This After Market Study is Seeing if Dupilumab Plus Usual Standard of Care (SOC) is Better Than Usual Care Alone for Adult Participants After a Severe Chronic Obstructive Pulmonary Disease (COPD) Flare-Up Requiring Hospitalization
Study of Adding an Investigational Study Drug to Usual Care After a Severe COPD Flare-Up
Study Overview
This study is researching a drug called dupilumab, referred to as "study drug". The study is focused on people diagnosed with COPD to determine if the study drug, in addition to standard of care treatment for COPD, might reduce the reoccurrence of a COPD exacerbation (a "flare-up") happening within the study treatment duration (around 90 days).
The study is looking at another research question:
• What side effects may happen from taking the study drug
Eligibility Criteria
You may be eligible for this study if you meet the following criteria:
- Conditions: Chronic Obstructive Pulmonary Disease (COPD)
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Age: 40 years or above
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Gender: All
Key Inclusion Criteria:
- Has a clinical diagnosis of COPD prior to randomization, as defined in the protocol
- Hospitalized or admitted to the ED \>24 hours (from time of first admission or presentation to the ED) for acute exacerbation of COPD as primary diagnosis according to the principal investigator and exacerbation is managed by Systemic Corticosteroids (SCS) ± antibiotics and other appropriate treatments as per SOC
- Elevated blood eosinophil counts during the current exacerbation, as defined in the protocol. The exacerbation event starts from the day Systemic Corticosteroids (SCS) ± antibiotics are administered continuously up to the day they presented to ED/hospital
Key Exclusion Criteria:
- Clinical evidence of pneumonia as the primary cause of admission in the investigator's opinion or acquired during hospital stay
- Complicating pulmonary conditions during the 8 weeks prior to randomization which may confound treatment assessments, as defined in the protocol
- Clinically significant pulmonary diseases other than COPD which may impair lung function and interfere with treatment assessments
- Participants with clinically significant α-1 anti-trypsin deficiency which may impair lung function and interfere with treatment assessments
- Cardiac-related comorbidity, as defined in the protocol
- Treatment with invasive mechanical ventilation in-hospital during the index event, as defined in the protocol
- Any biologic therapy or biologic Investigational Medicinal Product (IMP) to treat type 2 inflammatory diseases within 6 months prior to the screening visit or 5 half-lives, whichever is longer, as defined in the protocol
NOTE: Other Protocol-defined Inclusion/Exclusion Criteria Apply
The purpose of this research study is to learn about adding an investigational study drug to usual standard of care treatment for adults with chronic obstructive pulmonary disease (COPD) who were recently hospitalized or kept in the emergency department for more than 24 hours because of a severe COPD flare-up. The study will look at whether adding the study drug may reduce the chance of another COPD flare-up during the study treatment period. The study will also look at side effects.
Participants will receive either the investigational study drug plus usual COPD care, or usual COPD care alone.
Who can participate:
Adults with COPD may be able to participate if they:
- Have a diagnosis of COPD
- Have been hospitalized or kept in the emergency department for more than 24 hours for a COPD flare-up and were treated with steroid medicines (and possibly antibiotics) as part of usual care
- Have higher levels of a type of white blood cell (blood eosinophils) during the current flare-up
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