A Study to Evaluate Safety and Efficacy of Lebrikizumab in Participants With 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:
- Documented history of COPD greater than or equal to (>/=) 12 months prior to Visit 1
- Post-bronchodilator FEV1/FVC less than (<) 0.70 at Visit 1 or 2
- Post bronchodilator FEV1 <80% predicted at Visit 1 or 2
- Documented history of one or more acute COPD exacerbations requiring treatment with systemic corticosteroids and/or antibiotics or hospitalization within 12 months prior to Visit 1
- Current tobacco smoker or former smoker (having stopped smoking for at least 6 months prior to Visit 1) with a history of smoking >/=10 pack-years (20 cigarettes/day for 10 years)
- On inhaled corticosteroids (ICS) therapy for >/=6 months prior to Visit 1
- On an eligible bronchodilator medication for >/=6 months prior to Visit 1
- Chest X-ray or computed tomography (CT) scan within 6 months prior to Visit 1 or chest X-ray prior to Visit 2 that confirms absence of clinically significant lung disease besides COPD
- Demonstrated adherence with background COPD inhaler medication during screening period
- For female participants of childbearing age, use of single or combined contraceptive methods for the duration of the study
Exclusion Criteria:
- History of severe allergic reaction or anaphylactic reaction to biologic agent or known hypersensitivity to lebrikizumab injection
- History of clinically significant pulmonary disease other than COPD
- Diagnosis of alpha-1-antitrypsin deficiency
- Lung volume reduction surgery or procedure within 12 months prior to Visit 1
- Supplemental oxygen requirement >2 liters/minute (L/min) at rest or with exertion
- Current diagnosis of asthma
- Participants participating in, or scheduled for, an intensive COPD rehabilitation program
- Maintenance oral corticosteroid therapy
- Treatment with systemic corticosteroids within 4 weeks prior to Visit 1 or during screen period
- Unstable ischemic heart disease or other relevant cardiovascular disorders
- Use of an immunomodulatory or immunosuppressive therapy including monoclonal antibodies (includes anti-interleukin-13 (IL) or anti-IL-4/IL-13 therapy)
- Body weight <40 kg
- Any infection that resulted in hospital admission for >/= 24 hours and/or treatment with oral, intravenous (IV), or intramuscular (IM) antibiotics within 4 weeks prior to Visit 1 or during screening
- Upper or lower respiratory tract infection within 4 weeks prior to Visit 1 or during screening
- Active parasitic or Listeria monocytogenes infection within 6 months prior to Visit 1 or during screening
- Received a live attenuated vaccine within 4 weeks prior to Visit 1 or during screening
- Active tuberculosis requiring treatment within 12 months prior to Visit 1
- Human immunodeficiency virus (HIV) or other known immunodeficiency
- Hepatitis or known liver cirrhosis
- Aspartate Aminotransferase (AST), Alanine Aminotransferase (ATL), or total bilirubin elevation >/=2.0 x upper limit of normal (ULN) during screening
- Clinically significant abnormality on screening electrocardiogram (ECG) or laboratory tests
- History of alcohol or drug abuse
- Pregnant or lactating
Sites / Locations
- Achieve Clinical Research, LLC
- Phoenix Medical Research Institute, LLC; Phoenix Medical Research Institute, LLC
- California Medical Research Associates, Inc.
- Palmtree Clinical research Inc
- Finlay Medical Research
- Progressive Medical Research
- Columbus Regional Research Institute
- Southeast Regional Res Group
- Centex Studies
- The Clinical Research Ctr
- Comprehensive Clinical Research Inc.
- ISA Clinical Research
- Gastonia Pharmaceutical Research
- Clinical Research Inst. of Southern Oregon, Pc
- Piedmont Research Partners LLC
- S. Carolina Pharmaceutical Research
- Baylor College of Medicine; Ben Taub Hospital- Guntupalli
- Centex Studies
- Western Washington Medical Group
- Premier Clinical Research
- MultiCare Health Center of Washington
- Centro Médico Dra de Salvo
- Instituto Ave Pulmo
- Centro Respiratorio Quilmes
- Investigaciones en Patologias Respiratorias
- Instituto Del Buen Aire
- Specialized Hospital For Active Treatment of Pneumophthisiatric Diseases; Dept of Pneumonology
- MHC - Sofia, EOOD
- Fifth MHAT - Sofia EAD
- National Multiprofile Transport Hospital Tzar Boris Ill; Clinic of Internal Diseases
- Medical Center "Nov Rehabilitatsionen Tsentar", EOOD
- Medical Center Tara OOD
- Concordia Hospital,Repiratory Research
- McMaster University Medical Centre
- St. Joseph's Healthcare Hamilton
- Inspiration Research Limited
- Hvidovre Hospital, Lungemedicinsk Afdeling
- Lungemedicinsk afd. L, Bispebjerg Hospital
- Odense Universitetshospital, Lungemedicinsk Forskningsenhed
- Dr. Kenessey Albert Korhaz Es Rendelointezet; Tudoosztaly (Pulmonolgy Dept )
- Petz Aladar Megyei Oktato Korhaz
- Selye János Kórház és Rendelőintézet; Allergológiai Szakrendelés
- CRU Hungary Kft
- Mohacsi Korhaz
- Matrai Állami Gyógyintézet ; Bronchológia
- Markusovszky Egyetemi Oktatokorhaz; Tudogondozo
- Farmakontroll Bt.
- Centro de Investigacion y Atencion Integral Durango CIAID
- Instituto Jalisciense de Investigacion Clinica S.A. de C.V.
- Centro Respiratorio de México
- Oaxaca Site Management Organization
- Centro Integral Médico SJR SC
- Mazowieckie Centrum Badan Klinicznych S.C.
- MS Clinsearch Specjalistyczny NZOZ Janusz Milanowski Katarzyna Szmygin-Milanowska Spółka Jawna
- Poradnia Pulmonologiczna dla Doroslych
- Niepubliczny Zaklad Opieki Zdrowotnej PROFILAKTYKA Wladyslaw Pierzchala
- NZOZ Lekarze Specjalisci
- FSI Scientific Research Inst
- Central Clinical Hospital #1 of RZhD JCS
- Novosibirsk Municipal Clinical Hospital For Emergency Medicine #2
- State Novosibirsk Regional Clinical Hospital
- LLC Reafan
- LLC Medical Center "Alliance-Biomedical - Russian Group"
- SBEI HPE "The First St.Petersburg State Medical University n.a. acad. I.P.Pavlova"of MoH of RF
- St. Petersburg State Medical University n.a. I.P. Pavlov
- Siberian State Medical University
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Placebo Comparator
Placebo Comparator
Lebrikizumab: Biomarker-high
Lebrikizumab: Biomarker-low
Placebo: Biomarker-high
Placebo: Biomarker-low
Lebrikizumab will be administered subcutaneously once in every 4 weeks up to 24 weeks to the participants considered as biomarker-high.
Lebrikizumab will be administered subcutaneously once in every 4 weeks up to 24 weeks to the participants considered as biomarker-low.
Matching placebo will be administered subcutaneously once in every 4 weeks up to 24 weeks to the participants considered as biomarker-high.
Matching placebo will be administered subcutaneously once in every 4 weeks up to 24 weeks to the participants considered as biomarker-low.