Tezepelumab COPD Exacerbation Study

NCT ID: NCT04039113

Last Updated: 2025-02-18

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

337 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-30

Study Completion Date

2024-01-31

Brief Summary

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A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group, Phase 2a Study to Explore the Efficacy and Safety of Tezepelumab in Adults with Moderate to Very Severe Chronic Obstructive Pulmonary Disease (COPD)

Detailed Description

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This is a Phase 2a, multicenter, randomized, double-blind, placebo-controlled, parallel group study to evaluate the safety and efficacy of tezepelumab in adults with moderate to very severe chronic obstructive pulmonary disease (COPD) receiving triple inhaled maintenance therapy, and having had 2 or more documented COPD exacerbations in the 12 months prior to Visit 1. Approximately, 338 subjects will be randomized globally. Subjects will be stratified by region and prior number of exacerbations (2 vs. 3 or more). Subjects will receive tezepelumab, or placebo, administered via subcutaneous injection at the study site, over a 52 week treatment period. The study also includes a post-treatment follow-up period of 12 weeks.

Conditions

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Chronic Obstructive Pulmonary Disease (COPD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Subjects will be randomized in a 1:1 ratio to either tezepelumab or matching placebo both administered subcutaneously.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Double-blinded

Study Groups

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Tezepelumab

Tezepelumab, SC, Q4W

Group Type ACTIVE_COMPARATOR

Tezepelumab

Intervention Type BIOLOGICAL

Tezepelumab subcutaneous injection

Matching Placebo

Matching placebo, SC, Q4W

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo subcutaneous injection

Interventions

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Tezepelumab

Tezepelumab subcutaneous injection

Intervention Type BIOLOGICAL

Placebo

Placebo subcutaneous injection

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. History of moderate to very severe physician-diagnosed COPD for at least 12 months prior to enrolment with a post-bronchodilator FEV1/FVC\<0.70 and a post-bronchodilator FEV1 ≥20% and ≤80% of predicted normal value.
2. History of at least 2 documented moderate to severe COPD exacerbations within 2 to 52 weeks prior to enrollment.
3. CAT score of ≥15 at enrollment and on day of randomization.
4. Documented treatment with triple therapy for COPD (medium or high dose ICS/LABA/LAMA) throughout the year prior to enrollment. The dose of ICS should be stable for 3 months prior to enrollment.

Exclusion Criteria

1. Clinically important pulmonary disease other than COPD, as judged by the Investigator (including current or historic asthma diagnosis).
2. Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious (including risk factors for pneumonia), endocrine, metabolic, hematological, psychiatric, or major physical impairment that is not stable.
3. Major surgery within 8 weeks before enrollment.
4. History of clinically significant infection requiring antibiotics or antiviral medication within 14 days before enrollment.
5. Pregnant or breastfeeding.
6. The chest/lungs with pathology that precludes the patient's ability to complete the study
7. The patient has active COVID 19 infection during screening period.
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dave Singh, MD

Role: PRINCIPAL_INVESTIGATOR

Division of Infection, Immunity & Resp Medicine, The University of Manchester, United Kingdom

Locations

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Research Site

Dothan, Alabama, United States

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Huntington Beach, California, United States

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Newport Beach, California, United States

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Upland, California, United States

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Westminster, California, United States

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New Haven, Connecticut, United States

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Brandon, Florida, United States

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Orlando, Florida, United States

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Panama City, Florida, United States

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Tampa, Florida, United States

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Winter Park, Florida, United States

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Buckley, Michigan, United States

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Albuquerque, New Mexico, United States

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Charlotte, North Carolina, United States

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Mooresville, North Carolina, United States

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New Bern, North Carolina, United States

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Columbus, Ohio, United States

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Edmond, Oklahoma, United States

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Medford, Oregon, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Mt. Pleasant, South Carolina, United States

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Rock Hill, South Carolina, United States

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Rapid City, South Dakota, United States

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McKinney, Texas, United States

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Abingdon, Virginia, United States

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Everett, Washington, United States

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Calgary, Alberta, Canada

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Sherwood Park, Alberta, Canada

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Vancouver, British Columbia, Canada

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Truro, Nova Scotia, Canada

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Burlington, Ontario, Canada

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Hamilton, Ontario, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Québec, Quebec, Canada

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Saint-Charles-Borromée, Quebec, Canada

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Trois-Rivières, Quebec, Canada

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Aalborg, , Denmark

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Aarhus N, , Denmark

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Hvidovre, , Denmark

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København NV, , Denmark

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Odense C, , Denmark

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Roskilde, , Denmark

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Vejle, , Denmark

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Amiens, , France

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Brest, , France

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Grenoble, , France

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Lyon, , France

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Marseille, , France

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Montpellier, , France

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Nantes, , France

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Berlin, , Germany

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Frankfurt, , Germany

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Großhansdorf, , Germany

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Lübeck, , Germany

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Mainz, , Germany

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Ashkelon, , Israel

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Beersheba, , Israel

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Haifa, , Israel

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Jerusalem, , Israel

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Jerusalem, , Israel

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Kfar Saba, , Israel

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Rehovot, , Israel

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Eindhoven, , Netherlands

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Heerlen, , Netherlands

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Rotterdam, , Netherlands

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Rotterdam, , Netherlands

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Zutphen, , Netherlands

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Daegu, , South Korea

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Incheon, , South Korea

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Jeonju, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Uijeongbu-si, , South Korea

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Alzira, , Spain

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Barcelona, , Spain

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Granada, , Spain

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Málaga, , Spain

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Mérida (Badajoz), , Spain

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Bradford, , United Kingdom

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Chertsey, , United Kingdom

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Cottingham, , United Kingdom

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Glasgow, , United Kingdom

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London, , United Kingdom

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Newcastle upon Tyne, , United Kingdom

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Wakefield, , United Kingdom

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Countries

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United States Canada Denmark France Germany Israel Netherlands South Korea Spain United Kingdom

References

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Singh D, Brightling CE, Rabe KF, Han MK, Christenson SA, Drummond MB, Papi A, Pavord ID, Molfino NA, Almqvist G, Kotalik A, Hellqvist A, Golabek M, Sindhwani NS, Ponnarambil SS; COURSE study investigators. Efficacy and safety of tezepelumab versus placebo in adults with moderate to very severe chronic obstructive pulmonary disease (COURSE): a randomised, placebo-controlled, phase 2a trial. Lancet Respir Med. 2025 Jan;13(1):47-58. doi: 10.1016/S2213-2600(24)00324-2. Epub 2024 Dec 6.

Reference Type DERIVED
PMID: 39653044 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2019-001363-67

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D5241C00001

Identifier Type: -

Identifier Source: org_study_id

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