NCT07425210

Brief Summary

This clinical trial evaluates the long-term safety and efficacy of 0.75 mg HSK39004 Dry Powder Inhaler administered twice daily for 52 weeks in subjects aged 40 to 80 years with moderate-to-severe stable chronic obstructive pulmonary disease (COPD), including both newly enrolled and those who have completed prior participation in the HSK39004-201, HSK39004-T1-201, or HSK39004-T1-202 studies as a long-term extension.

Trial Health

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Trial Health Score

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

Enrollment
300

participants targeted

Target at P75+ for phase_2

Timeline
15mo left

Started Mar 2026

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress13%
Mar 2026Aug 2027

First Submitted

Initial submission to the registry

February 13, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 20, 2026

Completed
9 days until next milestone

Study Start

First participant enrolled

March 1, 2026

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2027

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2027

Last Updated

February 25, 2026

Status Verified

February 1, 2026

Enrollment Period

1.3 years

First QC Date

February 13, 2026

Last Update Submit

February 23, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Treatment-emergent adverse event (TEAE) incidence

    The incidence of treatment-emergent adverse events (TEAEs), assessed through vital signs, physical examinations, laboratory tests, 12-lead ECG parameters, and detailed adverse event monitoring.

    From week 1 to week 53

Study Arms (1)

HSK39004 Dry Powder Inhaler -0.75mg BID

EXPERIMENTAL

HSK39004 Dry Powder Inhaler: Inhale through the mouth, 0.75mg each time, twice a day

Drug: HSK39004 Dry Powder Inhaler -0.75mg BID

Interventions

HSK39004 Dry Powder Inhaler: Inhale through the mouth, 0.75mg each time, twice a day

HSK39004 Dry Powder Inhaler -0.75mg BID

Eligibility Criteria

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

You may qualify if:

  • Aged 40 to 80 years (inclusive) at the time of screening visit (Visit 1), male or female;
  • Subjects diagnosed with chronic obstructive pulmonary disease (COPD) in accordance with the GOLD 2026 diagnostic criteria prior to screening \[GOLD 2026 criteria: presence of chronic respiratory symptoms such as dyspnea, chronic cough or sputum production, and/or a history of risk factor exposure, and the pulmonary function test results show: the forced expiratory volume in one second (FEV1) after using bronchodilators / forced vital capacity (FVC) \<0.7\];
  • At screening visit (Visit 1):
  • Post-bronchodilator FEV1/FVC \< 0.7; and
  • Post-bronchodilator FEV1 ≥ 30% and \< 80% of predicted value;
  • Modified Medical Research Council (mMRC) dyspnea scale score ≥ 2 at screening;

You may not qualify if:

  • Subjects with unresolved lower respiratory tract infection occurring within 6 weeks prior to screening (Visit 1) and/or before enrollment;
  • Severe or uncontrolled cardiovascular disease or history, including but not limited to: New York Heart Association (NYHA) functional class III/IV at screening; acute myocardial infarction, unstable angina, or acute coronary syndrome within 6 months prior to screening; clinically significant arrhythmia requiring intervention or marked QTcF prolongation (male \>450 ms, female \>470 ms) within 3 months prior to screening; or unstable or uncontrolled hypertension (systolic blood pressure ≥160 mmHg or diastolic blood pressure ≥100 mmHg) at screening;
  • History of malignancy (except for carcinoma in situ, cutaneous squamous cell carcinoma, and basal cell carcinoma cured for more than 5 years), suspected malignancy, or undetermined neoplasm;
  • Concurrent severe, uncontrolled renal, neurological, endocrine, thyroid, urological, ophthalmic, immunological, psychiatric, gastrointestinal, hepatic, or hematological diseases/abnormalities that, in the investigator's judgment, may pose a safety risk to the subject or confound study outcome analysis;
  • Known hypersensitivity to HSK39004 inhalation powder, salbutamol, or any component of the drug delivery system;
  • Use of any protocol-prohibited medication prior to spirometry at screening (Visit 1);
  • History of lung lobectomy or lung volume reduction surgery within 12 months prior to screening;
  • Major surgery (requiring general anesthesia) within 6 weeks prior to screening with incomplete recovery, or planned surgery before study completion;
  • Subjects determined by the investigator to require oxygen therapy;
  • Clinically significant sleep apnea requiring continuous positive airway pressure (CPAP) or non-invasive positive pressure ventilation (NIPPV);

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Guizhou Provincial People's Hospital

Guiyang, Guizhou, 550002, China

Location

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

Daishun Liu, M.D.

CONTACT

Xianwei Ye, M.D.

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Masking Details
Masking Description
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Model Description
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 13, 2026

First Posted

February 20, 2026

Study Start

March 1, 2026

Primary Completion (Estimated)

July 1, 2027

Study Completion (Estimated)

August 1, 2027

Last Updated

February 25, 2026

Record last verified: 2026-02

Locations