NCT05595642

Brief Summary

This study will evaluate the efficacy and safety of astegolimab compared with placebo in participants with chronic obstructive pulmonary disease (COPD) who are former or current smokers and have a history of frequent exacerbations.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
1,290

participants targeted

Target at P75+ for phase_3

Timeline
16mo left

Started Dec 2022

Longer than P75 for phase_3

Geographic Reach
35 countries

381 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress73%
Dec 2022Sep 2027

First Submitted

Initial submission to the registry

October 24, 2022

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 27, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

December 29, 2022

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 24, 2025

Completed
2.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 24, 2027

Expected
Last Updated

May 20, 2026

Status Verified

May 1, 2026

Enrollment Period

2.5 years

First QC Date

October 24, 2022

Last Update Submit

May 19, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Annualized rate of moderate and severe COPD exacerbations over the 52-week treatment period

    52 weeks

Secondary Outcomes (6)

  • Time to first moderate or severe COPD exacerbation during the 52-week treatment period

    52 weeks

  • Absolute change from baseline in health-related quality of life (HRQoL) at Week 52 as assessed through the St. George's Respiratory Questionnaire-COPD (SGRQ-C) total score

    Week 52

  • Absolute change from baseline in post-bronchodilator forced expiratory volume (FEV1) at Week 52

    Week 52

  • Absolute change from baseline in the Evaluating Respiratory Symptoms in Chronic Obstructive Pulmonary Disease (E-RS:COPD) total score at Week 52

    Week 52

  • Proportion of participants with improvement in HRQoL at Week 52

    Week 52

  • +1 more secondary outcomes

Study Arms (3)

Astegolimab SC Q2W

EXPERIMENTAL

Participants will receive subcutaneous (SC) astegolimab every 2 weeks (Q2W)

Drug: Astegolimab

Astegolimab SC Q4W

EXPERIMENTAL

Participants will receive alternating SC astegolimab and placebo Q2W, thus receiving SC astegolimab Q4W.

Drug: Astegolimab

Placebo SC Q2W

PLACEBO COMPARATOR

Participants will receive SC placebo Q2W

Drug: Placebo

Interventions

Participants will receive SC astegolimab Q2W or Q4W

Astegolimab SC Q2WAstegolimab SC Q4W

Participants will receive SC placebo Q2W

Placebo SC Q2W

Eligibility Criteria

Age40 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Documented COPD diagnosis for ≥ 12 months
  • History of frequent exacerbations, defined as having had 2 or more moderate or severe COPD exacerbations within 12 months prior to screening
  • Post-bronchodilator FEV1 ≥ 20% and \< 80% of predicted at screening
  • Post-bronchodilator FEV1/FVC \< 0.70 at screening
  • Modified Medical Research Council (dyspnea scale) (mMRC) score ≥ 2
  • Current tobacco smoker or former smoker with a history of smoking ≥ 10 pack-years
  • On optimized COPD maintenance therapy as defined below for ≥ 12 months prior to screening, and stable on current therapy for at least 4 weeks prior to screening: Inhaled corticosteroid (ICS) plus long-acting beta-agonist (LABA), Long-acting muscarinic antagonist (LAMA) plus LABA, ICS plus LAMA plus LABA
  • Chest X-ray or computed tomography (CT) scan within 6 months prior to screening or chest X-ray during the screening period that confirms the absence of clinically significant lung disease besides COPD

You may not qualify if:

  • Current documented diagnosis of asthma
  • History of clinically significant pulmonary disease other than COPD
  • Diagnosis of 1-antitrypsin deficiency
  • History of long-term treatment with oxygen at \> 4.0 liters/minute
  • Lung volume reduction surgery or procedure within 12 months prior to screening
  • Individuals participating in, or scheduled for, an intensive COPD rehabilitation program (participants who are in the maintenance phase of a rehabilitation program are eligible)
  • History of lung transplant
  • Any infection that resulted in hospital admission for ≥ 24 hours and/or treatment with oral, IV, or IM antibiotics within 4 weeks prior to or during screening
  • Upper or lower respiratory tract infection within 4 weeks prior to or during screening
  • Treatment with oral, IV, or IM corticosteroids within 4 weeks prior to initiation of study drug
  • Initiation of or change in non-biologic immunomodulatory or immunosuppressive therapy within 3 months prior to screening
  • Unstable cardiac disease, myocardial infarction, or New York Heart Association Class III or IV heart failure within 12 months prior to screening

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (382)

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

SEC Clinical Research LLC - Dothan 2 - ClinEdge - PPDS

Dothan, Alabama, 36305, United States

Location

Pulmonary Associates PA

Glendale, Arizona, 85306-4669, United States

Location

AES - DRS - Synexus Clinical Research US, Inc. - Tucson

Tucson, Arizona, 85741-3118, United States

Location

Kern Research

Bakersfield, California, 93301, United States

Location

Allergy & Asthma Medical Group of the Bay Area

Walnut Creek, California, 94598, United States

Location

Finlay Medical Research Corporation

Greenacres City, Florida, 33467-2979, United States

Location

San Marcus Research Clinic Inc.

Miami, Florida, 33014, United States

Location

Oceane7 Medical & Research Center, Inc.

Miami, Florida, 33144-2155, United States

Location

Avantis Clinical Research, LLC

Miami, Florida, 33155-3265, United States

Location

Research Institute of South Florida Inc

Miami, Florida, 33173, United States

Location

Diverse Clinical Research, LLC

Miami, Florida, 33175-3434, United States

Location

Central Florida Pulmonary Group, PA

Orlando, Florida, 32803, United States

Location

AES - DRS - Synexus Clinical Research US, Inc. - The Villages

The Villages, Florida, 32162-7116, United States

Location

AES - DRS - Synexus Clinical Research US, Inc. - Atlanta

Atlanta, Georgia, 30328, United States

Location

Allergy Center at Brookstone Research - Centricity Research - HyperCore - PPD

Columbus, Georgia, 31904-2954, United States

Location

Pivotal Research Solutions

Stonecrest, Georgia, 30038-2649, United States

Location

ASHA Clinical Research - ClinEdge - PPDS

Hammond, Indiana, 46324-2213, United States

Location

The Research Group of Lexington, LLC

Lexington, Kentucky, 40504, United States

Location

Best Clinical Trials

New Orleans, Louisiana, 70115, United States

Location

Paul A. Shapero, MD, PA

Bangor, Maine, 04401-5691, United States

Location

Pulmonary Research Institute of Southeast Michigan

Farmington Hills, Michigan, 48336-2817, United States

Location

Flushing Road Internal Medicine and Pediatrics - F

Flint, Michigan, 48504-4730, United States

Location

Revive Research Institute

Lathrup Village, Michigan, 48076, United States

Location

Oakland Medical Research Center

Troy, Michigan, 48085-5524, United States

Location

Washington University School of Medicine in St. Louis

St Louis, Missouri, 63110, United States

Location

Nebraska Medical Research Institute, Inc. - CRN

Bellevue, Nebraska, 68123-4318, United States

Location

Machuca Family Medicine

Las Vegas, Nevada, 89104-3953, United States

Location

Renown Regional Medical Center Hospital

Reno, Nevada, 89502-1576, United States

Location

Hassman Research Institute - HRI - Berlin - CenExel - PPDS

Marlton, New Jersey, 08053, United States

Location

AES - DRS - Synexus Clinical Research US, Inc. - New York

New York, New York, 10017-4008, United States

Location

Research Carolina Elite

Denver, North Carolina, 28037-7929, United States

Location

Pulmonix LLC

Greensboro, North Carolina, 27403, United States

Location

Advanced Respiratory and Sleep Medicine, PLLC

Huntersville, North Carolina, 28078, United States

Location

Southeastern Research Center

Winston-Salem, North Carolina, 27103-4029, United States

Location

OK Clinical Research

Edmond, Oklahoma, 73034-3258, United States

Location

The Oregon Clinic

Portland, Oregon, 97213, United States

Location

Clinical Research Associates Of Central Pa , Llc

Altoona, Pennsylvania, 16602, United States

Location

Allergy & Clinical Immun Assoc

Pittsburgh, Pennsylvania, 15241, United States

Location

Medtrial, LLC

Columbia, South Carolina, 29204, United States

Location

Velocity Clinical Research - Gaffney - PPDS

Gaffney, South Carolina, 29340-4737, United States

Location

ClinSearch, LLC

Chattanooga, Tennessee, 37421, United States

Location

Clinical Trials Center of Middle Tennessee

Franklin, Tennessee, 37067-5603, United States

Location

Tennessee Comprehensive Lung & Sleep Center

Hendersonville, Tennessee, 37075-3085, United States

Location

TTS Research

Boerne, Texas, 78006, United States

Location

Corsicana Medical Research

Corsicana, Texas, 75110-2471, United States

Location

Trio Clinical Trials

Houston, Texas, 77008, United States

Location

Baylor College of Medicine Medical Center

Houston, Texas, 77030, United States

Location

Biopharma Informatic - Park Row - PPDS

Houston, Texas, 77084, United States

Location

R & H Clinical Research

Katy, Texas, 77494-2031, United States

Location

University of Vermont Medical Center

Burlington, Vermont, 05401, United States

Location

Western Washington Medical Group

Everett, Washington, 98208, United States

Location

Allergy Asthma and Sinus Center-Greenfield

Greenfield, Wisconsin, 53228-3467, United States

Location

Consultorios Medicos Organizacion de Buen Ayre SRL

Buenos Aires, 12345, Argentina

Location

Nexo Salud Investigacion Clinica - Riobamba 429

Buenos Aires, C1025, Argentina

Location

CINME S.A. ? Centro de Investigaciones Metabolicas - Rx Trials LLC

Buenos Aires, C1027AAP, Argentina

Location

Fundacion Faicep

Buenos Aires, C1122AAK, Argentina

Location

Instituto de Investigaciones En Alergia Y Enfermedades Respiratorias

Buenos Aires, C1425, Argentina

Location

AES - AS - Glenny Corp. S.A. Buenos Aires

Buenos Aires, C1430, Argentina

Location

Centro de Medicina Respiratoria

Concepción del Uruguay, 3260, Argentina

Location

Sanatorio de la Canada

Córdoba, X5000BSQ, Argentina

Location

Framingham Centro Medico

La Plata, 1900, Argentina

Location

Centro Medico Capital

La Plata, 1904, Argentina

Location

Centro Platense en Investigaciones Respiratorias

La Plata, B1900BNN, Argentina

Location

Centro Medico Dharma

Mendoza, M5500AYB, Argentina

Location

Centro Privado de Medicina Respiratoria

Paraná, 3100, Argentina

Location

Sala de primeros auxilios Alberto Mignaburu

Ranelagh, Berazategui, 1886, Argentina

Location

Instituto Medico de la Fundacion Estudios Clinicos

Rosario, S2000DEJ, Argentina

Location

Servicio de Investigacion de Patologias Alergicas-Instituto ABC

Rosario, S2013JKR, Argentina

Location

Sanatorio Parque de Rosario

Rosario, S2013KZD, Argentina

Location

Centro Modelo de Cardiologia

San Miguel de Tucumán, 4000, Argentina

Location

Centro Medico San Nicolas Grupo Orono

San Nicolás de los Arroyos, B2900, Argentina

Location

CEPROSS- Centro Profesional San Salvador

San Salvador, E3218CHH, Argentina

Location

Instituto Del Buen Aire

Santa Fe, S3000ASF, Argentina

Location

Centro de Diagnostico Y Rehabilitacion

Santa Fe, S3000, Argentina

Location

Institute for Respiratory Health - Midland

Midland, South Australia, 6056, Australia

Location

Ordination Dr. Robert Voves

Feldbach, 8330, Austria

Location

Ordination fur Lungenkrankheiten

Linz, 4020, Austria

Location

AZ Sint-Jan Brugge-Oostende

Bruges, 8000, Belgium

Location

Universitair Ziekenhuis Brussel

Brussels, 1090, Belgium

Location

Cliniques Universitaires Saint-Luc

Brussels, 1200, Belgium

Location

CHU de Liège

Liège, 4000, Belgium

Location

L2IP ?Instituto de Pesquisas Clínicas Ltda.

Brasília, Federal District, 70200-730, Brazil

Location

Santa Casa de Misericordia de Belo Horizonte - PPDS

Belo Horizonte, Minas Gerais, 30150-221, Brazil

Location

LMK Servicos Medicos SS

Porto Alegre, Rio Grande do Sul, 90480-000, Brazil

Location

Hospital Sao Lucas Da Pontificia Universidade Catolica Do Rio Grande Do Sul (PUCRS)

Porto Alegre, Rio Grande do Sul, 90610-000, Brazil

Location

Faculdade de Medicina do ABC - FMABC

Santo André, São Paulo, 09060-650, Brazil

Location

CEMEC - Centro Multidisciplinar de Estudos Clínicos

São Bernardo do Campo, São Paulo, 09715-090, Brazil

Location

IBPCLIN Instituto Brasil de Pesquisa Clinica

Rio de Janeiro, 20241-180, Brazil

Location

Instituto do Coracao - HCFMUSP

São Paulo, 05403-000, Brazil

Location

Multiprofile Hospital for Active Treatment Puls AD PPDS

Blagoevgrad, 2700, Bulgaria

Location

Multiprofile Hospital For Active Treatment Sveta Ekaterina - Dimitrovgrad EOOD

Dimitrovgrad, 6400, Bulgaria

Location

Multiprofile Hospital For Active Treatment Dr. Tota Venkova JSC

Gabrovo, 5300, Bulgaria

Location

Medical Center Hera EOOD

Montana, 3400, Bulgaria

Location

Multiprofile Hospital for Active Treatment Plovdiv

Plovdiv, 4003, Bulgaria

Location

Multiprofile Hospital for Active Treatment Sv. Ivan Rilski- Razgrad AD

Razgrad, 7200, Bulgaria

Location

Multiprofile Hospital for Active Treatment Shumen

Shumen, 9700, Bulgaria

Location

Multiprofile Hospital for Active Treatment - Silistra AD

Silistra, 7500, Bulgaria

Location

Multiprofile Hospital For Active Treatment - Dr. Bratan Shukerov AD

Smolyan, 4700, Bulgaria

Location

Fifth Multiprofile Hospital for Active Treatment - Sofia EAD

Sofia, 1233, Bulgaria

Location

Diagnostic-Consultative Center Aleksandrovska EOOD

Sofia, 1431, Bulgaria

Location

Diagnostic- Consultative Center Convex EOOD

Sofia, 1680, Bulgaria

Location

AES DRS Medical Center Synexus Sofia EOOD

Sofia, 1784, Bulgaria

Location

Diagnostic Consultative Centre Mladost?M OOD

Varna, 9020, Bulgaria

Location

Medical Center Tara OOD

Veliko Tarnovo, 5000, Bulgaria

Location

Edmonton Respiratory Consultants

Edmonton, Alberta, T5J 3S9, Canada

Location

Synergy Respiratory & Cardiac Care - Synergy Wellness Centre Location

Sherwood Park, Alberta, T8H 0N2, Canada

Location

Vancouver General Hospital

Vancouver, British Columbia, V5Z 1M9, Canada

Location

Dynamic Drug Advancement Ltd.

Ajax, Ontario, L1S 2J5, Canada

Location

Inspiration Research

Toronto, Ontario, M5T 3A9, Canada

Location

Dr. Syed Anees Medicine Profession Corporation

Windsor, Ontario, N8X 1T3, Canada

Location

Dr Anil Dhar Professional Medicine Corporation

Windsor, Ontario, N8X 5A6, Canada

Location

Recherche GCP Research

Montreal, Quebec, H1Y 3H5, Canada

Location

Clinique de pneumologie et du sommeil de Lanaudiere

Saint-Charles-Borromée, Quebec, J6E 2B4, Canada

Location

Centre Hospitalier de l'Universite Laval

Québec, G1V 4G5, Canada

Location

Centro Respiratorio Integral LTDA. (CENRESIN)

Pavie Gallegos, 2340000, Chile

Location

Oncocentro APYS

Viña del Mar, 2520598, Chile

Location

Fundacion Medica San Cristobal

Vitacura, 7630000, Chile

Location

The Third Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, 510150, China

Location

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, 510160, China

Location

Affiliated Hospital of Guangdong Medical University

Zhanjiang, Guangdong, 524001, China

Location

Affiliated Hospital of Zunyi Medical University

Zunyi, Guizhou, 563000, China

Location

The First People's Hospital of Lian Yun Gang

Lianyungang, Jiangsu, 222061, China

Location

Beijing Chaoyang Hospital Capital Medical University

Beijing, 100020, China

Location

China-Japan Friendship Hospital

Beijing, 100029, China

Location

Beijing Jingmei Group General Hospital

Beijing, 100042, China

Location

Beijing Hospital

Beijing, 100730, China

Location

Peking University Shougang Hospital

Beijing, China

Location

The First Hospital of Jilin University

Changchun, 130021, China

Location

The First Hospital of Changsha

Changsha, 410005, China

Location

The Third Hospital of Changsha

Changsha, China

Location

West China Hospital, Sichuan University

Chengdu, 610041, China

Location

Chengdu Fifth People's Hospital

Chengdu, 611130, China

Location

The Southwest Hospital of Army Medical University

Chongqing, 400038, China

Location

Army Medical Center of PLA(Daping Hospital)

Chongqing, 400042, China

Location

Guangzhou First People's Hospital

Guangzhou, 510180, China

Location

Hangzhou First People's Hospital

Hangzhou, 310006, China

Location

Anhui Chest Hospital

Hefei, 230022, China

Location

Huizhou Central People's Hospital

Huizhou, 516001, China

Location

Taizhou Hospital of Zhejiang Province

Linhai, 317000, China

Location

Jiangxi Provincial People's Hospital

Nanchang, 330006, China

Location

Zhongda Hospital Southeast University

Nanjing, 210009, China

Location

Jiangxi Pingxiang People's Hospital

Pingxiang, 337055, China

Location

Huadong Hospital Affiliated to Fudan University

Shanghai, 200000, China

Location

Shengjing Hospital of China Medical University

Shenyang, 110004, China

Location

Tianjin Medical University General Hospital

Tianjin, 300052, China

Location

Central Hospital of Wuhan

Wuhan, China

Location

Wuxi People's Hospital

Wuxi, 214023, China

Location

Jiangyin People's Hospital

Wuxi, 214400, China

Location

Xi'an International Medical Center Hospital

Xi'an, 710100, China

Location

Zhongshan Hospital Xiamen University

Xiamen, 361004, China

Location

Xinxiang First People's Hospital

Xinxiang, 453000, China

Location

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, China

Location

Yangzhou First People?s Hospital

Yangzhou, 225001, China

Location

The Fifth Affiliated Hospital Sun Yat-Sen University

Zhuhai, 519001, China

Location

Zigong First People's Hospital

Zigong, 643036, China

Location

Plicní ambulance MUDr. I. Cierná Peterová s.r.o.

Brandýs nad Labem-Stará Boleslav, 250 01, Czechia

Location

Fakultni nemocnice Hradec Kralove

Hradec Králové, 500 05, Czechia

Location

Odborna plicni ambulance Opava s.r.o

Opava, 746 01, Czechia

Location

Ordinace chorob plicních s.r.o.

Prague, 110 00, Czechia

Location

AES - DRS - Synexus Czech s.r.o.

Prague, 120 00, Czechia

Location

Nemocnice Tabor, a.s.

Tábor, 390 03, Czechia

Location

Plicni stredisko Teplice s.r.o.

Teplice, 415 01, Czechia

Location

Naestved Sygehus

Næstved, 4700, Denmark

Location

Sjaellands Universitetshospital, Roskilde

Roskilde, 4000, Denmark

Location

Sas Clinique De L Europe - Amiens

Amiens, 80090, France

Location

Hopital Calmette

Lille, 59000, France

Location

Groupe Hospitalier Cochin St Vincent de Paul La Roche Guyon

Paris, 75014, France

Location

Hopital Haut Leveque

Pessac, 33604, France

Location

Velocity Clinical Research Leipzig GmbH

Lübeck, Schleswig-Holstein, 23552, Germany

Location

Praxis fur Kardiologie und Pneumologie Dr. med. Karin Forster

Berlin, 10367, Germany

Location

Studienpraxis Berlin-Brandenburg, Berlin

Berlin, 12157, Germany

Location

AES - DRS - Synexus Berlin Research Centre

Berlin, 12627, Germany

Location

Lungenzentrum Darmstadt

Darmstadt, 64283, Germany

Location

Universitaetsklinikum Frankfurt

Frankfurt, 60596, Germany

Location

Praxisgem. Dres. Schmoller und Ehlers

Hamburg, 22299, Germany

Location

Pneumologicum

Hanover, 30173, Germany

Location

University Clinic Heidelberg

Heidelberg, 69120, Germany

Location

Lungenfachklinik Immenhausen

Immenhausen, 34376, Germany

Location

BAG Prof. Dr. G. Hoheisel Dr. A. Bonitz

Leipzig, 04299, Germany

Location

SMO.MD GmbH

Magdeburg, 39120, Germany

Location

Praxis Dr. med. Jan Feimer

München, 80539, Germany

Location

Institut fur klinische Forschung GmbH

Neu-Isenburg, 63263, Germany

Location

framol-med GmbH

Rheine, 48431, Germany

Location

Klinikum Rosenheim

Rosenheim, 83022, Germany

Location

Evangelismos General Hospital of Athens

Athens, 106 76, Greece

Location

Navy Hospital of Athens

Athens, 115 21, Greece

Location

University General Hospital of Heraklion

Heraklio, 711 10, Greece

Location

University General Hospital of Ioannina

Ioannina, 455 00, Greece

Location

Iatriko Palaiou Falirou

Palaió Fáliro, 175 62, Greece

Location

Georgios Papanikolaou General Hospital of Thessaloniki

Thessaloniki, 570 10, Greece

Location

Benyovszky Medical Center

Budapest, 1089, Hungary

Location

Omnimodus Elixír Kft.

Csorna, 9300, Hungary

Location

Paarthiv Lung Care Center

Hyderabad, Andhra Pradesh, 500018, India

Location

Yashoda Hospitals Hitec City

Hyderabad, Andhra Pradesh, 500084, India

Location

GMERS Medical College and Hospital, Sola

Ahmedabad, Gujarat, 380059, India

Location

ESIC Medical College and Hospital - Faridabad

Faridabad, Haryana, 121012, India

Location

Karnataka Medical College and Research Institute, Hubballi;Department of Medicine

Hubballi, Karnataka, 580021, India

Location

Shree Hospital And Critical Care Centre

Nagpur, Maharashtra, 044009, India

Location

Kothrud Hospital

Pune, Maharashtra, 411038, India

Location

Sawai Man Singh Hospital and Medical College

Jaipur, Rajasthan, 302004, India

Location

Maharaja Agrasen Super Speciality Hospital

Jaipur, Rajasthan, 302039, India

Location

Jawaharlal Nehru Medical College (JNMC)

Aligarh, Uttar Pradesh, 202002, India

Location

Apollo Spectra Hospital

Kanpur, Uttar Pradesh, 208001, India

Location

MV Hospital and Research Centre

Lucknow, Uttar Pradesh, 226003, India

Location

Soroka University Medical Centre

Beersheba, 8410101, Israel

Location

Rambam Medical Center - PPDS

Haifa, 3109601, Israel

Location

Lady Davis Carmel Medical Center

Haifa, 3436212, Israel

Location

Hadassah Medical Center

Jerusalem, 9112001, Israel

Location

Meir Medical Center

Kfar Saba, 4428164, Israel

Location

Presidio Ospedaliero Santa Maria della Speranza

Battipaglia, Campania, 84091, Italy

Location

Azienda Ospedaliera Dei Colli

Naples, Campania, 80131, Italy

Location

Azienda Ospedaliero-Universitaria di Ferrara - Arcispedale Sant' Anna

Ferrara, Emilia-Romagna, 44121, Italy

Location

Fondazione IRCCS Policlinico San Matteo di Pavia

Pavia, Lombardy, 27100, Italy

Location

Azienda Ospedaliero Universitaria Policlinico Vittorio Emanuele

Catania, Sicily, 95123, Italy

Location

Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone

Palermo, Sicily, 90127, Italy

Location

Makita Hospital

Sapporo, Hokkaido, 001-0901, Japan

Location

Miura Medical Clinic

Miura-shi, Kanagawa, 238-0111, Japan

Location

Kitasato University Hospital

Sagamihara-shi, Kanagawa, 252-0375, Japan

Location

Yokohama Front Clinic

Yokohama, Kanagawa, 221-0835, Japan

Location

Yokohama-Gumyouji Kokyuukinaika Naika Clinic

Yokohama, Kanagawa, 232-0066, Japan

Location

Matsusaka City Hospital

Matsusaka-Shi, Mie-ken, 515-8544, Japan

Location

University of the Ryukyus Hospital

Ginowan-shi, Okinawa, 901-2725, Japan

Location

Fujieda Municipal General Hospital

Fujieda-Shi, Shizuoka, 426-8677, Japan

Location

Yamaguchi University Hospital

Ube-shi, Yamaguchi, 755-8505, Japan

Location

Asahikawa Medical Center

Asahikawa-shi, 070-0901, Japan

Location

Fukuoka University Chikushi Hospital

Chikushino-shi, 818-8502, Japan

Location

National Hospital Organization Kyushu Medical Center

Chuo-ku, Fukuoka-shi, 810-8563, Japan

Location

Fukuwa Clinic

Chūōku, 104-0031, Japan

Location

Fukuoka University Hospital

Fukuoka, 814-0180, Japan

Location

Nishi Fukuoka Hospital

Fukuoka-Shi Nishi-Ku, 819-0055, Japan

Location

Terada Respiratory and Internal Clinic

Himeji, 670-0849, Japan

Location

Hiroshima Prefectural Hospital

Hiroshima, 734-8530, Japan

Location

Ishikawa Prefectural Central Hospital

Ishikawa, 920-8530, Japan

Location

National Hospital Organization Minami Kyoto Hospital

Jōyō, 610-0113, Japan

Location

Kagoshima Kouseiren Hospital

Kagoshima, 890-0062, Japan

Location

Kagoshima University Hospital

Kagoshima, 890-8520, Japan

Location

Yokohama City University Medical Center

Kanagawa, 232-0024, Japan

Location

Osaka-Minami Medical Center

Kawachinagano-Shi, 586-8521, Japan

Location

Kiryu Kosei General Hospital

Kiryū, 376-0024, Japan

Location

Kishiwada City Hospital

Kishiwada, 596-0822, Japan

Location

Hospital of the University of Occupational and Environmental Health,Japan

Kitakyushu-shi, 807-8556, Japan

Location

Juntendo Tokyo Koto Geriatric Medical Center

Kōtō City, 136-0075, Japan

Location

Saiseikai Kumamoto Hospital

Kumamoto, 861-4101, Japan

Location

Rakuwakai Otowa Hospital

Kyoto, 607-8062, Japan

Location

National Hospital Organization Kyoto Medical Center

Kyoto, 612-8555, Japan

Location

Machida Municipal Hospital

Machida-shi, 194-0023, Japan

Location

Dokkyo Medical University Hospital

Mibu-Machi, 321-0293, Japan

Location

Fukushima Medical University Hospital

Miyagi, 960-1295, Japan

Location

Nagoya Ekisaikai Hospital

Nagoya, 454-8502, Japan

Location

Kojunkai Social Medical Corporation Daido Clinic

Nagoya-shi Minami-ku, 457-8511, Japan

Location

National Hospital Organization Ibarakihigashi National Hospital

Naka-gun, 319-1113, Japan

Location

Niigata City General Hospital

Niigata, 950-11977, Japan

Location

National Hospital Organization Okayama Medical Center

Okayama, 701-1192, Japan

Location

Okayama Rosai Hospital

Okayama-Shi Minami-ku, 702-8055, Japan

Location

Omuta National Hospital

Omuta, 837-0911, Japan

Location

Izumi City General Hospital

Osaka, 594-0073, Japan

Location

Oita Medical Center

Ōita, 870-0263, Japan

Location

National Hospital Organization - Sagamihara National Hospital

Sagamihara-shi Minami-ku, 252-0392, Japan

Location

Sakaide City Hospital

Sakaidechō, 762-0043, Japan

Location

NHO Kinki-Chuo Chest Medical Center

Sakaishi, 591-8555, Japan

Location

Japan Community Health Care Organization Hokkaido Hospital

Sapporo, 062-8618, Japan

Location

Idaimae Minami 4-Jo Internal Medicine

Sapporo-shi Chuo-ku, 064-0804, Japan

Location

Shizuoka City Shizuoka Hospital

Shizuoka, 424-0911, Japan

Location

Iwata City Hospital

Shizuoka, 438?8550, Japan

Location

Kamei Internal Medicine and Respiratory Clinic

Takamatsu, 761-8073, Japan

Location

National Hospital Organization Takasaki General Medical Center

Takasaki, 370-0829, Japan

Location

Minami Wakayama Medical Center

Tanabe, 646-8558, Japan

Location

Tokyo-Eki Center-building Clinic

Tokyo, 103-0027, Japan

Location

Nihon University Itabashi Hospital

Tokyo, 173-8610, Japan

Location

Japanese Red Cross Medical Center

Tokyo, Japan

Location

Toyama Prefectural Central Hospital

Toyama, 930-8550, Japan

Location

Yamagata University Hospital

Yamagata, 990-9585, Japan

Location

Nagata Hospital

Yanagawa, 832-0059, Japan

Location

Showa University Fujigaoka Hospital

Yokohama-shi Aoba-ku, 227-8501, Japan

Location

Kanagawa Cardiovascular and Respiratory Center

Yokohama-shi Kanazawa-ku, 236-0051, Japan

Location

National Hospital Organization - Yokohama Medical Center

Yokohama-Shi Totsuka-Ku, 245-8575, Japan

Location

Sanyudo Hospital

Yonezawa, 992-0033, Japan

Location

KEMRI-MTWAPA Clinical Trial Site

Kilifi, Coast, 80108, Kenya

Location

Clinical Research Health Network (CREA-N)

Machakos, 90100, Kenya

Location

KEMRI CRDR Clinical Research Clinic Nairobi

Nairobi, 00100, Kenya

Location

University of Nairobi Clinical Research Centre

Nairobi, Kenya

Location

Center for Research In Tropical Medicine and community development

Thika, 01000, Kenya

Location

Daugavpils Regional Hospital

Daugavpils, LV-5417, Latvia

Location

Pauls Stradins Clinical University Hospital

R?ga, LV-1002, Latvia

Location

Riga 1st Hospital

Riga, LV-1001, Latvia

Location

ConsiliumMedicum

Riga, LV-1010, Latvia

Location

Postgraduate Medical Training Institute University of Latvia

Riga, LV-1011, Latvia

Location

Meander Medisch Centrum

Amersfoort, 3813 TZ, Netherlands

Location

Martini Ziekenhuis

Groningen, 9728 MG, Netherlands

Location

Zuyderland Medisch Centrum - Heerlen

Heerlen, 6419PC, Netherlands

Location

Greenlane Clinical Centre

Auckland, 1051, New Zealand

Location

Dunedin Hospital

Dunedin, 9016, New Zealand

Location

Waikato Hospital

Hamilton, 3248, New Zealand

Location

P3 Research - Kapiti - PPDS

Waikanae Beach, 05036, New Zealand

Location

Manila Central University-Filemon D Tanchoco Medical Foundation

Caloocan, 1442, Philippines

Location

CARE CT Group Inc.

Dasmariñas, 4114, Philippines

Location

Healthlink Medicalsurgicaldental Clinic and Diagnostic Center

Iloilo City, 5000, Philippines

Location

West Visayas State University Medical Center

Iloilo City, 5000, Philippines

Location

Mary Mediatrix Medical Center

Lipa City, 4217, Philippines

Location

Philippine Heart Center

Quezon City, 1100, Philippines

Location

Quirino Memorial Medical Center

Quezon City, 1109, Philippines

Location

CenterMed Sp. z o.o.

Tarnów, Lesser Poland Voivodeship, 33-100, Poland

Location

AppleTreeClinics Network Sp. z o.o.

Lodz, Lódzkie, 90-349, Poland

Location

Centrum Medycyny Oddechowej Mroz sp. j.

Bia?ystok, 15-044, Poland

Location

Vitamed Galaj i Cichomski sp.j.

Bydgoszcz, 85-079, Poland

Location

Medical Center Kermed

Bydgoszcz, 85-231, Poland

Location

Centrum Medyczne Lukamed Joanna Luka-Wendrowska

Chojnice, 89-600, Poland

Location

Synexus Polska Sp. z o.o. Oddzial w Gdyni

Gdynia, 81-537, Poland

Location

Centrum Medyczne CLW-med Aneta Cichomska , Joanna Luka -Wendrowska

Grudzadz, 86-300, Poland

Location

Prywatny Gabinet Pulmonologiczny Joanna Nowacka-Apiyo

Grudziądz, 86-300, Poland

Location

Centrum Medyczne Katowice - PRATIA - PPDS

Katowice, 40-081, Poland

Location

Prywatna Praktyka Lekarska Adam Smialowski

Ksawerów, 95-054, Poland

Location

AES - DRS - Synexus Polska Sp. Z o.o. Oddzial w Lodzi

Lodz, 90-127, Poland

Location

Clinical Best Solutions - Lublin

Lublin, 20-078, Poland

Location

NZOZ Przychodnia Alergologiczno-pulmonologiczna

Lublin, 20-089, Poland

Location

ABC-Pulmo NZOZ Agnieszka Dobielska, Jaroslaw Dobie

Radom, 26-600, Poland

Location

Centrum Medyczne KARDIOTEL

Sopot, 81-741, Poland

Location

Kiepury Clinic

Sosnowiec, 41-200, Poland

Location

Gabinet Pulmonologii i Diagnostyki Chorob Alergicznych Dorota Malosek

Szczecin, 70-111, Poland

Location

NZOZ Poradnia Chorob Pluc i Alergologii

Słupsk, 76-200, Poland

Location

Viltis Medica Specjalistyczna Praktyka Lekarska Lek. Med. Agata Kot

Trzebnica, 55-100, Poland

Location

AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Warszawie

Warsaw, 01-192, Poland

Location

Synexus Polska Sp. z o.o. Oddzial we Wroclawiu

Wroc?aw, 50-381, Poland

Location

Centrum Badan Klinicznych Piotr Napora Lekarze Spolka Partnerska

Wroc?aw, 51-162, Poland

Location

Lekarze Specjalisci J. Malolepszy i Partnerzy

Wroc?aw, 54-239, Poland

Location

Medical Center Clinhouse

Zabrze, 41-807, Poland

Location

Allianze Pulmonary Research LLC

Guaynabo, 00968, Puerto Rico

Location

Iatros International

Bloemfontein, Free State, 9301, South Africa

Location

Newtown Clinical Research Centre

City of Johannesburg, Gauteng, Hillbrow 2001, South Africa

Location

Johese Clinical Research

Centurion, 1692, South Africa

Location

Dr. Ismail Abdullah Private Practice

City of Cape Town, 7764, South Africa

Location

CLINRESCO, ARWYP Medical Suites

Kempton Park, 1619, South Africa

Location

AES - DRS - Synexus Watermeyer Clinical Research Centre

Pretoria, 0184, South Africa

Location

Medicross Pretoria West, Jongaie Research

Pretoria, 183, South Africa

Location

AES - DRS - Synexus - Helderberg Clinical Research Centre

Somerset West, 7130, South Africa

Location

Dr Yacoob AK Private Practice

Welkom, 9459, South Africa

Location

Soon Chun Hyang University Hospital Bucheon

Bucheon-si, 420-767, South Korea

Location

Yeungnam University Hospital

Daegu, 42415, South Korea

Location

CHA Bundang Medical Center

Gyeonggi-do, 13496, South Korea

Location

Kangbuk Samsung Hospital

Seoul, 03181, South Korea

Location

Asan Medical Center - PPDS

Seoul, 05505, South Korea

Location

Samsung Medical Center - PPDS

Seoul, 06351, South Korea

Location

Chung-Ang University Hospital

Seoul, 06973, South Korea

Location

The Catholic University of Korea, Seoul St. Mary's Hospital

Seoul, 137-701, South Korea

Location

Yonsei University Wonju Severance Christian Hospital

Wŏnju, 220-701, South Korea

Location

Hospital Universitario Son Espases

Palma de Mallorca, Balearic Islands, 07010, Spain

Location

Hospital El Bierzo

Ponferrada, LEON, 24411, Spain

Location

Hospital Universitario de Torrejon

Torrejón de Ardoz, Madrid, 28850, Spain

Location

Vithas Xanit International Hospital

Benalmádena Costa, Malaga, 29630, Spain

Location

Hospital Universitario La Paz - PPDS

Barcelona, 8041, Spain

Location

Hospital Universitario Virgen del Rocio

Seville, 41013, Spain

Location

Hospital Clinico Universitario de Valencia

Valencia, 46010, Spain

Location

Hospital de La Ribera

Valencia, 46600, Spain

Location

Clinical Trial Consultants - Linkoping

Uppsala, Uppsala County, 752 37, Sweden

Location

Sahlgrenska Universitetssjukhuset

Gothenburg, 413 45, Sweden

Location

Akardo AB

Stockholm, 117 27, Sweden

Location

Zurcher Reha Zentren Wald

Zurich, Switzerland

Location

Changhua Christian Hospital

Chang-hua, 500, Taiwan

Location

Kaohsiung Medical University Hospital

Kaoshiung City, 807, Taiwan

Location

Far East Memorial Hospital

New Taipei City, 220, Taiwan

Location

Taipei Medical University Hospital

Taipei, 11031, Taiwan

Location

Taipei Veterans General Hospital

Taipei, 11217, Taiwan

Location

Tri-Service General Hospital

Taipei, 11490, Taiwan

Location

Srinagarind Hospital, Khon Kaen University

Khon Kaen, 40002, Thailand

Location

Central Chest Institute of Thailand

Muang, 11000, Thailand

Location

Kirikkale Universitesi Tip Fakultesi Hastanesi

Kirikkale, 71100, Turkey (Türkiye)

Location

Rize Recep Tayyip Erdogan University Training and Research Hospital

Rize Merkez, 53020, Turkey (Türkiye)

Location

Cukurova Universitesi Tip Fakultesi Balcali Hastanesi

Sarıçam, 01250, Turkey (Türkiye)

Location

Castle Hill Hospital

Cottingham, Yorkshire, HU16 5JQ, United Kingdom

Location

AES - DRS - Synexus Scotland Clinical Research Centre

Bellshill, ML4 3NJ, United Kingdom

Location

AES - DRS - Synexus Midlands Clinical Research Centre

Birmingham, B15 2SQ, United Kingdom

Location

AES - DRS - Synexus Wales Clinical Research Centre

Cardiff, CF15 9SS, United Kingdom

Location

Royal Primary Care - Ashgate Manor

Chesterfield, S40 4AA, United Kingdom

Location

AES - DRS - NW Consortium Lancashire

Chorley, PR7 7NA, United Kingdom

Location

Royal Infirmary of Edinburgh

Edinburgh, EH16 4SA, United Kingdom

Location

AES - DRS - Synexus Hexham Clinical Research Centre

Hexham, NE46 1QJ, United Kingdom

Location

Royal Lancaster Infirmary

Lancaster, LA1 4RP, United Kingdom

Location

St James University Hospital

Leeds, LS9 7TF, United Kingdom

Location

AES - DRS - NW Consortium Merseyside

Liverpool, L32 2AN, United Kingdom

Location

Velocity Clinical Research North London - Percy Road - PPDS

London, N12 8BU, United Kingdom

Location

St Thomas' Hospital

London, SE1 7EH, United Kingdom

Location

Related Publications (2)

  • Papi A, Greening NJ, Bhatt SP, Roche N, Celli B, Wedzicha JA, Agusti A, Tal-Singer R, Han MK, Janssens W, Hanania NA, Nair P, Bremner P, Porpodis K, Shibata Y, Korn S, Yang T, Gordon O, Saenz R, Ng J, Cheung DS, Devine J, Grimbaldeston MA, Zhang W, Yang X, Mohan D, Vogelmeier CF, Brightling CE; ALIENTO and ARNASA investigators. Safety and efficacy of astegolimab for COPD with frequent exacerbations regardless of baseline blood eosinophil counts (ALIENTO and ARNASA): randomised, double-blind, placebo-controlled, phase 2b and 3 trials. Lancet. 2026 May 18:S0140-6736(26)00637-9. doi: 10.1016/S0140-6736(26)00637-9. Online ahead of print.

  • Wedzicha JA, Agusti A, Brightling CE, Calverley P, Chalmers JD, Greening NJ, Han MK, Mohan D, Ng J, Papi A, Roche N, Saenz R, Samara K, Tal-Singer R, Vogelmeier CF, Yang X, Celli BR. Astegolimab for COPD With Frequent Exacerbations: Pooled Analysis of the ALIENTO and ARNASA Trials. Am J Respir Crit Care Med. 2026 May 18:aamag226. doi: 10.1093/ajrccm/aamag226. Online ahead of print.

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Interventions

astegolimab

Condition Hierarchy (Ancestors)

Lung Diseases, ObstructiveLung DiseasesRespiratory Tract DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Clinical Trials

    Hoffmann-La Roche

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 24, 2022

First Posted

October 27, 2022

Study Start

December 29, 2022

Primary Completion

June 24, 2025

Study Completion (Estimated)

September 24, 2027

Last Updated

May 20, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will share

For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing

Locations