Sample 74

Ground Truth

INCLUSION CRITERIA

  1. Participants with a physician diagnosis of COPD who meet the following criteria at screening:Current or former smokers with a smoking history of ≥10 pack-years.
  2. Moderate-to-severe COPD (post-bronchodilator FEV1/ forced vital capacity [FVC] ratio <0.70 and post-bronchodilator FEV1 % predicted >30% and ≤70%).
  3. Medical Research Council (MRC) Dyspnea Scale grade ≥2.
  4. Patient-reported history of signs and symptoms of chronic bronchitis (chronic productive cough) for 3 months in the year up to screening in the absence of other known causes of chronic cough.
  5. Documented history of high exacerbation risk defined as exacerbation history of ≥2 moderate or ≥1 severe within the year prior to inclusion.
  6. At least one exacerbation should have occurred while the patient was taking inhaled corticosteroid (ICS)/long acting beta agonist (LABA)/long acting muscarinic antagonist (LAMA) (or LABA/LAMA if ICS is contraindicated).
  7. Moderate exacerbations are recorded by the investigator and defined as AECOPD that require either systemic corticosteroids (intramuscular, intravenous, or oral) and/or antibiotics.
  8. One of the two required moderate exacerbations has to require the use of systemic corticosteroids.
  9. Severe exacerbations are recorded by the investigator and defined as AECOPD requiring hospitalization or observation > 24 hours in emergency department/urgent care facility.
  10. Background triple therapy (ICS + LABA + LAMA) for 3 months prior to randomization with a stable dose of medication for ≥1 month prior to Visit 1;
  11. Double therapy (LABA + LAMA) allowed if ICS is contraindicated.
  12. Evidence of Type 2 inflammation: Patients with blood eosinophils ≥300 cells/microliter at Visit 1.

EXCLUSION CRITERIA

  1. COPD diagnosis for less than 12 months prior to randomization.
  2. A current diagnosis of asthma or history of asthma according to the 2018 Global Initiative for Asthma (GINA) guidelines or other accepted guidelines.
  3. Significant pulmonary disease other than COPD (e.g., lung fibrosis, sarcoidosis, interstitial lung disease, pulmonary hypertension, bronchiectasis, Churg-Strauss Syndrome etc) or another diagnosed pulmonary or systemic disease associated with elevated peripheral eosinophil counts.
  4. Cor pulmonale, evidence of right cardiac failure.
  5. Treatment with oxygen of more than 12 hours per day.
  6. Hypercapnia requiring Bi-level ventilation.
  7. AECOPD as defined in

INCLUSION CRITERIA

  1. within 4 weeks prior to screening, or during the screening period.
  2. Respiratory tract infection within 4 weeks prior to screening, or during the screening period.
  3. History of, or planned pneumonectomy or lung volume reduction surgery.
  4. Patients who are participating in the acute phase of a pulmonary rehabilitation program, ie, who started rehabilitation <4 weeks prior to screening (Note: patients in the maintenance phase of a rehabilitation program can be included).
  5. Diagnosis of α-1 anti-trypsin deficiency.
  6. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.