Efficacy, Safety, and Tolerability Study of Lunsekimig Compared With Placebo in Adult Participants With Inadequately Controlled Chronic Obstructive Pulmonary Disease (COPD), Characterized by an Eosinophilic Phenotype

Inclusion

  • Age between 40 and 80 years old.
  • BMI of 18 kg/m2 to 40 kg/m2.
  • Historical Blood Eosinophil Count of ≥150 cells/mcL. 
  • COPD Diagnosis for at least 1 year.
  • Post-BD FEV1/FVC ratio of < 70%.
  • Post-BD FEV1 > 20% and ≤ 70%.
  • Either on Triple Therapy or at least LAMA/LABA.
  • At least 2 moderate COPD exacerbations (requiring ICS) or 1 severe COPD exacerbation (requiring hospitalization) in the past 12 months.
  • Current or Former Smoker of 10 or more pack-years.

Exclusion

  • Must not have asthma diagnosis.
  • No other clinically significant lung diseases besides COPD (e.g., sarcoidosis of the lung, Pulmonary HTN, lung fibrosis, lung cancer, ILD, etc.)
  • No pneumonia, COPD exacerbation, or LRTIs within 4 weeks of screening.
  • No lung resection ever.
  • Cannot be within acute phase of pulmonary rehab within 4 weeks.
  • Cannot be using continuous oxygen therapy above 4 L/min.
  • No use of CPAP or BiPAP machines.
  • Major surgery within 8 weeks of screening.
  • Acute Myocardial Infarction within 6 months of screening.
  • Heart Failure of Class III or IV per NYHA standards.
  • Any arrhythmias or fibrillation of the heart.
  • No live or attenuated vaccinations within 12 weeks of screening.
  • No use of Azithromycin or other long-term macrolide therapies unless on for more than 6 months.  The same goes for Roflumilast.
  • No other unstable and clinically significant diseases of other organ systems.
  • No presence of parasitic infection, malignancies, immunodeficiencies.
  • Known hypersensitivity to any biologic therapy.
  • Cannot be currently on any other mAb therapies within 5 half-lives.
  • Known or suspected continued abuse of alcohol or drugs.