Study to Assess the Efficacy, Safety, and Tolerability of SAR440340/REGN3500/Itepekimab in Chronic Obstructive Pulmonary Disease (COPD) (AERIFY-2)
Chronic Obstructive Pulmonary Disease
About this trial
This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease
Eligibility Criteria
Inclusion criteria :
- Participant must be 40 to 85 years of age inclusive.
- Physician diagnosis of COPD for at least 1 year (based on Global Initiative for Chronic Obstructive Lung Disease [GOLD] definition.
Smoking history of ≥10 pack-years:
- For former smokers: participants who report that they are not currently smoking and smoking cessation must have occurred ≥6 months prior to Screening (Visit 1A) with an intention to quit permanently.
- For current smokers: participants who report that they are currently smoking tobacco (participant smoked at least 1 cigarette per day on average during the past 7 days) at Screening (Visit 1A) and who are not currently participating in or planning to initiate a smoking cessation intervention at Screening (Visit 1A) or during Screening period.
- Participants with moderate-to-severe COPD
- Participant-reported history of signs and symptoms of chronic bronchitis (chronic productive cough for at least 3 months in the year prior to Screening in a participant in whom other causes of chronic cough [eg, inadequately treated gastroesophageal reflux or chronic rhinosinusitis; or clinical diagnosis of bronchiectasis] has been excluded).
Documented history of high exacerbation risk defined as having had ≥2 moderate or ≥1 severe exacerbations within the year prior to Screening (Visit 1A), with at least 1 exacerbation treated with systemic corticosteroids. At least one exacerbation must have occurred while participants were on their current controller therapy:
- Moderate exacerbations will be recorded by the Investigator and are defined as acute worsening of respiratory symptoms that requires either systemic corticosteroids (IM, IV, or oral) and/or antibiotics.
- Severe exacerbations will be recorded by the Investigator and are defined as AECOPD that require hospitalization or observation for >24 hours in emergency department/urgent care facility.
- Participants with standard of care controller therapy, for ≥3 months prior to Screening (Visit 1A) and at a stable dose of controller therapy for at least 1 month prior to the Screening, including either: inhaled corticosteroid (ICS) + long-acting beta-agonist (LABA), long-acting muscarinic antagonist (LAMA) + LABA or LAMA + LABA + ICS. -- Body mass index (BMI) ≥18.0 kg/m^2
Female participant is not pregnant, not breastfeeding, and at least one of the following conditions applies:
- not a women of child-bearing potential (WOCBP) OR
- a WOCBP who agrees to follow the contraceptive guidance during the intervention period and for at least 20 weeks after the last dose of study intervention. -
Exclusion criteria:
- Current diagnosis of asthma according to the Global Initiative for Asthma (GINA) guidelines, or documented history of asthma.
- For former smokers: Active smoking or vaping of any products (eg, nicotine, tetrahydrocannabinol [THC]) within 6 months prior to Screening (Visit 1A).
- For current smokers: vaping of any products (eg, nicotine, THC) within 6 months prior to Screening (Visit 1A).
- Clinically significant new abnormal electrocardiogram (ECG) within 6 months prior to, or at Screening (Visit 1A) that may affect the participant's participation in the study.
- Clinically significant and current pulmonary disease other than COPD, eg, sarcoidosis, interstitial lung disease, bronchiectasis (clinical diagnosis), diagnosis of α-1 anti-trypsin deficiency, or another diagnosed pulmonary disease.
- Diagnosis of cor pulmonale, evidence of right cardiac failure, or moderate-to-severe pulmonary hypertension.
- Hypercapnia requiring bilevel positive airway pressure (BiPAP).
- Moderate or severe exacerbation of COPD (AECOPD) within 4 weeks prior to Screening (Visit 1A).
- Prior history of / planned: lung pneumonectomy for any reason, or lung volume reduction procedures (including bronchoscopic volume reduction) for COPD. Note: Surgical biopsy, or segmentectomy, or wedge resection, or lobectomy for other diseases would not be excluded.
- Unstable ischemic heart disease, including acute myocardial infarction within the past 1 year prior to Screening, or unstable angina in the 6 months prior to Screening (Visit 1A).
- Cardiac arrhythmias including paroxysmal (eg, intermittent) atrial fibrillation.
- Uncontrolled hypertension (ie, systolic blood pressure [BP] >180 mm Hg or diastolic BP >110 mm Hg with or without use of anti-hypertensive therapy).
- Participants with active tuberculosis (TB), latent TB, a history of incompletely treated TB, suspected extrapulmonary TB infection (TBI), or who are at high risk of contracting TB (such as close contact with individuals with active or latent TB) or received Bacillus Calmette-Guérin (BCG)-vaccination within 12 weeks prior to Screening (Visit 1A).
- History of human immunodeficiency virus (HIV) infection or positive HIV 1/2 serology at Screening (Visit 1A).
- Suspicion of, or confirmed, coronavirus disease 2019 (COVID-19) infection or in contact with known exposure to COVID-19 at Screening (Visit 1A); known history of COVID-19 infection within 4 weeks prior to Screening (Visit 1A); history of requiring mechanical ventilation or extracorporeal membrane oxygenation (ECMO) secondary to COVID-19 within 3 months prior to Screening (Visit 1A); participants who have had a COVID-19 infection prior Screening (Visit 1A) who have not yet sufficiently recovered to participate in the procedures of a clinical trial.
- Evidence of acute or chronic infection requiring systemic treatment with anti bacterial, antiviral, antifungal, antiparasitic, or antiprotozoal medications within 4 weeks before Screening (Visit 1A), significant viral infections within 4 weeks before Screening (Visit 1A) that may not have been treated with antiviral treatment (eg, influenza receiving only symptomatic treatment).
- Participants with active autoimmune disease or participants using immunosuppressive therapy for autoimmune disease (eg, rheumatoid arthritis, inflammatory bowel disease, primary biliary cirrhosis, systemic lupus erythematosus, multiple sclerosis.
- History of malignancy within 5 years before Screening (Visit 1A), except completely treated in situ carcinoma of the cervix, completely treated and resolved nonmetastatic squamous or basal cell carcinoma of the skin.
- Previous use of itepekimab.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Sites / Locations
- Synexus Phoenix Central (Central Phoenix Medical Clinic)-Site Number:8400333Recruiting
- UCSF Fresno-Site Number:8400030Recruiting
- Palmtree Clinical Research-Site Number:8400184Recruiting
- Probe Clinical Research Corporation-Site Number:8400188Recruiting
- Allianz Research Institute Colorado-Site Number:8400061Recruiting
- Helix Biomedics, LLC-Site Number:8400049Recruiting
- Meris Clinical Research-Site Number:8400021Recruiting
- Innovative Research of West Florida, Inc-Site Number:8400041Recruiting
- Beautiful Minds Clinical Research Center-Site Number:8400352Recruiting
- Omega Research-Site Number:8400031Recruiting
- Sciences Connections, LLC-Site Number:8400045Recruiting
- North Florida/South Georgia Veterans Health System-Site Number:8400176Recruiting
- Finlay Medical Research-Site Number:8400011Recruiting
- Direct Helpers Medical Center Inc-Site Number:8400065Recruiting
- Multi-Specialty Research Associates, Inc-Site Number:8400044Recruiting
- Advanced Pulmonary Research Institute-Site Number:8400018Recruiting
- Columbus Clinical Services-Site Number:8400054Recruiting
- Finlay Medical Research-Site Number:8400007Recruiting
- Y and L Advance Health Care, Inc D/B/A Elite Clinical Res-Site Number:8400009Recruiting
- My Community Research Center-Site Number:8400060Recruiting
- Phoenix Medical Research-Site Number:8400019Recruiting
- Renstar Medical Research-Site Number:8400015Recruiting
- Central Florida Pulmonary Group, PA-Site Number:8400192Recruiting
- Heuer M.D. Research-Site Number:8400016Recruiting
- Oviedo Medical Research-Site Number:8400026Recruiting
- Pines Care Research Center LLC-Site Number:8400056Recruiting
- Sarasota Memorial Health Care System Clinical ResearchCenter-Site Number:8400178Recruiting
- Clinical Research Of West Florida Inc-Site Number:8400008Recruiting
- Genesis Clinical Research, LLC-Site Number:8400182Recruiting
- Medster Research, LLC-Site Number:8400051Recruiting
- North Georgia Clinical Research-Site Number:8400013
- Midwest Pulmonology, Critical Care and Sleep Associates-Site Number:8400033Recruiting
- Captain James A. Lovell Federal Health Care Center-Site Number:8400032Recruiting
- Illinois Lung Institute-Site Number:8400024Recruiting
- The Iowa Clinic-Site Number:8400034Recruiting
- Cotton O'Neil Garfield-Site Number:8400063Recruiting
- Lexington VA Health Care System-Site Number:8400036Recruiting
- Pulmonary & Critical Care-Site Number:8400047Recruiting
- Care Access-Site Number:8400275Recruiting
- Care Access-Site Number:8400276Recruiting
- Care Access-Site Number:8400277Recruiting
- Care Access-Site Number:8400278Recruiting
- Care Access-Site Number:8400281Recruiting
- Revive Research Institute-Site Number:8400186Recruiting
- Washington University School of Medicine-Site Number:8400035Recruiting
- Sierra Clinical Research-Site Number:8400005Recruiting
- Smart Medical Research-Site Number:8400191Recruiting
- VA Western New York Healthcare System-Site Number:8400050Recruiting
- New York - Presbyterian Queens-Site Number:8400028Recruiting
- IMA Clinical Research, LLC-Site Number:8400027Recruiting
- Schenectady Pulmonary and Critical Care Associates-Site Number:8400029Recruiting
- American Health Research-Site Number:8400002Recruiting
- Advanced Respiratory and Sleep Medicine-Site Number:8400022Recruiting
- University of Cincinnati-Site Number:8400042Recruiting
- Remington-Davis Inc-Site Number:8400004Recruiting
- Toledo Institute of Clinical Research-Site Number:8400014Recruiting
- OK Clinical Research LLC-Site Number:8400001Recruiting
- Kaiser Permanente Center for Health Research-Site Number:8400039Recruiting
- St. Luke's University Health Network-Site Number:8400187Recruiting
- Lowcountry Lung & Critical Care-Site Number:8400175Recruiting
- Medtrial, LLC-Site Number:8400048Recruiting
- VitaLink Research- Gaffney-Site Number:8400003Recruiting
- Clinical Trials Center of Middle Tennessee-Site Number:8400025Recruiting
- TTS Research-Site Number:8400012Recruiting
- United Memorial Medical Center (UMMC)-Site Number:8400193Recruiting
- FMC Science-Site Number:8400037Recruiting
- Sun Research Institute-Site Number:8400183Recruiting
- AES Salt Lake City-Site Number:8400332Recruiting
- The Rheumatology and Pulmonary Clinic-Site Number:8400053Recruiting
- Investigational Site Number :0320008Recruiting
- Investigational Site Number :0320001Recruiting
- Investigational Site Number :0320005Recruiting
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- Investigational Site Number :0760014Recruiting
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- Investigational Site Number :4840008Recruiting
- Investigational Site Number :4840009Recruiting
- Investigational Site Number :4840002Recruiting
- Investigational Site Number :4840010Recruiting
- Investigational Site Number :4840003Recruiting
- Investigational Site Number :4840012Recruiting
- Investigational Site Number :4840007Recruiting
- Investigational Site Number :4840006Recruiting
- Investigational Site Number :4840001Recruiting
- Investigational Site Number :4840004Recruiting
- Investigational Site Number :4840015Recruiting
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- Investigational Site Number :6200001Recruiting
- Investigational Site Number :6200010Recruiting
- Investigational Site Number :6200003Recruiting
- Cardiopulmonary Research-Site Number:8400040Recruiting
- BRCR Medical Center, Inc.-Site Number:8400190Recruiting
- BRCR Medical Center-Site Number:8400180Recruiting
- Inspire Pulmonary & Sleep Medicine Specialists-Site Number:8400232Recruiting
- Investigational Site Number :6430002
- Investigational Site Number :6430001
- Investigational Site Number :6430005Recruiting
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Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Itepekimab Q2W in former smokers
Itepekimab Q4W in former smokers
Placebo in former smokers
Itepekimab Q2W in current smokers
Placebo in current smokers
Subcutaneous (SC) administration of Itepekimab every 2 weeks (Q2W) for up to 52 weeks
SC administration of Itepekimab every 4 weeks (Q4W) for up to 52 weeks, with alternating SC administration of matching placebo at the 2-week interval between active IMP
SC administration of matching placebo Q2W for up to 52 weeks
SC administration of Itepekimab every 2 weeks (Q2W) for 52 weeks
SC administration of matching placebo Q2W for 52 weeks