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| ID | Type | Description | Link |
|---|---|---|---|
| 2026-525216-34 | EudraCT Number |
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This is a Phase 2 study of the efficacy, safety, tolerability and pharmacokinetics of two doses of EXPD-101 in participants with COPD. Study participants will be randomized to receive either study drug or placebo administered once daily for 52 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EXPD-101/FXS7553 Dose 1 | Experimental | Participants will receive EXPD-101/FXS7553 Dose 1, orally, once daily, for 52 weeks. |
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| EXPD-101/FXS7553 Dose 2 | Experimental | Participants will receive EXPD-101/FXS7553 Dose 2, orally, once daily, for 52 weeks. |
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| Placebo | Placebo Comparator | Participants will receive a EXPD-101/FXS7553-matching placebo, tablets orally, once daily, for 52 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EXPD-101/FXS7553 Dose 1 | Drug | Oral tablet |
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| EXPD-101/FXS7553 Dose 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Annualized rate of moderate and severe COPD exacerbations | Effect of EXPD-101/FXS7553 compared with placebo on rate of moderate and severe COPD exacerbations. Moderate COPD exacerbation is defined as acute exacerbations of COPD that require either systemic corticosteroids (intramuscular (IM), intravenous, or oral) and/or antibiotics. Severe COPD exacerbation is defined as acute exacerbation of COPD requiring hospitalization or emergency room / urgent care visit ≥ 24 hours. | Over 52 Weeks |
| The number of participants experiencing an adverse events (AEs) | The number of participants experiencing an AE (an AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship) will be presented. | Over 52 weeks |
| Changes in vital sign parameters | Vital signs, including systolic and diastolic BP (mmHg), heart rate (beats per minute), body temperature (°C), and respiratory rate will be listed and summarized. | Over 52 weeks |
| Changes in electrocardiogram (ECG) parameters | ECG (graphical tracing that records the electrical signals of your heartbeat) parameters will be summarized. | Over 52 weeks |
| Number of Participants with Clinically Significant Changes in Physical Examination Findings | Physical examination will be performed at each study visit by a qualified investigator. The following body systems will be assessed: ears, nose, throat, skin, cardiovascular, respiratory, musculoskeletal, and neurological. | Over 52 weeks |
| Number of participants with clinically significant abnormalities |
| Measure | Description | Time Frame |
|---|---|---|
| Time to first moderate or severe COPD exacerbation | Effect of EXPD-101/FXS7553 compared with placebo on time to first moderate or severe COPD exacerbation. | Over 52 Weeks |
| Change From Baseline in Quality of Life Questionnaire - St. George's Respiratory Questionnaire (SGRQ) |
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Inclusion Criteria:
Provided written informed consent for the study
Body mass index (BMI) ≥ 18.5 kg/m2 and < 35 kg/m2 at screening (weight ≥ 50 kg for males and ≥ 45 kg for females)
Diagnosis of COPD for at least 1 year
COPD with physician-confirmed diagnosis of chronic bronchitis (persistent, productive cough and sputum for at least 3 months in the past year)
At least 2 moderate or > 1 severe exacerbation within 12 months prior to screening
Current or ex-tobacco smokers with history of ≥ 10 pack-years (1 pack year = 20 cigarettes smoked per day for 1 year);
Stable maintenance therapy with either dual or triple inhaled therapy for ≥ 3 months prior to enrollment per below:
Post-BD FEV1/FVC < 0.7 and post-BD FEV1(% predicted) ≥ 40% at Screening
COPD Assessment Test (CAT) score ≥ 10 at Screening
If participant is of childbearing potential, must commit to practicing highly effective methods of birth control and not donating eggs during the study and at least 14 days after the last dose.
Male participants commit to the following during the study and for at least 14 days after the last dose:
Exclusion Criteria:
COPD exacerbation within the 4 weeks prior to randomization.
Clinically important pulmonary disease other than COPD (eg, asthma, active lung infection, clinically significant bronchiectasis, pulmonary fibrosis, cystic fibrosis, lung cancer, alpha-1 antitrypsin deficiency, tuberculosis).
Significant immunodeficiency and/or positive serological tests for hepatitis B, hepatitis C, or known human immunodeficiency virus (HIV) infection.
Pneumonia requiring antibiotics or antiviral medication within 28 days prior to Visit 1.
History of clinically significant infection (excluding pneumonia), acute upper or lower respiratory infection, requiring antibiotics or antiviral medication within 14 days prior to Visit 1.
Evidence of active liver disease (with or without ongoing treatment)
Participants with a QT interval, from the ECG conducted at Screening Visit 1, corrected with Fridericia's formula (QTcF) > 450 msec (or QTcF > 480 msec in participants with bundle branch block).
Current or history, within the past year of Visit 1, of substance and/or alcohol abuse.
History of cancer except:
Any clinically significant abnormal findings in physical examination, vital signs, hematology, clinical chemistry, or urinalysis during Screening Period, which in the opinion of the investigator, may put the participant at risk because of his/her participation in the study, or may influence the results of the study, or the participant's ability to complete the entire duration of the study.
Known history of allergy or reaction to any component of the investigational product formulation
Current treatment with biologic drugs for COPD (eg, dupilumab, mepolizumab) or use of Therapeutics, biologics within 5 half-lives or 4 months, whichever is longer, from randomization
Current long-term treatment with oxygen therapy > 12 hours per day
Use of immunoglobulin or blood products in 30 days prior to Screening
Received a live attenuated vaccine within 30 days prior to Screening
Participants who are participating in the acute phase of a pulmonary rehabilitation program, i.e. who started rehabilitation < 4 weeks prior to screening (Note: participants in the maintenance phase of a rehabilitation program can be included).
History or active conditions associated with the onset of non-hereditary palmoplantar keratosis:
Have any tooth that can potentially cause pain or infection as noted in the oral exam unless they are corrected before the study
Has active periodontal disease and are either:
Are scheduled to have tooth extraction that will occur during the study period
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Geoffrey Gilmartin, MD | Contact | 617-775-9882 | geoff.gilmartin@expeditiontx.com |
| Name | Affiliation | Role |
|---|---|---|
| James Duncan Chalmers, MBChB, PhD | Radcliffe Department of Medicine, University of Oxford | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| DM Clinical Research - Phoenix | Recruiting | Phoenix | Arizona | 85012 | United States |
Individual participant data will not be shared externally. Data collected in this study will be used solely for internal analysis and regulatory submission purposes, consistent with participant confidentiality protections and sponsor data governance policies.
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| Drug |
Oral tablet |
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| Placebo | Drug | EXPD-101/FXS7553 - matching oral tablet. |
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Clinical laboratory assessments including hematology, serum chemistry, and urinalysis will be performed at each study visit. |
| Over 52 weeks |
| Changes in Physical Exam Parameters - Body Weight | Body weight measured using a calibrated scale at each study visit | Over 52 weeks |
The SGRQ is a validated, self-administered patient-reported outcome (PRO) that assesses symptoms, functioning, and health-related quality of life for participants with Chronic Obstructive Pulmonary Disease (COPD). It contains 50 items in 2 parts. Part 1 has 8 items for assessing the severity of respiratory symptoms (cough, sputum production, wheeze, breathlessness, and the duration and frequency of attacks of breathlessness or wheeze). Part 2 has 42 items across 2 components (Activity and Impacts) related to daily activities and psychosocial impacts of the participant's respiratory condition. The SGRQ total score is calculated as the sum of scores across symptoms, activity, and effects, with 0 indicating the best possible health status and 100 indicating the worst possible health status. A decrease in 4 units in the total score corresponds to a clinically significant improvement in the quality of life. |
| Baseline, Week 52 |
| Change From Baseline at Week 52 in Postbronchodilator Forced Expiratory Volume in 1 Second (FEV1) and forced vital capacity (FVC) | FEV1 is used to assess lung function and is the maximum amount of air that can be forced out in one second after first second after taking a forced expiration as measured by a spirometer. Postbronchodilator FEV1 tests included spirometry tests performed after administration of bronchodilator. FVC is used to assess lung function and is the total volume of air that can be forced out after taking a deep breath as measured by a spirometer. | Baseline, Week 52 |
| Change From Baseline at Week 52 in Quality of Life Questionnaire - Evaluating Respiratory Symptoms (E-RS): COPD | The E-RS:COPDâ„¢ scale, a part of the EXACT tool, is a derivative instrument used to measure the effect of treatment on the severity of respiratory symptoms in stable COPD. The E-RS is an 11-item participant-reported diary to measure respiratory symptom items contained in the 14-item EXACT. Summation of E-RS: COPD item responses produces a total score ranging from 0 to 40, with higher scores indicating greater severity. In addition to the total score, symptom domain scores can be calculated for breathlessness (5 items; score range: 0-17), cough and sputum (3 items; score range: 0-11) and chest symptoms (3 items; score range: 0-12) by summing the responses of items within a respective domain. As with the total score, higher domain scores indicate greater severity. | Baseline, Week 52 |
| Annualized rate of severe COPD exacerbations | Effect of EXPD-101/FXS7553 compared with placebo on rate of severe COPD exacerbations. | Over 52 Weeks |
| Plasma Concentration and metabolites of EXPD-101/FXS755 | Pre-dose at baseline, and Weeks 2, 4, 12, 28, 52 and 56. |
| Change from Baseline in sputum neutrophil elastase (NE) activity | Effect of EXPD-101/FXS7553 compared with placebo on sputum neutrophil elastase (NE) activity. | Over 52 Weeks |
| Annualized rate of COPD exacerbations requiring Emergency Department visit and/or hospitalization | Effect of EXPD-101/FXS7553 compared with placebo on rate of COPD exacerbations requiring Emergency Department visit and/or hospitalization. | Over 52 Weeks |
| California Medical Research Associates Inc. | Recruiting | Northridge | California | 91324 | United States |
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| Lynn Institute of Denver | Recruiting | Aurora | Colorado | 80012 | United States |
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| Clinical Site Partners, LLC Leesburg dba Flourish Research | Recruiting | Leesburg | Florida | 34748 | United States |
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| Suncoast Research Group, LLC Miami - Little Havana dba Flourish Research | Recruiting | Miami | Florida | 33135 | United States |
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| Optimal Research Sites | Recruiting | Orange | Florida | 32763 | United States |
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| Centricity Research Columbus | Not yet recruiting | Rincon | Georgia | 31326 | United States |
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| DM Clinical Research-Indianapolis | Recruiting | Indianapolis | Indiana | 46254 | United States |
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| Cotton O'Neil Clinical Research Center | Recruiting | Topeka | Kansas | 66606 | United States |
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| DM Clinical Research - Philadelphia | Recruiting | Philadelphia | Pennsylvania | 19107 | United States |
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| DM Clinical Research- Tomball | Recruiting | Tomball | Texas | 77375 | United States |
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| Burke Internal Medicine, Inc. | Recruiting | Burke | Virginia | 22015 | United States |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| D001991 | Bronchitis |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D001982 | Bronchial Diseases |
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