Proof-of-Concept Study to Assess the Efficacy, Safety and Tolerability of SAR440340 (Anti-IL-33 mAb) in Patients With Moderate-to-severe Chronic Obstructive Pulmonary Disease (COPD)
Chronic Obstructive Pulmonary Disease
About this trial
This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease
Eligibility Criteria
Inclusion criteria :
- Participants with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) for at least 1 year (based on Global Initiative for Chronic Obstructive Lung Disease [GOLD] definition.
- Participants with moderate-to-severe COPD (post-bronchodilator Forced Expiratory Volume in 1 Second [FEV1]/forced vital capacity [FVC] <70% and post-bronchodilator FEV1 % predicted <80%, but ≥30%).
- Participants with COPD Assessment Test (CAT) score ≥10 at Screening
- Participants with reported history of signs and symptoms of chronic bronchitis (chronic productive cough for 3 months in the year up to screening in a patient in whom other causes of chronic cough [e.g., gastroesophageal reflux, chronic rhinosinusitis, bronchiectasis] have been excluded).
- Participants with a documented history (eg. medical record verification) of ≥2 moderate exacerbations or ≥1 severe exacerbation within the year prior to screening. A moderate exacerbation is defined as an acute exacerbation of COPD (AECOPD) requiring systemic corticosteroids (oral, intravenous, or intramuscular) and/or treatment with antibiotics (however, use of antibiotics alone does not qualify as a "moderate exacerbation" unless documentation is available that use of antibiotics was necessary for treatment of worsening symptoms of COPD). A severe exacerbation is defined as an AECOPD that required a hospitalization.
- Participants with Standard of Care background therapy, for 3 months and at a stable dose for at least 1 month, including either:
- Double therapy: Long acting beta agonist (LABA) + Long acting muscarinic agonist (LAMA) or inhaled corticosteroid (ICS) + LABA or ICS + LAMA.
or
- Triple therapy: LABA + LAMA +ICS.
- Current or former smokers with a smoking history of ≥10 packs/year.
Exclusion criteria:
- Concomitant severe diseases or diseases for which the use of Inhaled Corticosteroids (ICS) (e.g., active pulmonary tuberculosis, etc.) or Long Acting Beta Agonists (LABA) are contraindicated (e.g., diagnosis of a history of significant cardiovascular diseases, insulin-dependent diabetes mellitus, hyperthyroidism, thyrotoxicosis, pheochromocytoma, hypokalemia).
- Use of injectable glucocorticosteroids or oral systemic glucocorticosteroids within previous 1 month or more than 4 courses of IV glucocorticosteroids within the previous 6 months
- Participants with Bronchial thermoplasty procedure (up to 3 years prior to Visit 1)
- A current diagnosis of asthma according to the Global Initiative for Asthma (GINA) guidelines.
- Significant pulmonary disease other than COPD (e.g., lung fibrosis, sarcoidosis, interstitial lung disease, pulmonary hypertension, bronchiectasis, eosinophilic granulomatosis with polyangiitis, significant sleep apnea on Bilevel Positive Airway Pressure, etc) or another diagnosed pulmonary or systemic disease associated with elevated peripheral eosinophil counts.
- Diagnosis of α-1 anti-trypsin deficiency.
- Advanced COPD with need for chronic (>15 hours/day) oxygen support.
- Participant with a moderate or severe Acute Exacerbation of COPD event within previous 4 weeks
- A participant who has experienced an upper or lower respiratory tract infection within previous 4 weeks
- Prior history of or planned pneumonectomy or lung volume reduction surgery.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Sites / Locations
- Investigational Site Number 8400002
- Investigational Site Number 8400003
- Investigational Site Number 8400006
- Investigational Site Number 8400015
- Investigational Site Number 8400013
- Investigational Site Number 8400012
- Investigational Site Number 8400016
- Investigational Site Number 8400020
- Investigational Site Number 8400011
- Investigational Site Number 8400005
- Investigational Site Number 8400019
- Investigational Site Number 8400004
- Investigational Site Number 8400001
- Investigational Site Number 8400009
- Investigational Site Number 8400007
- Investigational Site Number 8400008
- Investigational Site Number 0320001
- Investigational Site Number 0320005
- Investigational Site Number 0320002
- Investigational Site Number 0320004
- Investigational Site Number 0320006
- Investigational Site Number 0320003
- Investigational Site Number 0360005
- Investigational Site Number 0360002
- Investigational Site Number 0360004
- Investigational Site Number 0360003
- Investigational Site Number 0360006
- Investigational Site Number 0360001
- Investigational Site Number 1240002
- Investigational Site Number 1240009
- Investigational Site Number 1240003
- Investigational Site Number 1240001
- Investigational Site Number 1240005
- Investigational Site Number 1240006
- Investigational Site Number 1240008
- Investigational Site Number 1240007
- Investigational Site Number 1240004
- Investigational Site Number 1520002
- Investigational Site Number 1520001
- Investigational Site Number 1520007
- Investigational Site Number 1520004
- Investigational Site Number 1520003
- Investigational Site Number 1520005
- Investigational Site Number 2760006
- Investigational Site Number 2760001
- Investigational Site Number 2760002
- Investigational Site Number 2760007
- Investigational Site Number 2760004
- Investigational Site Number 2760005
- Investigational Site Number 6160001
- Investigational Site Number 6160008
- Investigational Site Number 6160005
- Investigational Site Number 6160009
- Investigational Site Number 6160007
- Investigational Site Number 6160002
- Investigational Site Number 6160006
- Investigational Site Number 6160010
- Investigational Site Number 6160003
- Investigational Site Number 6430003
- Investigational Site Number 6430001
- Investigational Site Number 6430005
- Investigational Site Number 6430002
- Investigational Site Number 6430010
- Investigational Site Number 6430006
- Investigational Site Number 6430007
- Investigational Site Number 6430009
- Investigational Site Number 6430004
- Investigational Site Number 7920004
- Investigational Site Number 7920001
- Investigational Site Number 7920006
- Investigational Site Number 7920007
- Investigational Site Number 7920008
- Investigational Site Number 7920002
- Investigational Site Number 8040008
- Investigational Site Number 8040012
- Investigational Site Number 8040004
- Investigational Site Number 8040002
- Investigational Site Number 8040011
- Investigational Site Number 8040007
- Investigational Site Number 8040001
- Investigational Site Number 8040006
- Investigational Site Number 8040003
- Investigational Site Number 8040005
Arms of the Study
Arm 1
Arm 2
Placebo Comparator
Experimental
Placebo
SAR440340
Participants received placebo matched to SAR440340 administered as 2 subcutaneous (SC) injections every 2 weeks (Q2W). Participants were treated for a minimum of 24 weeks and up to a maximum of 52 weeks (last dose administered at Week 50, End of Treatment (EOT) visit occurred 2 weeks after last administration of IMP i.e., at Week 52).
Participants received SAR440340 300 milligrams (mg) administered as 2 SC injections Q2W. Participants were treated for a minimum of 24 weeks and up to a maximum of 52 weeks (last dose administered at Week 50, EOT visit occurred 2 weeks after last administration of IMP i.e., at Week 52).