Clinical trial • Phase III • Respiratory

DEPEMOKIMAB for Chronic Obstructive Pulmonary Disease

Phase III trial of DEPEMOKIMAB for Chronic Obstructive Pulmonary Disease.

Overview

Trial Therapeutic Area
Respiratory
Trial Disease
Chronic Obstructive Pulmonary Disease
Trial Stage
Phase III
Drug Modality
Monoclonal antibody | Small molecule

Key dates

Initial CTIS Submission Date
31-07-2025
First CTIS Authorization Date
24-11-2025

Trial design

Randomised, placebo comparator: sterile 0.9% (w/v) sodium chloride solution in single-use pfs administered as placebo alongside standard of care (soc). active treatment: depemokimab 100 mg subcutaneous administered every 26 weeks (q26w) alongside soc.-controlled Phase III trial in Slovakia, Denmark, Croatia and others.

Randomised
Yes
Comparator
Placebo comparator: Sterile 0.9% (w/v) sodium chloride solution in single-use PFS administered as placebo alongside Standard of Care (SoC). Active treatment: depemokimab 100 mg subcutaneous administered every 26 weeks (Q26W) alongside SoC.
Target Sample Size
528
Trial Duration For Participant
728

Eligibility

Recruits 528 Vulnerable population selected. Informed consent is required from each adult participant. Country-specific main informed consent forms and supplemental ICFs are provided (examples: Main ICFs, Pregnant Participant ICFs, Optional Substudy ICFs, Genetic Research ICFs, PK Sub-study ICFs). Consent materials are available in multiple country/language versions (e.g., Slovak, Danish, English, Portuguese, Croatian, Hungarian, Polish, Dutch, French, Spanish, German, Swedish, Norwegian)..

Vulnerable Population
Vulnerable population selected. Informed consent is required from each adult participant. Country-specific main informed consent forms and supplemental ICFs are provided (examples: Main ICFs, Pregnant Participant ICFs, Optional Substudy ICFs, Genetic Research ICFs, PK Sub-study ICFs). Consent materials are available in multiple country/language versions (e.g., Slovak, Danish, English, Portuguese, Croatian, Hungarian, Polish, Dutch, French, Spanish, German, Swedish, Norwegian).

Inclusion criteria

  • {"criterion_text":"- 1. Participants must be ≥40 to ≤80 years of age, at the time of signing the ICF."}
  • {"criterion_text":"- 2. An elevated blood eosinophil count (BEC)"}
  • {"criterion_text":"- 3. Moderate to severe COPD with frequent exacerbations defined as: - A clinically documented history of COPD as defined by the American Thoracic Society/European Respiratory Society for at least 1 year - A post-bronchodilator forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) ratio of less than (<) 0.70 and a post- bronchodilator FEV1 >30 percent (%) and <= 80% predicted normal values - A well-documented history of at least 2 moderate or 1 severe exacerbation in the 12 months prior to screening"}
  • {"criterion_text":"- 4. COPD assessment test (CAT) score ≥10 at Visit 1."}
  • {"criterion_text":"- 5. Smoking status: Current or former cigarette smokers with a history of cigarette smoking of ≥10 pack-years"}
  • {"criterion_text":"- 6. Participants should be on optimised inhaler therapy, defined as inhaled corticosteroid (ICS) plus Long-acting muscarinic receptor antagonist (LAMA) plus Long-acting beta2-adrenergic receptor agonist (LABA) either as multiple inhalers or a single combination inhaler for at least 6 months prior to Screening Visit 1."}
  • {"criterion_text":"- 7. Body Mass Index (BMI) ≥16 kilogram per square meter (kg/m^2)"}
  • {"criterion_text":"- 8. Male or eligible female participants."}

Exclusion criteria

  • {"criterion_text":"- 1. Participants with a current or prior physician diagnosis of asthma"}
  • {"criterion_text":"- 2. Other clinically significant lung disease: The Investigator must judge that COPD is the primary diagnosis accounting for the clinical manifestations of the lung disease."}
  • {"criterion_text":"- 3. Participants with pneumonia, COPD exacerbation, or lower respiratory tract infection within the 4 weeks prior to Screening Visit 1."}
  • {"criterion_text":"- 4. Lung resection: Participants with a history of, or plan for lung volume reduction surgery / endobronchial valve procedure."}
  • {"criterion_text":"- 5. Pulmonary rehabilitation: Participants in the acute phase of a pulmonary rehabilitation program within 4 weeks prior to Screening Visit 1."}
  • {"criterion_text":"- 6. Continuous oxygen: Patients requiring oxygen supplementation for more than 12 hours per day."}
  • {"criterion_text":"- 7. Cor pulmonale – resulting in right heart failure, severe pulmonary hypertension."}
  • {"criterion_text":"- 8. Chronic hypercapnia requiring Non-invasive positive pressure ventilation (NIPPV) use (including Bi-Level Positive Airway Pressure [BiPAP] or Continuous Positive Airway Pressure [CPAP])."}
  • {"criterion_text":"- 9. Unstable cardiovascular disease or arrhythmia."}
  • {"criterion_text":"- 10. Parasitic Infection: Participants with a known, pre-existing parasitic infection within 6 months of Screening (Visit 1)."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Annualized rate of moderate/severe exacerbations.","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- 1. Time to first moderate/severe exacerbation.","definition_or_measurement_approach":"Time-to-event analysis measuring time from randomization to first moderate or severe exacerbation."}
  • {"endpoint_text":"- 2. Change from baseline in St. George's Respiratory Questionnaire (SGRQ) total score at Week 52.","definition_or_measurement_approach":"Change from baseline in SGRQ total score assessed at Week 52."}
  • {"endpoint_text":"- 3. Change from baseline in Evaluating Respiratory Symptoms in Chronic Obstructive Pulmonary Disease (E-RS: COPD) total score at Week 52.","definition_or_measurement_approach":"Change from baseline in E-RS: COPD total score assessed at Week 52."}
  • {"endpoint_text":"- 4. Annualized Rate of Exacerbations Requiring Emergency Department (ED) Visit or Hospitalization","definition_or_measurement_approach":"Annualized rate of exacerbations resulting in ED visit or hospitalization."}
  • {"endpoint_text":"- 5. Annualized Rate of Severe Exacerbations","definition_or_measurement_approach":"Annualized rate of severe exacerbations (as defined by study protocol)."}

Recruitment

Digital Remote Recruitment
True - digital/remote methods include use of Scout Clinical materials (Scout participant information card, Reloadable-ScoutPass mailer), email communications, eDiary/eCOA handheld training modules and related digital participant engagement materials (documents in the Ireland package reference Scout, eCOA, eDiary and email communications).
Planned Sample Size
528
Recruitment Window Months
48
Consent Approach
Informed consent is obtained from each adult participant via a Main ICF. Age eligibility is adult (40–80 years), so consent is provided by the participant. Separate consent forms are provided for optional sub-studies (PK, imaging), genetic research, and for pregnant participants (pregnancy/newborn ICF). Consent materials are provided in multiple country-specific languages (examples include Slovak, Danish, English, Portuguese, Hungarian, Croatian, Polish, Dutch, French, Spanish, German, Swedish, Norwegian).

Methods

  • Site-based recruitment using patient letters and doctor/GP letters (country-specific patient/doctor letters available).
  • Printed materials at sites: patient flyers, patient brochures, site flipcharts and appointment reminder cards.
  • Healthcare professional referral (GP/doctor letters and site engagement).
  • Country-specific recruitment brochures and recruitment arrangements documents (multiple country packs).
  • Digital and platform-supported recruitment in some countries (see digital_remote_recruitment).
  • Advertisements (country-specific) as included in recruitment materials.

Geography

Total Number Of Participants
453

Slovakia

Earliest CTIS Part Ii Submission Date
03-10-2025
Latest Decision Or Authorization Date
24-11-2025
Processing Time Days
52
Number Of Sites
3
Number Of Participants
8

Sites

Site Name
Zeleznicne zdravotnictvo Kosice s.r.o.
Department Name
Pneumologicko-ftizeologická ambulancia
Contact Person Name
Martin Orolín
Contact Person Email
m_orolin@yahoo.com
Site Name
Inspiro s.r.o.
Department Name
Pneumologicko-ftizeologická ambulancia
Contact Person Name
Alexander Golubov
Contact Person Email
golo@stonline.sk
Site Name
Plucna ambulancia Hrebenar s.r.o.
Contact Person Name
Slavomír Hrebenár
Contact Person Email
slavomir.hrebenar@gmail.com

Denmark

Earliest CTIS Part Ii Submission Date
11-11-2025
Latest Decision Or Authorization Date
24-11-2025
Processing Time Days
13
Number Of Sites
4
Number Of Participants
14

Croatia

Earliest CTIS Part Ii Submission Date
14-11-2025
Latest Decision Or Authorization Date
01-12-2025
Processing Time Days
17
Number Of Sites
2
Number Of Participants
6

Ireland

Earliest CTIS Part Ii Submission Date
28-10-2025
Latest Decision Or Authorization Date
28-11-2025
Processing Time Days
31
Number Of Sites
8
Number Of Participants
21

Portugal

Earliest CTIS Part Ii Submission Date
03-10-2025
Latest Decision Or Authorization Date
20-02-2026
Processing Time Days
140
Number Of Participants
23

Norway

Earliest CTIS Part Ii Submission Date
28-10-2025
Latest Decision Or Authorization Date
28-11-2025
Processing Time Days
31
Number Of Sites
4
Number Of Participants
12

Hungary

Earliest CTIS Part Ii Submission Date
23-09-2025
Latest Decision Or Authorization Date
01-12-2025
Processing Time Days
69
Number Of Sites
6
Number Of Participants
25

Sweden

Earliest CTIS Part Ii Submission Date
21-08-2025
Latest Decision Or Authorization Date
24-11-2025
Processing Time Days
95
Number Of Sites
4
Number Of Participants
14

Spain

Earliest CTIS Part Ii Submission Date
28-10-2025
Latest Decision Or Authorization Date
27-11-2025
Processing Time Days
30
Number Of Sites
17
Number Of Participants
66

Belgium

Earliest CTIS Part Ii Submission Date
27-10-2025
Latest Decision Or Authorization Date
26-11-2025
Processing Time Days
30
Number Of Sites
11
Number Of Participants
44

Germany

Earliest CTIS Part Ii Submission Date
17-09-2025
Latest Decision Or Authorization Date
10-02-2026
Processing Time Days
146
Number Of Participants
75

Netherlands

Earliest CTIS Part Ii Submission Date
17-11-2025
Latest Decision Or Authorization Date
01-12-2025
Processing Time Days
14
Number Of Sites
13
Number Of Participants
29

France

Earliest CTIS Part Ii Submission Date
24-10-2025
Latest Decision Or Authorization Date
24-11-2025
Processing Time Days
31
Number Of Participants
48

Poland

Earliest CTIS Part Ii Submission Date
29-10-2025
Latest Decision Or Authorization Date
22-02-2026
Processing Time Days
116
Number Of Participants
68

Sponsor

Primary sponsor

Full Name
Glaxosmithkline Research & Development Limited
Organisation Type
Pharmaceutical company
Country Of Registered Address
United Kingdom

Contract research organisations

Name
PPD Global Limited
Responsibilities
Operational and clinical trial activities (sponsorDuties codes: [1,10,12,13,2,5,6,7,8])
Name
PPD Global Central Labs
Responsibilities
Central laboratory activities (sponsorDuties codes: [4])

Third parties

  • {"country":"United States","full_name":"Glaxosmithkline LLC","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Frontage Laboratories Inc.","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Infinity Biologix LLC","duties_or_roles":"Long term storage of samples","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"PPD Global Limited","duties_or_roles":"sponsorDuties codes: [1,10,12,13,2,5,6,7,8] (various operational and clinical trial responsibilities)","organisation_type":"Pharmaceutical company (CRO)"}
  • {"country":"United States","full_name":"Veeva Systems Inc.","duties_or_roles":"EDC database","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"Patient Travel and Reimbursement","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"Belgium","full_name":"PPD Global Central Labs","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Voiant LLC","duties_or_roles":"HRCT","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"ECG, Spirometry, eCoA","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Glaxosmithkline LLC (additional address)","duties_or_roles":"Long term storage of samples","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Depemokimab
Active Substance
DEPEMOKIMAB
Modality
Monoclonal antibody
Routes Of Administration
Subcutaneous injection
Route
Subcutaneous
Starting Dose
100 mg
Dose Levels
100 mg (Q26W)
Frequency
Every 26 weeks (Q26W)
Investigational Product Name
Placebo (Sterile 0.9% (w/v) sodium chloride solution in single-use PFS)
Modality
Other
Frequency
Matching placebo schedule
Combination Treatment
Yes

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