Status:
COMPLETED
Mepolizumab for COPD Hospital Eosinophilic Admissions Pragmatic Trial
Lead Sponsor:
University of Leicester
Collaborating Sponsors:
GlaxoSmithKline
Conditions:
COPD
Eosinophilia
Eligibility:
All Genders
40+ years
Phase:
PHASE2
PHASE3
Brief Summary
This is a single-centre, double-blinded, randomised, placebo controlled trial comparing mepolizumab 100mg versus placebo in patients with eosinophilic COPD, started following their index admission to ...
Detailed Description
Patients admitted to hospital with an exacerbation of COPD are at high risk of readmission, of which a proportion are driven by eosinophilic inflammation. Whilst oral corticosteroids are beneficial in...
Eligibility Criteria
Inclusion
- Symptoms typical of COPD when stable (baseline eMRC dyspnoea grade 2 or more).
- A clinician defined exacerbation of COPD requiring admission to hospital.
- Serum eosinophil count of ≥ 300 cells/μL either at time of admission or at any one time in the preceding 12 months.
- Smoking pack years ≥10 years.
- Age ≥ 40 years.
- Established on inhaled corticosteroids (ICS) prior to this admission.
- Willing and able to consent to participate in trial.
- Able to understand written and spoken English.
Exclusion
- COPD patients without eosinophilia (defined as persistently \< 300 cells/μL within the last 12 months).
- Other conditions that may be the cause of eosinophilia (such as hypereosinophilic syndrome, eosinophilic granulomatosis, eosinophilic oesophagitis or parasitic infection).
- Patients whose treatment is considered palliative (life expectancy \< 6 months).
- Other respiratory conditions including active lung cancer, interstitial lung disease, primary pulmonary hypertension or any other conditions that in the view of the investigator will affect the trial.
- Known history of anaphylaxis or hypersensitivity to mepolizumab or any of the excipients (sucrose, sodium phosphate dibasic heptahydrate, polysorbate 80).
- Unstable or life-threatening cardiac disease including myocardial infarction or unstable angina in the last 6 months, unstable or life-threatening cardiac arrhythmia requiring intervention in the last 3 months and New York Heart Association (NYHA) Class IV heart failure.
- Decompensated liver disease or cirrhosis.
- Pregnant, breastfeeding, or lactating women. Women of child-bearing potential must agree to use appropriate methods of birth control and have a negative blood serum pregnancy test performed after randomisation but prior to first dosing with randomised treatment.\*
- Participation in an interventional clinical trial within 3 months of visit 1 or receipt of any investigational medicinal product within 3 months or 5 half-lives.
- Known blood born infection (e.g. HIV, hepatitis B or C).
- Women of child bearing potential (WOCBP) - A woman is defined as being of childbearing potential (WOCBP), i.e. fertile, following menarche and until becoming post-menopausal, unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. A postmenopausal state is defined as no menses for 12 months without an alternative medical cause.
Key Trial Info
Start Date :
September 7 2020
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
June 21 2024
Estimated Enrollment :
238 Patients enrolled
Trial Details
Trial ID
NCT04075331
Start Date
September 7 2020
End Date
June 21 2024
Last Update
July 1 2024
Active Locations (1)
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1
NIHR Biomedical Research Centre, Respiratory
Leicester, Leicestershire, United Kingdom, LE1 9QP