Study to Assess the Efficacy, Safety, and Tolerability of SAR440340/REGN3500/Itepekimab in Chronic Obstructive Pulmonary Disease (COPD) (AERIFY-1)
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, but who are not currently smoking, and smoking cessation must have occurred ≥6 months prior to Screening (Visit 1A) with an intention to quit permanently.
- 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.
- Active smoking or vaping of any products (eg, nicotine, tetrahydrocannabinol [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 sScreening (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
- University of Alabama at Birmingham-Site Number:8400012Recruiting
- Jasper Summit Research-Site Number:8400178Recruiting
- MedPharmics, LLC-Site Number:8400185Recruiting
- Chandler Clinical Trials (Elite Clinical Network)-Site Number:8400034Recruiting
- Noble Clinical Research-Site Number:8400182Recruiting
- Modena Allergy + Asthma-Site Number:8400036Recruiting
- Downtown LA Research Center Inc.-Site Number:8400027Recruiting
- MACRO Trials-Site Number:8400030Recruiting
- Antelope Valley Clinical Trials-Site Number:8400003
- Alpine Clinical Research Center-Site Number:8400180Recruiting
- Innovative Clinical Research-Site Number:8400017Recruiting
- Clin Research W Florida-Site Number:8400004Recruiting
- Beautiful Minds Clinical Research Center-Site Number:8400037Recruiting
- Indago Research and Health Center-Site Number:8400187Recruiting
- Deluxe Health Center-Site Number:8400188Recruiting
- University of Miami/Miami VA Medical Center-Site Number:8400026Recruiting
- DL Research Solutions Inc-Site Number:8400033Recruiting
- Research Institute of South Florida,Inc-Site Number:8400006Recruiting
- Reed Medical Research-Site Number:8400032Recruiting
- Florida Institute for Clinical Research-Site Number:8400013Recruiting
- Broward Pulmonary and Sleep Specialists-Site Number:8400031Recruiting
- Coastal Medical Research Institute-Site Number:8400044Recruiting
- Pasadena Center for Medical Research-Site Number:8400043Recruiting
- Appalachian Clinical Research-Site Number:8400024Recruiting
- Alpha Clinical Research Georgia-Site Number:8400190Recruiting
- Covenant Pulmonary Critical Care-Site Number:8400183Recruiting
- David Kavtaradze MD, Inc.-Site Number:8400029Recruiting
- Gwinnett Biomedical Research-Site Number:8400007Recruiting
- GenHarp Clinical Solutions-Site Number:8400028Recruiting
- Benchmark Research-Site Number:8400193Recruiting
- Paul Shapero, PC-Site Number:8400016Recruiting
- 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
- Revival Research Institute, LLC-Site Number:8400191Recruiting
- Midwest Chest Consultants, P.C.-Site Number:8400002Recruiting
- Hendeson Clinical Trials-Site Number:8400365Recruiting
- Northwell/ Lenox Hill Hospital-Site Number:8400019Recruiting
- Gastonia Pharmaceutical Research-Site Number:8400010
- East Carolina University Brody School Of Medicine-Site Number:8400022Recruiting
- Carolina Research Center-Site Number:8400005Recruiting
- Accellacare-Site Number:8400001Recruiting
- Southeastern Research Center-Site Number:8400011Recruiting
- Bernstein Clinical Research Center-Site Number:8400014Recruiting
- WellNow Urgent Care and Research-Site Number:8400039Recruiting
- Clinical Research of Central PA-Site Number:8400023
- Bogan Sleep Consultants-Site Number:8400181
- Clinical Research of Rock Hill-Site Number:8400008Recruiting
- Clinrx Research-Site Number:8400021Recruiting
- Austin Pulmonary Consultants-Site Number:8400035Recruiting
- Corsicana Medical Research, LLC-Site Number:8400018Recruiting
- Texas Tech University Health Sciences Center-Site Number:8400189Recruiting
- The Methodist Hospital Research Institute-Site Number:8400194Recruiting
- Biopharma Informatic - Cardiff Avenue - PPDS-Site Number:8400038Recruiting
- DM Clinical Research-Site Number:8400179Recruiting
- Metroplex Pulmonary and Sleep Center-Site Number:8400015Recruiting
- Advance Lung and Sleep Center-Site Number:8400040Recruiting
- Sherman Clinical Research-Site Number:8400009Recruiting
- Clearlake Specialties-Site Number:8400025Recruiting
- Investigational Site Number :0320001Recruiting
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- Investigational Site Number :8040001Recruiting
- Investigational Site Number :8040005Recruiting
- Investigational Site Number :8040011
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Itepekimab Q2W
Itepekimab Q4W
Placebo
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