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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04053634
Other study ID # D3251C00014
Secondary ID 2019-001800-39
Status Active, not recruiting
Phase Phase 3
First received
Last updated
Start date August 26, 2019
Est. completion date August 21, 2025

Study information

Verified date May 2024
Source AstraZeneca
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Phase 3 study to evaluate the efficacy and safety of a benralizumab in patients with moderate to very severe COPD with a history of frequent COPD exacerbations and elevated peripheral blood eosinophils (≥300/μL). Eligible patients must have a history of ≥2 moderate and/or severe COPD exacerbations in the previous year despite receiving triple (ICS/LABA/LAMA) background therapy for at least 3 months and ICS-based dual inhaled treatment for the remainder of the year. Eligible patients must also have an elevated blood eosinophil count. The treatment period will be of variable duration and will continue until the last patient has the opportunity to complete a minimum of 56 weeks, at which point all patients will complete the study. The primary endpoint will be analyzed at Week 56.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 645
Est. completion date August 21, 2025
Est. primary completion date August 21, 2025
Accepts healthy volunteers No
Gender All
Age group 40 Years to 85 Years
Eligibility Inclusion Criteria: 1. Provision of informed consent 2. Age 40 to 85 years 3. Male and/or female. 4. Current or former smoker with a tobacco history of =10 pack-years. 5. History of moderate to very severe COPD with a post-bronchodilator FEV1/FVC<0.70 and FEV1 =65% of predicted normal value. 6. Documented history of 2 or more COPD exacerbations that required treatment with systemic corticosteroids and/or hospitalization within 52 weeks prior to enrollment. 1. Exacerbations treated with antibiotics alone are excluded unless accompanied by treatment with systemic corticosteroids and/or hospitalization. 2. Hospitalization is defined as an inpatient admission =24 hours 3. Previous exacerbations should be confirmed to have occurred while on stable triple therapy for COPD. 4. At least one qualifying COPD exacerbation should occur while on stable uninterrupted triple therapy prior to enrolment. 7. Documented use of triple (ICS/LABA/LAMA) background therapy for COPD for =3 months immediately prior to enrollment. 1. Treatment with at least double inhaled therapy containing ICS (e.g. ICS/LABA or ICS/LAMA) for the remaining of 52 weeks prior to enrolment. Use of LABA/LAMA is allowed if ICS cannot be tolerated. 2. ICS in a dose approved for COPD or equivalent to =250 mcg of fluticasone propionate daily. 3. Total cumulative duration of not being on double or triple background therapy must not exceed 2 months. 4. Stable therapy/doses for the last 3 months prior to randomization. 8. Blood eosinophil count =300/µL at screening and documented historical eosinophil count of =150/µL within 52 weeks of enrollment (or repeated testing during run-in). 9. CAT total score =15 at Visit 1. 10. Negative pregnancy test for females of childbearing potential (WOCBP) at Visit 1. 11. Women of childbearing potential (WOCBP) must agree to use a highly effective method of birth control from enrollment throughout the study and within 12 weeks after last dose of IP. Women not of childbearing potential are defined as women who are either permanently sterilized or postmenopausal (confirmed by FSH test for women <50 years). Exclusion Criteria: 1. Clinically important pulmonary disease other than COPD 2. Current diagnosis of asthma, prior history of asthma or asthma-COPD overlap according to GINA/GOLD. Childhood history of asthma is allowed and defined as asthma diagnosed and resolved before the age of 18. 3. Radiological findings of a respiratory disease other than COPD contributing to respiratory symptoms. Solitary pulmonary nodules without appropriate follow up or findings of acute infection. 4. Another pulmonary or systemic disease associated with elevated peripheral eosinophil counts. 5. Any unstable disorder that could affect patient safety, study findings or the patient's ability to complete the study. 6. Any clinically significant abnormal findings in physical examination, vital signs, ECG, laboratory tests could affect patient safety, study findings or the patient's ability to complete the study. 7. Cor pulmonale and/or right ventricular failure. 8. Long-term treatment with oxygen >4.0 L/min and/or oxyhemoglobin saturation <89% while breathing supplemental oxygen. 9. Use of any non-invasive positive pressure ventilation device (NIPPV). Note: use of CPAP for Sleep Apnea Syndrome is allowed. 10. Known immunodeficiency disorder, including positive HIV-1/2 testing. 11. Active liver disease. Chronic stable hepatitis B and C (including positive HBsAg or hepatitis C antibody testing), or other stable chronic liver disease are acceptable. 12. ALT or AST =3 times the upper limit of normal, confirmed by repeated testing during the run-in period. 13. Helminth parasitic infection within 24 weeks prior to enrollment, not treated or failed to respond to standard of care therapy. 14. Alcohol or drug abuse within the past year, which may compromise the study data. 15. Malignancy, current or within the past 5 years, except for adequately treated non invasive basal cell and squamous cell carcinoma of the skin and cervical carcinoma-in-situ treated with apparent success more than 1 year prior to Visit 1. Suspected malignancy or undefined neoplasms. 16. Evidence of active tuberculosis, as judged by investigator. Patients with a recent (within 2 years) first-time or newly positive PPD or Quantiferon test need to complete an appropriate course of treatment before enrollment. Evaluation will be according to the local standard of care. 17. Participation, or planned participation, in intensive COPD rehabilitation program (maintenance phase of a rehabilitation is allowed). 18. History of surgical or endoscopic lung volume reduction within the 6 months prior to enrollment. History of partial or total lung resection (single lobe or segmentectomy is acceptable). 19. Scheduled major surgical procedure during the study. Minor elective procedures are allowed. 20. History of anaphylaxis to any biologic therapy or vaccine. 21. Receipt of blood products or immunoglobulins within 30 days prior to randomization. 22. Receipt of marketed or investigational biologic product within 4 months or 5 half-lives prior to randomization, whichever is longer. Exception: Patients on stable therapy for 3 months before randomization who intend to stay on treatment throughout the study with marketed biologic products that are not likely to interfere with the safety assessment and/or efficacy of benralizumab, for example, for the treatment of osteoporosis, migraine, pain, diabetes, obesity, ocular, cardiovascular, or metabolic diseases, can participate in the study. 23. Receipt of live attenuated vaccines 30 days prior to randomization. 24. Chronic use of immunosuppressive medication or expected need for chronic use during the study. 25. Chronic use of antibiotics if duration of treatment is <9 months prior to randomization. Chronic macrolide or other antibiotic therapy is allowed provided the patient has been on stable dose/regimen for =9 months prior to randomization and has had =2 COPD exacerbations while on stable therapy. 26. Receipt of any investigational non-biologic product within 30 days or 5 half-lives prior to enrollment. 27. Receipt of benralizumab within 12 months prior to enrollment. 28. Known history of allergy or reaction to any component of the IP formulation.

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
Benralizumab
Benralizumab solution for injection in accessorized prefilled syringe (APFS) will be administered subcutaneously (SC) every 4 weeks for the first 3 doses - Weeks 0, 4 and 8, and then every 8 weeks until the end of treatment.
Placebo
Matching placebo will be administered subcutaneously with accessorized prefilled syringe (APFS) every 4 weeks for the first 3 doses - Weeks 0, 4 and 8, and then every 8 weeks until the end of treatment.

Locations

Country Name City State
Argentina Research Site Buenos Aires
Argentina Research Site Caba
Argentina Research Site Ciudad Autónoma de Buenos Aire
Argentina Research Site Ciudad de Buenos Aires
Argentina Research Site Córdoba
Argentina Research Site Florencio Varela
Argentina Research Site Florida
Argentina Research Site Mar del Plata
Argentina Research Site Mendoza
Argentina Research Site San Fernando
Argentina Research Site San Miguel de Tucuman
Australia Research Site Caringbah
Australia Research Site Melbourne
Australia Research Site South Brisbane
Australia Research Site Southport
Australia Research Site Spearwood
Austria Research Site Bad Ischl
Austria Research Site Bludenz
Austria Research Site Feldbach
Austria Research Site Grieskirchen
Austria Research Site Linz
Austria Research Site Thalheim
Belgium Research Site Edegem
Belgium Research Site Erpent
Brazil Research Site Blumenau
Brazil Research Site Botucatu
Brazil Research Site Florianópolis
Brazil Research Site Maringa
Brazil Research Site Porto Alegre
Brazil Research Site Porto Alegre
Brazil Research Site Porto Alegre
Brazil Research Site Porto Alegre
Brazil Research Site Santo Andre
Brazil Research Site Sao Bernardo do Campo
Brazil Research Site Sao Paulo
Brazil Research Site Sorocaba
Bulgaria Research Site Kozloduy
Bulgaria Research Site Ruse
Bulgaria Research Site Stara Zagora
Canada Research Site Ajax Ontario
Canada Research Site Barrie Ontario
Canada Research Site Calgary Alberta
Canada Research Site Chicoutimi
Canada Research Site Montreal Quebec
Canada Research Site Quebec
Canada Research Site Quebec
Canada Research Site Quebec
Canada Research Site Sarnia Ontario
Canada Research Site Saskatoon Saskatchewan
Canada Research Site St. John's NF
Canada Research Site Stouffville Ontario
Canada Research Site Toronto Ontario
Canada Research Site Toronto Ontario
Chile Research Site Curico
Chile Research Site Quillota
Chile Research Site Santiago
Chile Research Site Santiago
Chile Research Site Santiago
Chile Research Site Santiago
Chile Research Site Talca
China Research Site Baotou
China Research Site Beijing
China Research Site Beijing
China Research Site Changsha
China Research Site Changsha
China Research Site Changsha
China Research Site Chengdu
China Research Site Chongqing
China Research Site Ganzhou
China Research Site Guangzhou
China Research Site Guangzhou
China Research Site Guiyang
China Research Site Haikou
China Research Site Hebei
China Research Site Hefei
China Research Site Hohhot
China Research Site Hohhot
China Research Site Linhai
China Research Site Nanchang
China Research Site Shanghai
China Research Site Shanghai
China Research Site Shanghai
China Research Site Shenyang
China Research Site Shenzhen
China Research Site Suzhou
China Research Site Urumqi
China Research Site Wenzhou
China Research Site Wuhan
China Research Site Wuhan
China Research Site Xi'an
China Research Site Yinchuan
China Research Site Zhanjiang
China Research Site Zhengzhou
Colombia Research Site Barranquilla
Colombia Research Site Cali
Colombia Research Site Floridablanca
Colombia Research Site Medellin
Colombia Research Site Pereira
Colombia Research Site Zipaquira
Czechia Research Site Brandys nad Labem
Czechia Research Site Jindrichuv Hradec
Czechia Research Site Ostrava
Czechia Research Site Rokycany
Czechia Research Site Teplice
Denmark Research Site Ålborg
Denmark Research Site Hvidovre
Denmark Research Site København NV
Denmark Research Site Odense C
Denmark Research Site Roskilde
Denmark Research Site Vejle
Germany Research Site Bamberg
Germany Research Site Berlin
Germany Research Site Berlin
Germany Research Site Berlin
Germany Research Site Darmstadt
Germany Research Site Hamburg
Germany Research Site Hannover
Germany Research Site Koblenz
Germany Research Site Köln
Germany Research Site Leipzig
Germany Research Site Leipzig
Germany Research Site Leipzig
Germany Research Site Marburg
Germany Research Site Neu-Isenburg
Germany Research Site Peine
Germany Research Site Potsdam
Germany Research Site Rheine
Germany Research Site Warendorf
Greece Research Site Athens
Greece Research Site Exohi Thessaloniki
Greece Research Site Ioannina
Greece Research Site Thessaloniki
Greece Research Site Thessaloniki
Hungary Research Site Balassagyarmat
Hungary Research Site Budapest
Hungary Research Site Edelény
Hungary Research Site Encs
Hungary Research Site Gödöllo
Hungary Research Site Hajdúnánás
Hungary Research Site Komárom
Hungary Research Site Pécs
Hungary Research Site Siófok
Hungary Research Site Százhalombatta
Hungary Research Site Szeged
Hungary Research Site Törökbálint
India Research Site Calicut
India Research Site Chennai
India Research Site Coimbatore
India Research Site Guntur
India Research Site Hyderabad
India Research Site Jaipur
India Research Site Thane
India Research Site Vijayawada
Italy Research Site Cona
Italy Research Site Genova
Italy Research Site Milano
Italy Research Site Milano
Italy Research Site Napoli
Italy Research Site Reggio Emilia
Italy Research Site Roma
Italy Research Site Rozzano
Japan Research Site Chuo-ku
Japan Research Site Chuo-ku
Japan Research Site Fukuoka-shi
Japan Research Site Himeji-shi
Japan Research Site Hitachinaka-shi
Japan Research Site Joyo-shi
Japan Research Site Kawachinagano-shi
Japan Research Site Kishiwada-shi
Japan Research Site Kobe-shi
Japan Research Site Koto-ku
Japan Research Site Kure-shi
Japan Research Site Matsusaka-shi
Japan Research Site Mizunami-shi
Japan Research Site Nagaoka-shi
Japan Research Site Nagoya-shi
Japan Research Site Nishinomiya-shi
Japan Research Site Okayama-shi
Japan Research Site Osaka-shi
Japan Research Site Sagamihara-shi
Japan Research Site Sakai-shi
Japan Research Site Sakaide-shi
Japan Research Site Seto-shi
Japan Research Site Shinagawa-ku
Japan Research Site Shinagawa-ku
Japan Research Site Toshima-ku
Japan Research Site Toshima-ku
Japan Research Site Toshima-ku
Japan Research Site Toyonaka-shi
Japan Research Site Ueda-shi
Japan Research Site Yanagawa-shi
Japan Research Site Yokohama-shi
Korea, Republic of Research Site Daegu
Korea, Republic of Research Site Jeonju-si
Korea, Republic of Research Site Seoul
Korea, Republic of Research Site Seoul
Korea, Republic of Research Site Seoul
Korea, Republic of Research Site Seoul
Korea, Republic of Research Site Wonju-si
Mexico Research Site Guadalajara
Mexico Research Site Guadalajara
Mexico Research Site Guadalajara
Mexico Research Site Mérida
Mexico Research Site Monterrey
Mexico Research Site Veracruz
Netherlands Research Site Breda
Netherlands Research Site Leeuwarden
New Zealand Research Site Auckland
New Zealand Research Site Auckland
New Zealand Research Site Christchurch
New Zealand Research Site Dunedin
New Zealand Research Site Hamilton
Philippines Research Site Iloilo City
Philippines Research Site Los Baños
Philippines Research Site Marilao
Philippines Research Site Quezon City
Poland Research Site Bialystok
Poland Research Site Checiny
Poland Research Site Grodzisk Mazowiecki
Poland Research Site Katowice
Poland Research Site Lódz
Poland Research Site Ostrowiec Swietokrzyski
Poland Research Site Poznan
Poland Research Site Poznan
Poland Research Site Proszowice
Poland Research Site Rzeszów
Poland Research Site Warszawa
Poland Research Site Wielun
Spain Research Site Barcelona
Spain Research Site Hospitalet de Llobregat(Barcel
Spain Research Site Laredo
Spain Research Site Madrid
Spain Research Site Madrid
Spain Research Site Madrid
Spain Research Site Málaga
Spain Research Site Santander
Sweden Research Site Go¨teborg
Sweden Research Site Göteborg
Sweden Research Site Lund
Sweden Research Site Malmö
Sweden Research Site Stockholm
Turkey Research Site Adana
Turkey Research Site Istanbul
Turkey Research Site Istanbul
Turkey Research Site Izmir
Turkey Research Site Kocaeli
Turkey Research Site Mersin
United Kingdom Research Site Barnsley
United Kingdom Research Site Birmingham
United Kingdom Research Site Blackpool
United Kingdom Research Site Bradford
United Kingdom Research Site Chertsey
United Kingdom Research Site Cottingham
United Kingdom Research Site Leicester
United Kingdom Research Site Manchester
United Kingdom Research Site Oxford
United Kingdom Research Site Perth
United Kingdom Research Site Southampton
United Kingdom Research Site Stockton-on-Tees
United Kingdom Research Site Wishaw
United States Research Site Abingdon Virginia
United States Research Site Amarillo Texas
United States Research Site Amarillo Texas
United States Research Site Baltimore Maryland
United States Research Site Boston Massachusetts
United States Research Site Bronx New York
United States Research Site Buffalo New York
United States Research Site Burlington North Carolina
United States Research Site Charlotte North Carolina
United States Research Site Chattanooga Tennessee
United States Research Site Chicago Illinois
United States Research Site Clearwater Florida
United States Research Site Cleveland Ohio
United States Research Site Columbia Maryland
United States Research Site Columbus Ohio
United States Research Site Cudahy Wisconsin
United States Research Site Cypress Texas
United States Research Site Dallas Texas
United States Research Site Daytona Beach Florida
United States Research Site DuBois Pennsylvania
United States Research Site Edgewater Florida
United States Research Site Elizabeth City North Carolina
United States Research Site Everett Washington
United States Research Site Farmington Hills Michigan
United States Research Site Fort Worth Texas
United States Research Site Franklin Tennessee
United States Research Site Gastonia North Carolina
United States Research Site Georgetown Kentucky
United States Research Site Hendersonville Tennessee
United States Research Site Houston Texas
United States Research Site Iowa City Iowa
United States Research Site Jacksonville Florida
United States Research Site Jacksonville Florida
United States Research Site Johnson City Tennessee
United States Research Site Kansas City Kansas
United States Research Site Kerrville Texas
United States Research Site Kissimmee Florida
United States Research Site Kissimmee Florida
United States Research Site Lawrenceville Georgia
United States Research Site Leesburg Florida
United States Research Site Lincoln Nebraska
United States Research Site Little Rock Arkansas
United States Research Site Los Angeles California
United States Research Site Los Angeles California
United States Research Site Medford Oregon
United States Research Site Miami Florida
United States Research Site Michigan City Indiana
United States Research Site Mooresville North Carolina
United States Research Site Morgantown West Virginia
United States Research Site Mount Pleasant South Carolina
United States Research Site New Bern North Carolina
United States Research Site New Windsor New York
United States Research Site Newport Beach California
United States Research Site North Charleston South Carolina
United States Research Site North Dartmouth Massachusetts
United States Research Site Northridge California
United States Research Site O'Fallon Illinois
United States Research Site Oklahoma City Oklahoma
United States Research Site Omaha Nebraska
United States Research Site Orlando Florida
United States Research Site Palm Springs California
United States Research Site Pensacola Florida
United States Research Site Peoria Illinois
United States Research Site Philadelphia Pennsylvania
United States Research Site Pittsburgh Pennsylvania
United States Research Site Rapid City South Dakota
United States Research Site Rincon Georgia
United States Research Site Rock Hill South Carolina
United States Research Site Saint Petersburg Florida
United States Research Site Salem Virginia
United States Research Site Salt Lake City Utah
United States Research Site San Antonio Texas
United States Research Site Smithfield Pennsylvania
United States Research Site Spokane Washington
United States Research Site Stamford Connecticut
United States Research Site Surprise Arizona
United States Research Site Tampa Florida
United States Research Site Tomball Texas
United States Research Site Toms River New Jersey
United States Research Site Westminster California
United States Research Site Williamsburg Virginia
United States Research Site Wilmington North Carolina
United States Research Site Winston-Salem North Carolina
United States Research Site Winter Park Florida
Vietnam Research Site Hanoi
Vietnam Research Site Ho Chi Minh
Vietnam Research Site Ho Chi Minh city

Sponsors (1)

Lead Sponsor Collaborator
AstraZeneca

Countries where clinical trial is conducted

United States,  Vietnam,  Argentina,  Australia,  Austria,  Belgium,  Brazil,  Bulgaria,  Canada,  Chile,  China,  Colombia,  Czechia,  Denmark,  Germany,  Greece,  Hungary,  India,  Italy,  Japan,  Korea, Republic of,  Mexico,  Netherlands,  New Zealand,  Philippines,  Poland,  Spain,  Sweden,  Turkey,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Other Safety and tolerability of benralizumab in patients with moderate to very severe COPD AEs, vital signs, clinical laboratory, and ECG Minimum of 1 year and average of 2 years
Primary Annualized rate of moderate or severe COPD exacerbations Moderate or severe COPD exacerbation is defined by symptomatic worsening of COPD requiring:
Use of systemic corticosteroids for at least 3 days; and/or
Use of antibiotics; and/or
An inpatient hospitalization or death due to COPD
Over first 56 weeks
Secondary Annualized rate of severe COPD exacerbations A severe COPD exacerbation is defined by symptomatic worsening of COPD requiring an inpatient hospitalization or results in death due to COPD Minimum of 1 year and an average of 2 years
Secondary Annualized rate of COPD exacerbations that are associated with an emergency room/emergency department visit or a hospitalization Minimum of 1 year and an average of 2 years
Secondary Time to first COPD exacerbation During first 56 weeks
Secondary Change from baseline in SGRQ total and domain scores St. George's Respiratory Questionnaire (SGRQ) up to 56 weeks
Secondary Change from baseline in E-RS:COPD total and domain scores Evaluating Respiratory Symptoms in COPD (E-RS:COPD) up to 56 weeks
Secondary Change from baseline in pre-dose/pre-bronchodilator FEV1 FEV1 is the Forced expiratory volume in one second at study site up to 56 weeks
Secondary All cause and respiratory-related mortality rate Minimum of 1 year and an average of 2 years
Secondary Annual rate of hospitalizations due to COPD Minimum of 1 year and an average of 2 years
Secondary Serum benralizumab concentration as a measure of pharmacokinetics up to 56 weeks
Secondary Anti-drug antibodies (ADA) as a measure of immunogenicity up to 56 weeks
Secondary Change from baseline in CAT total score Chronic Obstructive Pulmonary Disease assessment tool (CAT) up to 56 weeks
Secondary Length of hospital stay Minimum of 1 year and an average of 2 years
Secondary ICU (Intensive Care Unit) days Minimum of 1 year and an average of 2 years
Secondary Annual rate of hospitalizations and emergency department visits combined Minimum of 1 year and an average of 2 years
Secondary Annual rate of unscheduled outpatient visits including unscheduled visits to study sites Minimum of 1 year and an average of 2 years
Secondary Annual rate of unscheduled healthcare encounters Minimum of 1 year and and average of 2 years
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