- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT07587658
This After Market Study is Seeing if Dupilumab Plus Usual Standard of Care (SOC) is Better Than Usual Care Alone for Adult Participants After a Severe Chronic Obstructive Pulmonary Disease (COPD) Flare-Up Requiring Hospitalization (MISSION)
A Randomized, Double-Blind, Placebo-Controlled Study Comparing the Efficacy of Dupilumab Added on to Standard of Care (SOC) Treatment vs SOC Treatment Following Hospitalization for a COPD Exacerbation
This study is researching a drug called dupilumab, referred to as "study drug". The study is focused on people diagnosed with COPD to determine if the study drug, in addition to standard of care treatment for COPD, might reduce the reoccurrence of a COPD exacerbation (a "flare-up") happening within the study treatment duration (around 90 days).
The study is looking at another research question:
• What side effects may happen from taking the study drug
Studieoversikt
Status
Intervensjon / Behandling
Studietype
Registrering (Antatt)
Fase
- Fase 4
Kontakter og plasseringer
Studiekontakt
- Navn: Clinical Trials Administrator
- Telefonnummer: 844-734-6643
- E-post: clinicaltrials@regeneron.com
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
Key Inclusion Criteria:
- Has a clinical diagnosis of COPD prior to randomization, as defined in the protocol
- Hospitalized or admitted to the ED >24 hours (from time of first admission or presentation to the ED) for acute exacerbation of COPD as primary diagnosis according to the principal investigator and exacerbation is managed by Systemic Corticosteroids (SCS) ± antibiotics and other appropriate treatments as per SOC
- Elevated blood eosinophil counts during the current exacerbation, as defined in the protocol. The exacerbation event starts from the day Systemic Corticosteroids (SCS) ± antibiotics are administered continuously up to the day they presented to ED/hospital
Key Exclusion Criteria:
- Clinical evidence of pneumonia as the primary cause of admission in the investigator's opinion or acquired during hospital stay
- Complicating pulmonary conditions during the 8 weeks prior to randomization which may confound treatment assessments, as defined in the protocol
- Clinically significant pulmonary diseases other than COPD which may impair lung function and interfere with treatment assessments
- Participants with clinically significant α-1 anti-trypsin deficiency which may impair lung function and interfere with treatment assessments
- Cardiac-related comorbidity, as defined in the protocol
- Treatment with invasive mechanical ventilation in-hospital during the index event, as defined in the protocol
- Any biologic therapy or biologic Investigational Medicinal Product (IMP) to treat type 2 inflammatory diseases within 6 months prior to the screening visit or 5 half-lives, whichever is longer, as defined in the protocol
NOTE: Other Protocol-defined Inclusion/Exclusion Criteria Apply
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Firemannsrom
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Placebo komparator: Placebo
|
Administrert i henhold til protokollen
|
|
Eksperimentell: dupilumab
|
Administrert i henhold til protokollen
Andre navn:
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Time to first all-cause event
Tidsramme: Through day 90
|
All-cause event may include non-elective hospital readmission, Emergency Department (ED)/urgent care visit, or death
|
Through day 90
|
|
Number of moderate or severe COPD exacerbations
Tidsramme: Through day 90
|
Through day 90
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Time to first COPD-related event
Tidsramme: Through day 90
|
COPD-related event may include non-elective hospital readmission, Emergency Department (ED)/urgent care visit, or death
|
Through day 90
|
|
Time to first moderate and/or severe COPD exacerbation
Tidsramme: Through day 90
|
Through day 90
|
|
|
Number of all-cause non-elective hospital readmissions
Tidsramme: Through day 90
|
Through day 90
|
|
|
Number of ED visits
Tidsramme: Through day 90
|
Through day 90
|
|
|
Number of COPD-related hospital readmissions
Tidsramme: Through day 90
|
Through day 90
|
|
|
Number of COPD-related ED visits
Tidsramme: Through day 90
|
Through day 90
|
|
|
Number of all-cause deaths
Tidsramme: Through day 90
|
Through day 90
|
|
|
Number of COPD-related deaths
Tidsramme: Through day 90
|
Through day 90
|
|
|
Occurrence of all-cause non-elective hospital readmissions
Tidsramme: Through day 60
|
Through day 60
|
|
|
Occurrence of all-cause ED visits
Tidsramme: Through day 60
|
Through day 60
|
|
|
Occurrence of all-cause deaths
Tidsramme: Through day 60
|
Through day 60
|
|
|
Occurrence of COPD-related hospital readmissions
Tidsramme: Through day 60
|
Through day 60
|
|
|
Occurrence of ED visits
Tidsramme: Through day 60
|
Through day 60
|
|
|
Occurrence of deaths
Tidsramme: Through day 60
|
Through day 60
|
|
|
Change in Chronic Airways Assessment Test (CAAT) score
Tidsramme: From baseline through day 90
|
CAAT is a PRO measure that assesses the impact of lung disease on a person's life using an 8-item questionnaire with a 40-point scale with higher scores indicating worse disease.
|
From baseline through day 90
|
|
Change in EXAcerbation of Chronic pulmonary disease Tool (EXACT) questionnaire score
Tidsramme: From baseline through day 90
|
EXACT is a patient-reported daily diary that captures respiratory symptoms in COPD using a 14-item questionnaire with a 0 to 100-point scale with higher scores indicating worse disease symptoms.
|
From baseline through day 90
|
|
Occurrence of Treatment-Emergent Adverse Events (TEAEs)
Tidsramme: Through day 90
|
Through day 90
|
|
|
Occurrence of Serious Adverse Events (SAEs)
Tidsramme: Through day 90
|
Through day 90
|
Samarbeidspartnere og etterforskere
Sponsor
Samarbeidspartnere
Etterforskere
- Studieleder: Clinical Trial Management, Regeneron Pharmaceuticals
Studierekorddatoer
Studer hoveddatoer
Studiestart (Antatt)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- R668-COPD-2491
- 2025-524392-23-00 (Ctis)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
When Regeneron has:
- received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development
- made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry)
- the legal authority to share the data, and
- ensured the ability to protect participant privacy
Tilgangskriterier for IPD-deling
IPD-deling Støtteinformasjonstype
- STUDY_PROTOCOL
- SEVJE
- ICF
- ANALYTIC_CODE
- CSR
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
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