NCT07076290

Brief Summary

The goal of this study is to determine the safety and tolerability of orally taken probiotic (R-3750) in patients with mild to moderate chronic obstructive pulmonary disease (COPD)

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
27

participants targeted

Target at P25-P50 for phase_1

Timeline
28mo left

Started Sep 2026

Typical duration for phase_1

Status
not yet 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

First Submitted

Initial submission to the registry

July 14, 2025

Completed
8 days until next milestone

First Posted

Study publicly available on registry

July 22, 2025

Completed
1.1 years until next milestone

Study Start

First participant enrolled

September 1, 2026

Expected
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2028

8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2028

Last Updated

January 29, 2026

Status Verified

January 1, 2026

Enrollment Period

1.7 years

First QC Date

July 14, 2025

Last Update Submit

January 27, 2026

Conditions

Keywords

COPD

Outcome Measures

Primary Outcomes (1)

  • To assess the treatment-related adverse events of R-3750

    To assess the number of participants with treatment-related adverse events after taking R-3750 (probiotics)

    12 weeks

Secondary Outcomes (1)

  • Clinical Response based on St. George's Respiratory Questionnaire (SGRQ)

    12 weeks

Study Arms (1)

Open Label R-3750

OTHER

Open Label Drug - R-3750

Drug: R-3750

Interventions

R-3750DRUG

R-3750 DP; Lactococcus lactis expressing Surface Layer Protein A (SlpA)

Open Label R-3750

Eligibility Criteria

Age40 Years - 82 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subjects with a clinically documented history of COPD for at least 1 year in accordance with the definition by the American Thoracic Society/European Respiratory Society.
  • Subjects must present with the following: a measured pre and post-salbutamol Forced expiratory volume in one second/ Forced vital capacity (FEV1/FVC) ratio of \<0.70 to confirm the diagnosis of COPD; a measured post-salbutamol FEV1\>20% and ≤80% of predicted normal values
  • Baseline mMRC dyspnea score 1 to 3
  • Post-bronchodilator FEV1 \> 50% predicted (GOLD COPD grade 1-2)
  • Smoking pack years ≥ 10 years
  • Age ≥ 40 years
  • Acceptable standard-of-care COPD maintenance therapy includes long-acting beta-agonists (LABAs), long-acting muscarinic antagonists (LAMAs), inhaled corticosteroids (ICS), or combinations thereof (e.g., dual LABA/LAMA, or triple LABA/LAMA/ICS therapy). The patient must have been on a stable dose and regimen for at least 4 weeks prior to screening with no changes anticipated during the study unless medically necessary.
  • A history of ≥ 1 exacerbations in the last 12 months
  • Be able to provide written consent; compliant with study procedures and study visits.

You may not qualify if:

  • Patients whose treatment is considered palliative (life expectancy \<12 months) Comorbid severe lung disease, such as bronchiectasis, pulmonary fibrosis
  • Current smoker or cessation within 3 months of screening, or current use of vaping device
  • Patients with pneumonia or COPD exacerbation or lower respiratory infections within the 4 weeks prior to study Day 1
  • Uncontrolled co-morbid conditions, such as diabetes mellitus, hypertension and heart failure \[e.g. New York Heart Association (NYHA) class III (e.g. less than ordinary activity causes fatigue, palpitation, or dyspnea), and class IV (e.g. Symptoms of heart failure at rest)\] that will affect the study.
  • Myocardial infarction, unstable angina or stroke within 12 months prior to screening
  • Diagnosis of malignancy within 5 years of study Day 1(except for excised localized carcinoma of skin not including malignant melanoma)
  • Clinically significant ECG changes, which in the opinion of investigator warrants further investigations
  • Evidence of alcohol, drug or solvent abuse.
  • Pregnant, breastfeeding, or lactating women. Women of child-bearing potential (i.e. not surgically sterilized or post- menopausal) must have a negative blood serum pregnancy test performed at the screening visit and must agree to use two methods of birth control (one of which must be a barrier method) for at least 3 months past the last day on the study.
  • Participation in an interventional clinical study within 3 months of study Day 1 or receipt of any investigational medicinal product within 3 months or 5 half- lives.
  • Lung volume reduction surgery or bronchoscopic lung volume reduction within the last 12 months.
  • Historical or current evidence of clinically significant neurological, psychiatric, renal, hepatic, immunological, endocrine (including uncontrolled diabetes or thyroid disease) or hematological abnormalities that are uncontrolled. Significant is defined as any disease that, in the opinion of the investigator, would put the safety of the subject at risk through participation, or which would affect the efficacy or safety analysis if the disease/condition exacerbated during the study.
  • Other conditions that could lead to elevated eosinophils such as Hypereosinophilic syndromes including Eosinophilic Granulomatosis with Polyangiitis, or Eosinophilic Esophagitis.
  • Cirrhosis or current unstable liver disease defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, or persistent jaundice. Stable noncirrhotic chronic liver disease (including Gilbert's syndrome, asymptomatic gallstones, and chronic stable hepatitis B or C -e.g., presence of hepatitis B surface antigen \[HbsAg\] or positive hepatitis C antibody test result) is acceptable if the participant otherwise meets entry criteria.
  • Active blood born infection (e.g. HIV, Hepatitis A, B or C)
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

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

Janet L Stephens, PhD

CONTACT

Christian F Freguia, PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Single Group Assignment
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 14, 2025

First Posted

July 22, 2025

Study Start (Estimated)

September 1, 2026

Primary Completion (Estimated)

April 30, 2028

Study Completion (Estimated)

December 31, 2028

Last Updated

January 29, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will not share