Phase II, randomized, double-blind, placebo-controlled, parallel-group clinical trial of lebrikizumab in participants with COPD and a history of exacerbations who are treated with inhaled corticosteroid (ICS) and at least one long-acting bronchodilator inhaler medication. This study will be conducted to assess the safety, efficacy, and patient-reported outcome (PRO) measures.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
309
Lebrikizumab 125 milligrams (mg) will be administered subcutaneously once in every 4 weeks.
Matching placebo will be administered subcutaneously once in every 4 weeks.
Change From Baseline in Pre-bronchodilator Forced Expiratory Volume in One Second (FEV1) at Week 12
Adjusted mean change from baseline in pre-bronchodilator FEV1 (assessed using spirometry) at Week 12 was calculated.
Time frame: Baseline, Week 12
Rate of Moderate or Severe COPD Exacerbation
A moderate COPD exacerbation was defined as new or increased COPD symptoms (for example, dyspnea, sputum volume, and sputum purulence) for at least 2 consecutive days that lead to treatment with systemic corticosteroids and/or antibiotics. A severe COPD exacerbation was defined as new or increased COPD symptoms (for example, dyspnea, sputum volume, and sputum purulence) for at least 2 consecutive days that lead to hospitalization. Adjusted exacerbation rate per year was calculated. Results are reported as a 'Number' representing the unadjusted annualized rate of COPD exacerbations per person-year. The total number of exacerbations observed during the period was defined as starting at the date of randomization and ending at most 172 days after randomization (including data collected during safety follow-up in the case of early drug discontinuation) regardless of adherence to study drug divided by the total patient-weeks at risk divided by 52 weeks per year.
Time frame: Baseline up to Week 24
Change From Baseline in Post-bronchodilator FEV1 at Week 24
Adjusted mean change from baseline in post-bronchodilator FEV1 at Week 24 was calculated.
Time frame: Baseline, Week 24
Change From Baseline in Pre-bronchodilator FEV1 at Week 24
Adjusted mean change from baseline in pre-bronchodilator FEV1 at Week 24 was calculated.
Time frame: Baseline, Week 24
Time to First COPD Exacerbation
COPD exacerbation was defined as new or increased COPD symptoms (for example, dyspnea, sputum volume, and sputum purulence) for at least 2 consecutive days. Time to first COPD exacerbation was estimated using Kaplan-Meier analysis.
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Achieve Clinical Research, LLC
Birmingham, Alabama, United States
California Medical Research Associates, Inc.
Northridge, California, United States
Palmtree Clinical research Inc
Palm Springs, California, United States
Finlay Medical Research
Miami, Florida, United States
Progressive Medical Research
Port Orange, Florida, United States
Columbus Regional Research Institute
Columbus, Georgia, United States
Southeast Regional Res Group
Savannah, Georgia, United States
Centex Studies
Lake Charles, Louisiana, United States
The Clinical Research Ctr
St Louis, Missouri, United States
Comprehensive Clinical Research Inc.
Berlin, New Jersey, United States
...and 53 more locations
Time frame: Baseline up to Week 24
Change From Baseline in Health-Related Quality of Life as Assessed by the Overall Score of the Saint George's Respiratory Questionnaire for COPD (SGRQ-C) at Week 24
SGRQ-C was assessed by asking participants to recall their COPD-related experiences and to respond to 40 questions included within three domains: symptoms (7 items), activity (13 items), and impacts (20 items). Overall SGRQ-C score ranged from 0 to 100, where lower score indicated better health-related quality of life. Change from baseline in overall SGRQ-C score at Week 24 was reported.
Time frame: Baseline, Week 24
Change From Baseline in COPD Symptoms as Measured by the Overall Score of the Exacerbations of Chronic Pulmonary Disease Tool (EXACT) at Week 24
EXACT comprised of 14-item questionnaire containing four domains: breathlessness (5 items), cough and sputum (3 items), chest symptoms (3 items), and additional attributes (3 items). Overall EXACT score was the average of domain scores. It ranged from 0 to 100, where higher score indicated a more severe condition. Change from baseline in overall EXACT score at Week 24 was reported.
Time frame: Baseline, Week 24
Change From Baseline in Cough and Sputum as Measured by the Cough and Sputum Domain Score of the EXACT at Week 24
EXACT comprised of 14-item questionnaire containing four domains: breathlessness (5 items), cough and sputum (3 items), chest symptoms (3 items), and additional attributes (3 items). Cough and Sputum domain score ranged from 0 to 100, where higher score indicated a more severe condition. Change from baseline in cough and sputum domain EXACT score at Week 24 was reported.
Time frame: Baseline, Week 24
Change From Baseline in Dyspnea as Assessed by the Baseline Dyspnea Index/Transition Dyspnea Index (BDI/TDI) at Week 24
The BDI scores ranged from 0 (very severe impairment) to 4 (no impairment) for each of 3 domains (functional impairment, magnitude of task, and magnitude of effort) and were summed to determine the BDI total score (0 to 12). The TDI scores ranged from -3 (major deterioration) to +3 (major improvement) for each of the 3 domains (functional impairment, magnitude of task, and magnitude of effort). The sum of all domains yielded the TDI total score (-9 to +9). Change from baseline in BDI/TDI at Week 24 was reported.
Time frame: Baseline, Week 24
Percentage of Participants With Anti-Therapeutic Antibody (ATA) to Lebrikizumab
This outcome measure was planned to be analyzed only in overall lebrikizumab arm.
Time frame: Baseline up to Week 36
Minimum Observed Serum Trough Concentration (Cmin) of Lebrikizumab
This outcome measure was planned to be analyzed only in overall lebrikizumab arm.
Time frame: Pre-dose (Hour 0) at Weeks 4 and 12, at Week 24
Elimination Half-Life (t1/2) of Lebrikizumab
Elimination half-life was defined as the time measured for the serum concentration to decrease by one half. This outcome measure was planned to be analyzed only in overall lebrikizumab arm.
Time frame: Pre-dose (Hour 0) on Day 1 (Baseline) and Weeks 1, 4, 12, 24, 28, and 36