NCT06940154

Brief Summary

This is a Phase 2, multicenter study in adult participants with an acute COPD exacerbation and type 2 inflammation

Trial Health

83
On Track

Trial Health Score

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

Enrollment
160

participants targeted

Target at P75+ for phase_2

Timeline
2mo left

Started Aug 2025

Shorter than P25 for phase_2

Geographic Reach
6 countries

51 active sites

Status
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 Progress83%
Aug 2025Jul 2026

First Submitted

Initial submission to the registry

April 3, 2025

Completed
20 days until next milestone

First Posted

Study publicly available on registry

April 23, 2025

Completed
4 months until next milestone

Study Start

First participant enrolled

August 12, 2025

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2026

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2026

Last Updated

April 27, 2026

Status Verified

April 1, 2026

Enrollment Period

10 months

First QC Date

April 3, 2025

Last Update Submit

April 23, 2026

Conditions

Keywords

COPDchronic obstructive pulmonary diseaserademikibartConnect BiopharmaCBP-201COPD exacerbationtype 2 inflammation

Outcome Measures

Primary Outcomes (1)

  • Treatment failure rate

    Treatment failure is defined as death due to any cause, (re)admission to a hospital for COPD, ED (re)visit or unscheduled medical visit for worsening of COPD symptoms, or the necessity to intensify pharmacologic treatment (including second course of systemic steroids for COPD exacerbation) within 28 days after randomization.

    28 days

Secondary Outcomes (7)

  • Rate of new moderate and severe COPD exacerbations over the 28 days after randomization

    28 days

  • Time to the first new moderate or severe COPD exacerbation in the 28 days after randomization

    28 days

  • Mean change from baseline (CFB) in EXACT-PRO score

    Week 1, Week 2, and Week 4

  • Absolute CFB in post-BD FEV1 at Day 3, Week 1, and Week 4

    Day 3, Week 1, and Week 4

  • Incidence of adverse events (AEs), including serious adverse events (SAEs), adverse event of special interest (AESIs), and drug-induced liver injury (DILI) reported

    56 days

  • +2 more secondary outcomes

Study Arms (2)

Rademikibart

EXPERIMENTAL
Combination Product: Rademikibart in prefilled syringe

Placebo

PLACEBO COMPARATOR
Drug: Matching placebo in prefilled syringe

Interventions

Participants receive 600 mg (4mL) of rademikibart administered subcutaneously.

Also known as: CBP-201
Rademikibart

Participants receive 4mL of placebo matched to rademikibart administered subcutaneously.

Placebo

Eligibility Criteria

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

You may qualify if:

  • Physician-diagnosed COPD with duration of ≥12 months.
  • Must have experienced at least 1 COPD exacerbation requiring the use of systemic corticosteroids.
  • Participants in a stable condition must have a documented historical peripheral blood eosinophil count of ≥250 cells/μL and/or FeNO ≥ 25 ppb.
  • Current or former smoker with a history of smoking of ≥10 pack-years.
  • Current acute COPD exacerbation requiring an urgent healthcare visit for treatment.
  • Peripheral blood eosinophil count of ≥300 cells/μL as part of the assessment of the index acute COPD exacerbation.
  • Requires systemic corticosteroids as standard of care treatment in the urgent healthcare setting for the current acute COPD exacerbation.

You may not qualify if:

  • Regular use of immunosuppressive medication 12 weeks or 5 half-lives prior to randomization, whichever is longer.
  • Current diagnosis or a history of asthma, according to the Global Initiative for Asthma; or participants with a current diagnosis or history of Asthma COPD Overlap Syndrome.
  • Other respiratory disorders that might compromise the safety of the participant or affect the interpretation of the results.
  • Unstable ischemic heart disease, cardiomyopathy, heart failure (New York Heart Association Class III or IV), uncontrolled hypertension. Cardiac arrhythmias including paroxysmal atrial fibrillation.
  • Transient ischemic attack or stroke \<6 months from Screening Visit; hospitalization for any cardiovascular or cerebrovascular event \<6 months from Screening Visit.
  • Known or suspected history of immunosuppression.
  • History of known immunodeficiency disorder or hepatitis B or C.
  • History of alcohol abuse and/or drug abuse.
  • Recent history of cancer except basal cell carcinoma or in situ carcinoma of the cervix treated with apparent success.
  • Chronic treatment with long-term oxygen therapy (LTOT) or nocturnal oxygen therapy required for \>15 hours a day.
  • Participants on long-term macrolide.
  • Current acute COPD exacerbation for which SoC was started \>48 hours prior to Screening.
  • A recent chest X-ray or computed tomography (CT) scan at Screening reveals evidence of clinically significant abnormalities not believed to be due to the presence of COPD, or a clinically significant pulmonary infection identified by chest X-ray (CT scan).
  • Female participant who is pregnant, lactating or breast-feeding, or has a positive urinary β-hCG test prior to randomization.
  • Receipt of any marketed nonbiologic drug that modulates type 2 cytokines 30 days or 5 half-lives prior to randomization, whichever is longer.
  • +3 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (51)

University of Alabama at Birmingham Lung Health Center

Birmingham, Alabama, 35233, United States

RECRUITING

Leland Stanford Junior University, Stanford Hospital

Palo Alto, California, 94304, United States

RECRUITING

Amicis Research Center

Valencia, California, 91355, United States

RECRUITING

National Jewish Health

Denver, Colorado, 80206, United States

RECRUITING

Synergy Healthcare

Bradenton, Florida, 34209, United States

WITHDRAWN

Columbus Clinical Services, LLC

Miami, Florida, 33125, United States

RECRUITING

Pharmax Research of South Florida, Inc.

Miami, Florida, 33175, United States

RECRUITING

Health Synergy Clinical Research, LLC

West Palm Beach, Florida, 33407, United States

RECRUITING

Primeway Clinical Research Group

Fayetteville, Georgia, 30214, United States

RECRUITING

Pivotal Research Solutions

Stonecrest, Georgia, 30038, United States

RECRUITING

University of Iowa

Iowa City, Iowa, 52242, United States

RECRUITING

University of Kansas Medical Center

Kansas City, Kansas, 66160, United States

RECRUITING

Ochsner Medical Complex - The Grove

Baton Rouge, Louisiana, 70836, United States

RECRUITING

Stony Brook University Hospital

Stony Brook, New York, 11733, United States

RECRUITING

Duke Asthma, Allergy, and Airway Center

Durham, North Carolina, 27705, United States

RECRUITING

The Ohio State University Wexner Medical Center

Columbus, Ohio, 43210, United States

RECRUITING

Clinical Research of Rock Hill

Rock Hill, South Carolina, 29732, United States

RECRUITING

Inquest Clinical Research

Baytown, Texas, 77521, United States

RECRUITING

Premier Pulmonary Critical Care and Sleep Medicine

Denison, Texas, 75020, United States

RECRUITING

DCT- McAllen Primary Care Research, LLC dba Discovery Clinical Trials

McAllen, Texas, 78503, United States

RECRUITING

Vermont Lung Center

Colchester, Vermont, 05446, United States

NOT YET RECRUITING

Carilion Medical Center / Carilion Roanoke Memorial Hospital

Roanoke, Virginia, 24014, United States

RECRUITING

Hospital Italiano de Buenos Aires

CABA, Buenos Aires, C1199, Argentina

RECRUITING

CEMER - Centro Medico de Enfermedades Respiratorias

Florida, Buenos Aires, B1602, Argentina

RECRUITING

Instituto Ave Pulmo-Fundacion Enfisema

Mar del Plata, Buenos Aires, 7600, Argentina

RECRUITING

Centro de Investigaciones Médicas Mar del Plata

Mar del Plata, Buenos Aires, B7600FYK, Argentina

RECRUITING

Hospital Universitario Austral

Pilar, Buenos Aires, 1629, Argentina

RECRUITING

Centro Medico Ipam S.A

Rosario, Santa Fe Province, S2000, Argentina

NOT YET RECRUITING

Investigaciones en Patologias Respiratorias SRL

San Miguel de Tucumán, Tucumán Province, 4000, Argentina

RECRUITING

Centro de Diagnostivo y Rehabilitación S.A. - CEDIR

Santa Fe, S3000, Argentina

RECRUITING

The Canberra Hospital

Garran, Australian Capital Territory, 2605, Australia

RECRUITING

St. Vincent's Hospital Sydney

Darlinghurst, New South Wales, 2010, Australia

RECRUITING

Westmead Hospital

Westmead, New South Wales, 2145, Australia

RECRUITING

Sunshine Coast University Hospital

Birtinya, Queensland, 4575, Australia

RECRUITING

Institute for Respiratory Health

Nedlands, Western Australia, 6009, Australia

RECRUITING

JSC "National Center for Lung Health"

Tbilisi, 0101, Georgia

RECRUITING

LLC "Israel-Georgian Medical Research Clinic Healthycore"

Tbilisi, 0112, Georgia

RECRUITING

Acad. Chapidze Emergency Cardiology Center LLC

Tbilisi, 0159, Georgia

RECRUITING

Acad. G. Chapidze Emergency Cardiology Center

Tbilisi, 0159, Georgia

RECRUITING

Caucasus Medical Center

Tbilisi, 0159, Georgia

RECRUITING

LLC Diacor

Tbilisi, 0159, Georgia

RECRUITING

Clinical Hospital Center "Dragisa Misovic - Dedinje"

Belgrade, 11040, Serbia

RECRUITING

Institute for Pulmonary Diseases of Vojvodina

Kamenitz, 21204, Serbia

RECRUITING

University Clinical Center Kragujevac

Kragujevac, 34000, Serbia

RECRUITING

Institute for Pulmonary Diseases and Tuberculosis Nis

Niš, 18108, Serbia

RECRUITING

Health Center Uzice

Užice, 31000, Serbia

RECRUITING

Medicines Evaluation Unit Ltd.

Wythenshawe, Greater Manchester, M23 9QZ, United Kingdom

RECRUITING

Queen Elizabeth hospital Birmingham

Birmingham, B15 2GW, United Kingdom

RECRUITING

University Hospitals Birmingham NHS Foundation Trust Birmingham Heartlands Hospital

Birmingham, B9 5SS, United Kingdom

RECRUITING

Guy's and St Thomas NHS Foundation Trust

London, SE1 7EH, United Kingdom

RECRUITING

Salford Royal Hospital - Northern Care Alliance NHS Foundation Trust Barnes Clinical Research Facility

Salford, M6 8HD, United Kingdom

RECRUITING

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 3, 2025

First Posted

April 23, 2025

Study Start

August 12, 2025

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

July 1, 2026

Last Updated

April 27, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share

Locations