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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)

8 maj 2026 uppdaterad av: Regeneron Pharmaceuticals

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

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Beräknad)

754

Fas

  • Fas 4

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Nej

Beskrivning

Key Inclusion Criteria:

  1. Has a clinical diagnosis of COPD prior to randomization, as defined in the protocol
  2. 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
  3. 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:

  1. Clinical evidence of pneumonia as the primary cause of admission in the investigator's opinion or acquired during hospital stay
  2. Complicating pulmonary conditions during the 8 weeks prior to randomization which may confound treatment assessments, as defined in the protocol
  3. Clinically significant pulmonary diseases other than COPD which may impair lung function and interfere with treatment assessments
  4. Participants with clinically significant α-1 anti-trypsin deficiency which may impair lung function and interfere with treatment assessments
  5. Cardiac-related comorbidity, as defined in the protocol
  6. Treatment with invasive mechanical ventilation in-hospital during the index event, as defined in the protocol
  7. 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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Fyrdubbla

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Placebo-jämförare: Placebo
Läkemedel: Placebo
Administreras enligt protokollet
Experimentell: dupilumab
Läkemedel: dupilumab
Administreras per protokollet
Andra namn:
  • REGN668
  • SAR231893
  • Dupixent®

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Time to first all-cause event
Tidsram: 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
Tidsram: Through day 90
Through day 90

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Time to first COPD-related event
Tidsram: 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
Tidsram: Through day 90
Through day 90
Number of all-cause non-elective hospital readmissions
Tidsram: Through day 90
Through day 90
Number of ED visits
Tidsram: Through day 90
Through day 90
Number of COPD-related hospital readmissions
Tidsram: Through day 90
Through day 90
Number of COPD-related ED visits
Tidsram: Through day 90
Through day 90
Number of all-cause deaths
Tidsram: Through day 90
Through day 90
Number of COPD-related deaths
Tidsram: Through day 90
Through day 90
Occurrence of all-cause non-elective hospital readmissions
Tidsram: Through day 60
Through day 60
Occurrence of all-cause ED visits
Tidsram: Through day 60
Through day 60
Occurrence of all-cause deaths
Tidsram: Through day 60
Through day 60
Occurrence of COPD-related hospital readmissions
Tidsram: Through day 60
Through day 60
Occurrence of ED visits
Tidsram: Through day 60
Through day 60
Occurrence of deaths
Tidsram: Through day 60
Through day 60
Change in Chronic Airways Assessment Test (CAAT) score
Tidsram: 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
Tidsram: 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)
Tidsram: Through day 90
Through day 90
Occurrence of Serious Adverse Events (SAEs)
Tidsram: Through day 90
Through day 90

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Regeneron Pharmaceuticals

Samarbetspartners

Sanofi

Utredare

  • Studierektor: Clinical Trial Management, Regeneron Pharmaceuticals

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

30 juni 2026

Primärt slutförande (Beräknad)

30 juli 2028

Avslutad studie (Beräknad)

30 juli 2028

Studieregistreringsdatum

Först inskickad

8 maj 2026

Först inskickad som uppfyllde QC-kriterierna

8 maj 2026

Första postat (Faktisk)

14 maj 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

14 maj 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

8 maj 2026

Senast verifierad

1 april 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • R668-COPD-2491
  • 2025-524392-23-00 (Ctis)

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.

Tidsram för IPD-delning

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

Kriterier för IPD Sharing Access

Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf

IPD-delning som stöder informationstyp

  • STUDY_PROTOCOL
  • SAV
  • ICF
  • ANALYTIC_CODE
  • CSR

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Ja

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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