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This study is a multi-center, randomized, double-blind, placebo-controlled Phase II clinical study to evaluate the efficacy, safety, PK characteristics, PD effects and immunogenicity of CM326 in subjects with moderate to Severe Chronic Obstructive Pulmonary Disease.
The study consists of a screening period of up to 4 weeks, a randomized treatment period of 24 to 52 weeks, and a 12-week safety follow-up period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CM326 | Experimental | CM326 is dosed at two levels. |
|
| Placebo | Placebo Comparator | placebo, subcutaneous (SC) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CM326 dose 1 | Drug | subcutaneous injection |
| |
| CM326 dose 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Annualized Rate of Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Acute Exacerbations | Annualized rate of moderate or severe acute exacerbation of COPD (AECOPD) over the placebo-controlled treatment period. | week 24-52 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in pre-bronchodilator forced expiratory volume in 1 second (FEV1) at each evaluation time point | FEV1 is the volume of air exhaled in the first second of a forced expiration as measured by spirometer. Change from baseline in FEV1 taken before bronchodilator use will be reported. | week 16-24 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trials Information Group officer | Contact | 031169085587 | ctr-contact@cspc.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| China-Japan Friendship Hospital | Recruiting | Beijing | Beijing Municipality | 100000 | China |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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| Drug |
subcutaneous injection |
|
| Placebo | Other | subcutaneous injection |
|
| Change from baseline in pre-bronchodilator forced expiratory volume in 1 second (FEV1) at each evaluation time point |
FEV1 is the volume of air exhaled in the first second of a forced expiration as measured by spirometer. Change from baseline in FEV1 taken before bronchodilator use will be reported. |
| week 24-52 |
| Change from baseline in post-bronchodilator forced expiratory volume in 1 second (FEV1) at each evaluation time point | FEV1 is the volume of air exhaled in the first second of a forced expiration as measured by spirometer. Change from baseline in FEV1 taken after bronchodilator use will be reported. | week 24-52 |
| Change from baseline in Pre-bronchodilator Forced vital capacity (FVC) at each evaluation time point | Change from baseline in forced vital capacity taken before bronchodilator use will be reported. FVC is measured by spirometer. | week 24-52 |
| Change from baseline in forced expiratory flow (FEF) at 25%-75% at each evaluation time point | FEF is measured by spirometer. | week 24-52 |
| Time to the first onset of Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Acute Exacerbations | Time to first moderate or severe AECOPD over the placebo-controlled treatment period. | week 24-52 |
| Time to the first onset of Severe Chronic Obstructive Pulmonary Disease (COPD) Acute Exacerbations | Time to first severe AECOPD over the placebo-controlled treatment period. | week 24-52 |
| Annualized Rate of Severe Chronic Obstructive Pulmonary Disease (COPD) Acute Exacerbations | Annualized rate of severe AECOPD over the placebo-controlled treatment period. | week 24-52 |
| Change from baseline in Saint (St.) George's Respiratory Questionnaire (SGRQ) Total Score at each evaluation time point | The SGRQ is a 50-item questionnaire designed to measure and quantify health status in adult participants with chronic airflow limitation. A global score ranges from 0 to 100. Scores by dimension are calculated for 3 domains: Symptoms, Activity and Impacts (Psycho-social) as well as a total score. A lower score indicates better quality of life. | week 24-52 |
| Proportion of participants with an SGRQ Score improvement of ≥4 points from baseline at each evaluation time point. | Proportion of participants achieving a clinically meaningful improvement from baseline in SGRQ total score (4-point score decrease) will be reported. | week 24-52 |
| Change from baseline in COPD assessment test (CAT) Total Score at each evaluation time point | CAT is an 8-item PRO that measures the impact of COPD on the health status of patients with COPD. The CAT has a scoring range of 0-40 with higher scores indicative of greater COPD impact on health status. | week 24-52 |
| Proportion of participants with an CAT Score improvement of ≥2 points from baseline at each evaluation time point | Proportion of participants achieving a clinically meaningful improvement from baseline in CAT total score (2-point score decrease) will be reported. | week 24-52 |
| Change from baseline in Evaluating Respiratory Symptoms (E-RS) total score at each evaluation time point | The E-RS: COPD is administered as a part of the 14-item EXACT questionnaire and is completed on a daily basis. The 11-item E-RS:COPD assesses severity of respiratory symptoms overall and severity of individual symptoms such as breathlessness, cough and sputum, and chest symptoms The total score of E-RS:COPD ranges from 0 to 40, with higher values indicating more severe respiratory symptoms. | week 24-52 |
| Proportion of participants with an E-RS Score improvement of ≥2 points from baseline at each evaluation time point | Proportion of participants achieving a clinically meaningful improvement from baseline in E-RS total score (2-point score decrease) will be reported. | week 24-52 |
| Incidence of Adverse events (AEs)/treatment-emergent adverse events (TEAEs) in | The severity of adverse events is recorded using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 6.0. The incidence of participants with adverse events (AE) will be calculated. | week 64 |
| Blood drug concentration Pharmacokinetic profile of CM326 | week 64 |
| Pharmacodynamics profile of CM326 Change from baseline fractional exhaled nitric oxide (FeNO) | Evaluate the changes from baseline in FeNO at each visit point. | week 64 |
| Change from baseline in peripheral blood eosinophil | Evaluate the changes from baseline in blood eosinophil count at each visit point. | week 64 |
| Change from baseline in total serum IgE | Evaluate the changes from baseline in total serum IgE at each visit point. | week 64 |
| Change from baseline in interleukin-5 | Evaluate the changes from baseline in blood serum IgE at each visit point | week 64 |
| Incidence of anti-drug antibodies (ADAs) | week 64 |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |