A Clinical Study to Evaluate the Efficacy and Safety of TQC2938 in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease

NCT ID: NCT06789289

Last Updated: 2025-01-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

256 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-30

Study Completion Date

2027-12-31

Brief Summary

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The study is a Phase II, multicenter, double-blind, randomized, parallel, placebo-controlled clinical trial designed to evaluate the efficacy, safety, tolerability, and pharmacokinetic characteristics of TQC2938 in patients with moderate to severe Chronic Obstructive Pulmonary Disease (COPD). It is anticipated that 256 subjects will be enrolled.

Detailed Description

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Conditions

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Chronic Obstructive Pulmonary Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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TQC2938 injection

TQC2938 injection is injected subcutaneously every 28 days for a treatment cycle of 52 weeks.

Group Type EXPERIMENTAL

TQC2938 injection

Intervention Type DRUG

TQC2938 is a humanized monoclonal antibody that interfering with the signal cascade.

TQC2938 injection Placebo

Subcutaneous injection of 0 mg TQC2938 injection solution, with a treatment cycle of every 28 days, for a total of 52 weeks.

Group Type PLACEBO_COMPARATOR

TQC2938 injection Placebo

Intervention Type DRUG

TQC2938 is a humanized monoclonal antibody that interfering with the signal cascade.

Interventions

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TQC2938 injection

TQC2938 is a humanized monoclonal antibody that interfering with the signal cascade.

Intervention Type DRUG

TQC2938 injection Placebo

TQC2938 is a humanized monoclonal antibody that interfering with the signal cascade.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Understand and sign the written informed consent, and comply with the research process schedule during the study period.;
* Be aged 40-80 years inclusive at the time of signing the informed consent form;
* Have a record of COPD diagnosis for at least 12 months prior to screening;
* At screening or after bronchodilator use at the time of the first dose, FEV1 is ≥20% but \<80% of the predicted value;
* The FEV1/forced vital capacity (FVC) ratio, measured after the use of bronchodilators at screening or at the time of the first dose, is less than 0.70;
* At screening, the Modified Medical Research Council (mMRC) score is ≥2;
* At screening, the CAT≥10;
* Current smokers or former smokers (who have quit smoking for at least 6 months before Visit 1) with a smoking history of ≥10 pack-years (for example: 20 cigarettes/day for 10 years). At screening, subjects who meet the definition of current smokers will be referred to a smoking cessation clinic;
* A chest X-ray or computed tomography (CT) scan within the 3 months prior to screening or during the screening period (before the first dose of study medication) confirms that there are no other clinically significant pulmonary diseases present apart from COPD.

Exclusion Criteria

* History of severe allergic reactions or anaphylaxis to biologic agents, or known hypersensitivity to any component of the study drug, or a history of medications or other allergens that the investigator believes would prevent the subject from participating in the study;
* Current or past confirmed diagnosis of asthma;
* History of other clinically significant pulmonary diseases apart from COPD: such as lung cancer, bronchiectasis, sarcoidosis, pulmonary fibrosis, interstitial lung diseases, cystic fibrosis, constrictive bronchiolitis, tuberculosis, or other active pulmonary diseases;
* Evidence of cor pulmonale with right heart failure;
* Diagnosed with α-1-antitrypsin deficiency;
* History of long-term oxygen therapy with \>4 L/min;
* When using respiratory assistive oxygen, the subject's oxygen saturation should be ≥89%;
* Undergone lung volume reduction surgery or procedures within the 12 months prior to screening;
* Subjects participating or planning to participate in an intensive COPD rehabilitation program (subjects in the maintenance phase of a rehabilitation program are eligible for this study);
* History of lung transplantation;
* Any infection requiring hospitalization for ≥24 hours and/or treatment with oral, IV, or IM antibiotics within 4 weeks prior to screening or during the screening period;
* Upper or lower respiratory tract infections requiring antibiotic or antiviral medication within 4 weeks prior to screening or during the screening period;
* Moderate to severe COPD exacerbations within 4 weeks prior to screening or during the screening period.
* Received treatment with oral, IV, or intramuscular (IM) corticosteroids (\>10 mg/day prednisone or equivalent dose) within 4 weeks prior to starting study medication;
* Received treatment with clinical trial medication, approved biologics (e.g., omalizumab, dupilumab, and/or anti-Interleukin 5 (IL-5) therapies) within 3 months prior to screening or within 5 half-lives of the drug (whichever is longer), or started or changed non-biologic immunomodulatory or immunosuppressive therapies;
* Receiving palliative care due to chronic respiratory disease, cardiovascular disease, endocrine and other systemic diseases, or cancer (e.g., for subjects with a life expectancy \<12 months);
* Undergone major surgery within 8 weeks prior to screening or planning to undergo surgery that requires general anesthesia or hospitalization \>1 day during the study period;
* Received or planning to receive live attenuated vaccine within 4 weeks prior to screening, during the screening period, or during the study period;
* Known immune deficiency, including but not limited to HIV infection;
* Elevated Aspartate Aminotransferase (AST), Alanine transaminase (ALT), or total bilirubin ≥2.0× the upper limit of normal (ULN) during the screening period;
* At screening, presence of any of the following: positive for hepatitis B surface antigen (HBsAg), positive for both hepatitis C virus antibody (HCV Ab) and hepatitis C virus RNA (HCV-RNA), positive for both specific and non-specific antibodies for syphilis (TP Ab);
* As determined by the investigator, history of illicit drug or drug abuse within the 12 months prior to screening;
* History of malignancy within 5 years prior to screening, except for those with negligible risk of metastasis or death (e.g., with a 5-year overall survival rate \>90%), such as adequately treated carcinoma in situ of the cervix, non-melanoma skin cancer, localized prostate cancer, or ductal carcinoma in situ;
* Presence of any other serious disease or abnormal clinical laboratory test results that, in the opinion of the investigator, would prevent the subject from safely participating in or completing the study;
* Unstable cardiac disease, myocardial infarction, or New York Heart Association Class III or IV heart failure within 12 months prior to screening;
* History or current presence of clinically significant ECG abnormalities, as determined by the investigator, including but not limited to: (1) Atrial fibrillation (AF) with a rapid ventricular rate \>120 bpm; (2) Sustained ventricular tachycardia (VT); (3) Bradycardia with a ventricular rate \<45 bpm; (4) Mobitz Type II second-degree atrioventricular block and third-degree atrioventricular block (unless a pacemaker or defibrillator has been implanted);
* Corrected QT interval (QTcF) \>450 ms for male subjects or \>470 ms for female subjects; for subjects with Q wave, R wave, and S wave (QRS) \>120 ms, QTcF \>480 ms;
* History of ventricular arrhythmias or risk factors for ventricular arrhythmias, such as structural heart disease (e.g., severe left ventricular systolic dysfunction, severe left ventricular hypertrophy with fibrosis), family history of unexplained sudden death or long QT syndrome, or history of sinus bradycardia (ventricular rate \<45 beats/min);
* Pregnant or breastfeeding, or planning to become pregnant during the study period or within 12 weeks after the last dose of TQC2938, or female subjects with a positive pregnancy test at screening or randomization.
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chia Tai Tianqing Pharmaceutical Group Nanjing Shunxin Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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An Hui Chest Hospital

Hefei, Anhui, China

Site Status

China-Japan Friendship Hospital

Beijing, Beijing Municipality, China

Site Status

Peking University First Hospital

Beijing, Beijing Municipality, China

Site Status

Peolpe's Hospital Of Chongqing Banan District

Chongqing, Chongqing Municipality, China

Site Status

Shunde Hospital Of Southern Medical University

Foshan, Guangdong, China

Site Status

Jiangmen Central Hospital

Jiangmen, Guangdong, China

Site Status

Liuzhou municipal liutie central hospital

Liuzhou, Guangxi, China

Site Status

The First People' Hospital Of YuLin

Yulin, Guangxi, China

Site Status

Cangzhou Central Hospital

Cangzhou, Hebei, China

Site Status

Xingtai People's Hospital

Xingtai, Hebei, China

Site Status

The second hospital of hebei medical university

Shijiazhuang, Heibei, China

Site Status

The First Affiliated Hospital of Jiamusi University

Jiamusi, Heilongjiang, China

Site Status

The First Hospital of Qiqihar

Qiqihar, Heilongjiang, China

Site Status

Puyang Oilfield General Hospital

Puyang, Henan, China

Site Status

The First People's Hospital of Xinxiang City

Xinxiang, Henan, China

Site Status

Yongcheng People's Hospital

Yongcheng, Henan, China

Site Status

Henan Chest Hospital

Zhengzhou, Henan, China

Site Status

The second xiangya hospital of central south university

Changsha, Hunan, China

Site Status

Shaoyang Central Hospital

Shaoyang, Hunan, China

Site Status

The Affiliated Hospital of Mongolia Medical College

Hohhot, Inner Mongolia, China

Site Status

Affiliated Hospital of Jiangsu University

Zhenjiang, Jiangsu, China

Site Status

Jiangxi Provincal People's Hospital

Nanchang, Jiangxi, China

Site Status

Meihekou Central Hospital

Meihekou, Jilin, China

Site Status

Siping Central People's Hospital

Siping, Jilin, China

Site Status

Heze Municipal Hospital

Heze, Shandong, China

Site Status

Weifang NO.2 People' Hospital

Weifang, Shandong, China

Site Status

Shanghai JiaoTong University of medicine Ruijin Hospital

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Pulmonary Hospital

Shanghai, Shanghai Municipality, China

Site Status

Linfen Central Hospital

Linfen, Shanxi, China

Site Status

Xi'An International Medicl Center Hospital

Xi’an, Shanxi, China

Site Status

Affiliated Hospital Of ChengDu University

Chengdu, Sichuan, China

Site Status

Leshan People's Hospital

Leshan, Sichuan, China

Site Status

Suining Central Hospital

Suining, Sichuan, China

Site Status

Tianjin Medical University General Hospital

Tianjin, Tianjin Municipality, China

Site Status

The Fourth Central Hospital of Tianjin

Tianjin, Tianjin Municipality, China

Site Status

The Third People's Hospital of Xinjiang Uygur Autonomous Region

Ürümqi, Xinjiang, China

Site Status

Jinhua Municipal Centeral Hospital Medical Group

Jinhua, Zhejiang, China

Site Status

The First Affiliated Hospitial Of Ningbo University

Ningbo, Zhejiang, China

Site Status

Taizhou Hospital Of Zhejiang Province

Taizhou, Zhejiang, China

Site Status

The 2th School of Medicine ,WMU/The 2th affiliated Hospital and Yuying Children's Hospital of WMU

Wenzhou, Zhejiang, China

Site Status

Countries

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China

Central Contacts

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Tin Yang, Doctor

Role: CONTACT

13651380809

Jintong Li, Doctor

Role: CONTACT

15300059186

Facility Contacts

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Haohui Fang, Bachelor

Role: primary

13856068757

Tin Yang, Doctor

Role: primary

13651380809

Yuan Cheng, Doctor

Role: primary

13811659696

Tiefeng Zhang, Doctor

Role: primary

13816503538

Xi Li, Master

Role: primary

13824530326

Yanming Huang, Master

Role: primary

Jinping Chen, Bachelor

Role: primary

13877246861

Linling Zhu, Master

Role: primary

13517752698

Qingguo Di, Master

Role: primary

13363683066

Zhiguo Gao, Bachelor

Role: primary

13482950466

Yadong Yuan, Doctor

Role: primary

15803210960

Xuemei Ma, Master

Role: primary

18645482322

Jian Ding, Master

Role: primary

15645231111

Faming Yu, Bachelor

Role: primary

13700802698

Xiangjie Zhang, Bachelor

Role: primary

15670505263

Yuanyuan Chen, Master

Role: primary

18237063683

Fang Sun, Bachelor

Role: primary

13643857541

Yan Chen, Doctor

Role: primary

13508471738

Weitin Liu, Master

Role: primary

13973561934

Junzhen Gao, Master

Role: primary

13171099008

Fenhong Qian, Doctor

Role: primary

13815158537

Min Jiang, Doctor

Role: primary

13037200789

Jingai Che, Bachelor

Role: primary

13944503800

Bo Yuan, Bachelor

Role: primary

13040384843

Xunchao Liu, Doctor

Role: primary

13184069557

Suting Xi, Bachelor

Role: primary

18905361330

Ranran Dai, Doctor

Role: primary

13918139360

Jian Guo, Doctor

Role: primary

13761023718

Xiaojun Ma, Doctor

Role: primary

13643428774

Changgui Wu, Doctor

Role: primary

13892899669

Hui Zhou, Bachelor

Role: primary

13808004728

Hailong Wei, Master

Role: primary

13890689715

Rong Qiu, Doctor

Role: primary

18008258545

Jie Cao, Master

Role: primary

13132088076

Jingchun He, Master

Role: primary

13820132084

Hong Dou, Bachelor

Role: primary

18999983191

Dan Zhu, Master

Role: primary

13957962296

Chao Cao, Master

Role: primary

18258796161

Jiaxi Feng, Master

Role: primary

13957962296

Liqin Wu, Master

Role: primary

13587861043

Other Identifiers

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TQC2938-II-01

Identifier Type: -

Identifier Source: org_study_id

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