| Eligibility |
Inclusion Criteria:
- Peripheral blood eosinophil count of =300 cells/µL from the hematology sample
collected and a documented historical blood eosinophil count of =300/µL in the 12
months prior.
- Clinically documented history of Chronic Obstructive Pulmonary Disease (COPD) for at
least 1 year in accordance with the definition by the American Thoracic
Society/European Respiratory Society. A measured pre-and post-salbutamol FEV1/FVC
ratio of <0.70.
- Well-documented history (e.g., medical record verification) in the 12 months prior
which includes 2 or more moderate COPD exacerbations that were treated with systemic
corticosteroids (intramuscular (IM), intravenous, or oral) with or without antibiotics
OR at least one severe COPD exacerbation requiring hospitalization.
- Current or former cigarette smokers with a history of cigarette smoking of =10
pack-years [number of pack years = (number of cigarettes per day / 20) x number of
years smoked (e.g., 20 cigarettes per day for 10 years, or 10 cigarettes per day for
20 years)]. Former smokers are defined as those who have stopped smoking for at least
6 months prior.
- A female is eligible if the participant is not pregnant or breastfeeding, and at least
one of the following conditions applies: 1) Is not a woman of childbearing potential
(WOCBP) or 2) Is a WOCBP and using a contraceptive method that is highly effective,
with a failure rate of <1% during the intervention period and for at least 16 weeks
after the last dose of study intervention.
- A WOCBP must have a negative highly sensitive pregnancy urine test within 24 hours
before the first dose of study intervention.
- Capable of giving signed informed consent which includes compliance with the
requirements and restrictions listed in the informed consent form (ICF) and in this
protocol.
Exclusion Criteria:
- Past history or concurrent diagnosis of asthma.
- An a1-antitrypsin deficiency as the underlying cause of COPD are excluded.
- Active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, primary
pulmonary hypertension, interstitial lung diseases or other active pulmonary diseases.
- Pneumonia, COPD exacerbation, or lower respiratory tract infection within prior 4
weeks.
- Lung volume reduction surgery within the last 12 months.
- Participating in acute phase of a pulmonary rehabilitation program within last 4
weeks.
- Receiving treatment with oxygen more than 2 Liters(L)/minute at rest over 24 hours. If
receiving oxygen treatment, an oxyhemoglobin saturation (as measured by PulseOx)
greater than or equal to 89% while breathing supplemental oxygen.
- Myocardial infarction or unstable angina in the prior 6 months.
- Unstable or life threatening cardiac arrhythmia requiring intervention in the prior 3
months.
- New York Heart Association (NYHA) Class IV Heart failure.
- Historical or current evidence of clinically significant, neurological, psychiatric,
renal, hepatic, immunological, endocrine (including uncontrolled diabetes or thyroid
disease) or hematological abnormalities that are uncontrolled.
- Other conditions that could lead to elevated eosinophils such as Hypereosinophilic
syndromes including Eosinophilic Granulomatosis with Polyangiitis, or Eosinophilic
Esophagitis.
- A known pre-existing parasitic infestation within prior 6 months.
- A current malignancy or previous history of cancer in remission for less than 12
months.
- A known immunodeficiency (e.g. human immunodeficiency virus - HIV), other than that
explained by the use of corticosteroids taken for COPD.
- Cirrhosis or current unstable liver disease defined by the presence of ascites,
encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, or
persistent jaundice. Stable noncirrhotic chronic liver disease (including Gilbert's
syndrome, asymptomatic gallstones, and chronic stable hepatitis B or C -e.g., presence
of hepatitis B surface antigen [HbsAg] or positive hepatitis C antibody test result)
is acceptable if the participant otherwise meets entry criteria.
- Received interventional product in previous mepolizumab studies.
- Received any monoclonal antibody within 5 half-lives.
- Received an investigational drug within prior 30 days or within 5 drug half-lives of
the investigational drug, whichever is longer.
- Received short term use of oral corticosteroids within prior 30 days.
- A known allergy or sensitivity to any of the study interventions, or components
thereof, or drug or other allergy that, in the opinion of the Investigator
contraindicates participation in the study or intolerance to another monoclonal
antibody or biologic including history of anaphylaxis to another biologic.
- Participants with, conditions that will limit the validity of informed consent to
participate in the study, e.g uncontrolled psychiatric disease or intellectual
deficiency.
- A known or suspected history of alcohol or drug abuse within prior 2 years.
- Is an Investigator, sub-Investigator, study coordinator, employee of a participating
Investigator or study site, or immediate family member of the aforementioned that is
involved in this study
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