Rademikibart Add-on Treatment of an Acute COPD Exacerbation (Seabreeze STAT COPD)
A Phase 2, Multicenter, Randomized, Double-blind, Parallel-group, Placebo-controlled Trial to Evaluate the Efficacy and Safety of Rademikibart as an Add-on Treatment for Acute Exacerbation in Participants With Chronic Obstructive Pulmonary Disease and Type 2 Inflammation
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Radha Adivikolanu
- Phone Number: 213-522-7990
- Email: clinical207@connectpharm.com
Study Locations
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Santa Fe, Argentina, S3000
- Centro de Diagnostivo y Rehabilitación S.A. - CEDIR
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Buenos Aires
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CABA, Buenos Aires, Argentina, C1199
- Hospital Italiano de Buenos Aires
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Florida, Buenos Aires, Argentina, B1602
- CEMER - Centro Medico de Enfermedades Respiratorias
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Mar del Plata, Buenos Aires, Argentina, B7600FYK
- Centro de Investigaciones Medicas Mar del Plata
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Mar del Plata, Buenos Aires, Argentina, 7600
- Instituto Ave Pulmo-Fundacion Enfisema
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Pilar, Buenos Aires, Argentina, 1629
- Hospital Universitario Austral
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Santa Fe Province
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Rosario, Santa Fe Province, Argentina, S2000
- Centro Medico Ipam S.A
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Tucumán Province
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San Miguel de Tucumán, Tucumán Province, Argentina, 4000
- Investigaciones en Patologías Respiratorias SRL
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Australian Capital Territory
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Garran, Australian Capital Territory, Australia, 2605
- The Canberra Hospital
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New South Wales
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Campbelltown, New South Wales, Australia, 2560
- Campbelltown Hospital
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Darlinghurst, New South Wales, Australia, 2010
- St. Vincent's Hospital Sydney
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Westmead, New South Wales, Australia, 2145
- Westmead Hospital
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Queensland
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Birtinya, Queensland, Australia, 4575
- Sunshine Coast University Hospital
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Victoria
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Bendigo, Victoria, Australia, 3550
- Bendigo Health
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Western Australia
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Nedlands, Western Australia, Australia, 6009
- Institute for Respiratory Health
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Tbilisi, Georgia, 0159
- Acad. G. Chapidze Emergency Cardiology Center
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Tbilisi, Georgia, 0159
- LLC Diacor
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Tbilisi, Georgia, 0101
- JSC "National Center for Lung Health"
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Tbilisi, Georgia, 0112
- LLC "Israel-Georgian Medical Research Clinic Healthycore"
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Tbilisi, Georgia, 0159
- Acad. Chapidze Emergency Cardiology Center LLC
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Tbilisi, Georgia, 0159
- Caucasus Medical Center
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Belgrade, Serbia, 11040
- Clinical Hospital Center "Dragisa Misovic - Dedinje"
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Kamenitz, Serbia, 21204
- Institute for Pulmonary Diseases of Vojvodina
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Kragujevac, Serbia, 34000
- University Clinical Center Kragujevac
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Niš, Serbia, 18108
- Institute for Pulmonary Diseases and Tuberculosis Nis
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Užice, Serbia, 31000
- Health Center Uzice
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Birmingham, United Kingdom, B15 2GW
- Queen Elizabeth Hospital Birmingham
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Birmingham, United Kingdom, B9 5SS
- University Hospitals Birmingham NHS Foundation Trust Birmingham Heartlands Hospital
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London, United Kingdom, SE1 7EH
- Guy's and St Thomas NHS Foundation Trust
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Salford, United Kingdom, M6 8HD
- Salford Royal Hospital - Northern Care Alliance NHS Foundation Trust Barnes Clinical Research Facility
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Greater Manchester
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Wythenshawe, Greater Manchester, United Kingdom, M23 9QZ
- Medicines Evaluation Unit Ltd.
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Alabama
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Birmingham, Alabama, United States, 35233
- University of Alabama at Birmingham Lung Health Center
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California
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Palo Alto, California, United States, 94304
- Leland Stanford Junior University, Stanford Hospital
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Valencia, California, United States, 91355
- Amicis Research Center
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Colorado
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Denver, Colorado, United States, 80206
- National Jewish Health
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Florida
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Miami, Florida, United States, 33175
- Pharmax Research of South Florida, Inc.
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Miami, Florida, United States, 33125
- Columbus Clinical Services, LLC
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West Palm Beach, Florida, United States, 33407
- Health Synergy Clinical Research, LLC
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Georgia
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Fayetteville, Georgia, United States, 30214
- Primeway Clinical Research Group
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Stonecrest, Georgia, United States, 30038
- Pivotal Research Solutions
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Iowa
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Iowa City, Iowa, United States, 52242
- University of Iowa
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Kansas
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Kansas City, Kansas, United States, 66160
- University of Kansas Medical Center
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Louisiana
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Baton Rouge, Louisiana, United States, 70836
- Ochsner Medical Complex - The Grove
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New York
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Stony Brook, New York, United States, 11733
- Stony Brook University Hospital
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North Carolina
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Durham, North Carolina, United States, 27705
- Duke Asthma, Allergy, and Airway Center
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Ohio
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Columbus, Ohio, United States, 43210
- The Ohio State University Wexner Medical Center
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South Carolina
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Rock Hill, South Carolina, United States, 29732
- Clinical Research of Rock Hill
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Texas
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Baytown, Texas, United States, 77521
- Inquest Clinical Research
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Denison, Texas, United States, 75020
- Premier Pulmonary Critical Care and Sleep Medicine
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McAllen, Texas, United States, 78503
- DCT- McAllen Primary Care Research, LLC dba Discovery Clinical Trials
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Vermont
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Colchester, Vermont, United States, 05446
- Vermont Lung Center
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Virginia
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Roanoke, Virginia, United States, 24014
- Carilion Medical Center / Carilion Roanoke Memorial Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 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.
- Current acute COPD exacerbation requiring an urgent healthcare visit for treatment.
- Peripheral blood eosinophil count of ≥300 cells/μL as part of the assessment of the index acute COPD exacerbation.
- Requires systemic corticosteroids as standard of care treatment in the urgent healthcare setting for the current acute COPD exacerbation.
Exclusion Criteria:
- 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.
- Transient ischemic attack or stroke <6 months from Screening Visit; hospitalization for any cardiovascular or cerebrovascular event <6 months from Screening Visit.
- Known or suspected history of immunosuppression.
- History of known immunodeficiency disorder or hepatitis B or C.
- History of alcohol abuse and/or drug abuse.
- Recent history of cancer except basal cell carcinoma or in situ carcinoma of the cervix treated with apparent success.
- Chronic treatment with long-term oxygen therapy (LTOT) or nocturnal oxygen therapy required for >15 hours a day.
- Participants on long-term macrolide.
- Current acute COPD exacerbation for which SoC was started >48 hours prior to Screening.
- A recent chest X-ray or computed tomography (CT) scan at Screening reveals evidence of clinically significant abnormalities not believed to be due to the presence of COPD, or a clinically significant pulmonary infection identified by chest X-ray (CT scan).
- Female participant who is pregnant, lactating or breast-feeding, or has a positive urinary β-hCG test prior to randomization.
- Receipt of any marketed nonbiologic drug that modulates type 2 cytokines 30 days or 5 half-lives prior to randomization, whichever is longer.
- Receipt of any marketed or any investigational biologic for COPD or other diseases within 16 weeks or 5 half-lives prior to randomization, whichever is longer.
- Live, attenuated vaccinations within 4 weeks prior to randomization or planned live, attenuated vaccinations during the trial.
- Treatment with systemic corticosteroids (ie, oral or by injection) and/or hospitalization for an exacerbation of COPD completed less than 4 weeks prior to randomization.
The above inclusion and exclusion criteria are not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Placebo Comparator: Placebo
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Participants receive 4mL of placebo matched to rademikibart administered subcutaneously.
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Experimental: Rademikibart
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Participants receive 600 mg (4mL) of rademikibart administered subcutaneously.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Treatment failure rate
Time Frame: 28 days
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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.
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28 days
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Rate of new moderate and severe COPD exacerbations over the 28 days after randomization
Time Frame: 28 days
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28 days
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Time to the first new moderate or severe COPD exacerbation in the 28 days after randomization
Time Frame: 28 days
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28 days
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Incidence of adverse events (AEs), including serious adverse events (SAEs), adverse event of special interest (AESIs), and drug-induced liver injury (DILI) reported
Time Frame: 56 days
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56 days
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Incidence of unanticipated adverse device effects (UADEs)
Time Frame: 56 days
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56 days
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Incidence of injection site reactions
Time Frame: 56 days
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56 days
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Absolute change from baseline (CFB) in post-bronchodilator (BD) forced expiratory volume in 1 second (FEV1) at Week 1
Time Frame: Week 1
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Week 1
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Mean CFB in EXACT-PRO score
Time Frame: Week 1, Week 2, and Week 4
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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.
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Week 1, Week 2, and Week 4
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Absolute CFB in post-BD FEV1 at Day 3 and Week 4
Time Frame: Day 3, Week 1, and Week 4
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Absolute change from baseline in post-bronchodilator forced expiratory volume (FEV1) at Day 3, Week 1, and Week 4
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Day 3, Week 1, and Week 4
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CBP-201-207
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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