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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