safety of the participant or affect the interpretation of the results.
Unstable ischemic heart disease, cardiomyopathy, heart failure (New York Heart Association Class III or IV), uncontrolled hypertension. Cardiac arrhythmias including paroxysmal atrial fibrillation.
Trial design
Parallel
Treatments tested in this trial
Rademikibart in prefilled syringe
Combination productParticipants receive 600 mg (4mL) of rademikibart administered subcutaneously.
Matching placebo in prefilled syringe
DrugParticipants receive 4mL of placebo matched to rademikibart administered subcutaneously.
Treatment groups
Trial outcomes
Primary outcomes
Treatment failure rate
Treatment failure is defined as death due to any cause, (re)admission to a hospital for COPD, ED (re)visit or unscheduled medical visit for worsening of COPD symptoms, or the necessity to intensify pharmacologic treatment (including second course of systemic steroids for COPD exacerbation) within 28 days after randomization.
Secondary outcomes
Absolute change from baseline (CFB) in post-bronchodilator (BD) forced expiratory volume in 1 second (FEV1) at Week 1
Rate of new moderate and severe COPD exacerbations over the 28 days after randomization
Time to the first new moderate or severe COPD exacerbation in the 28 days after randomization
Mean CFB in EXACT-PRO score
Mean CFB in clinical respiratory symptoms of COPD using the E-RS: COPD (Evaluating Respiratory Symptoms in COPD) comprised in the EXACT-PRO through Week 1, Week 2, and Week 4. The Exacerbations of Chronic Pulmonary Disease Tool - Patient-Reported Outcome (EXACT-PRO) is a PRO instrument designed to capture information on the occurrence, frequency, severity, and duration of exacerbations of disease in patients with COPD.
Sponsors and contacts
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