New shot aims to tame COPD Flare-Ups in inflammatory subtype
NCT ID NCT06940154
First seen Jun 25, 2026 · Last updated Sep 17, 2026 · Updated 5 times
Summary
This Phase 2 trial tests whether rademikibart, an injected drug, can help adults with COPD who are having a sudden flare-up and have a specific type of inflammation (type 2). The study will compare the drug to a placebo in 160 participants, looking at whether it reduces treatment failure—like hospital readmission or needing more steroids—within 28 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- rademikibart (also called CBP-201), a drug given as a shot
- What this could lead to
- If it works, this could point toward a new add-on treatment to reduce hospital visits and treatment failure during COPD flare-ups.
- What could go wrong
- This is an early Phase 2 trial with only 160 people, so results may not apply to everyone. The drug is experimental and may not work better than placebo.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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159 people
The number who actually took part.
- Started
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Aug 2025
- Finished
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Aug 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 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. Exclusion Criteria: * 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. * Receipt of any marketed or any investigational biologic for COPD or other diseases within 16 weeks or 5 half-lives prior to randomization, whichever is longer. * Live, attenuated vaccinations within 4 weeks prior to randomization or planned live, attenuated vaccinations during the trial. * Treatment with systemic corticosteroids (ie, oral or by injection) and/or hospitalization for an exacerbation of COPD completed less than 4 weeks prior to randomization. The above inclusion and exclusion criteria are not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Acad. Chapidze Emergency Cardiology Center LLC
Tbilisi, 0159, Georgia
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Acad. G. Chapidze Emergency Cardiology Center
Tbilisi, 0159, Georgia
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Amicis Research Center
Valencia, California, 91355, United States
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Bendigo Health
Bendigo, Victoria, 3550, Australia
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CEMER - Centro Medico de Enfermedades Respiratorias
Florida, Buenos Aires, B1602, Argentina
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Campbelltown Hospital
Campbelltown, New South Wales, 2560, Australia
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Carilion Medical Center / Carilion Roanoke Memorial Hospital
Roanoke, Virginia, 24014, United States
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Caucasus Medical Center
Tbilisi, 0159, Georgia
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Centro Medico Ipam S.A
Rosario, Santa Fe Province, S2000, Argentina
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Centro de Diagnostivo y Rehabilitación S.A. - CEDIR
Santa Fe, S3000, Argentina
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Centro de Investigaciones Médicas Mar del Plata
Mar del Plata, Buenos Aires, B7600FYK, Argentina
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Clinical Hospital Center "Dragisa Misovic - Dedinje"
Belgrade, 11040, Serbia
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Clinical Research of Rock Hill
Rock Hill, South Carolina, 29732, United States
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Columbus Clinical Services, LLC
Miami, Florida, 33125, United States
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DCT- McAllen Primary Care Research, LLC dba Discovery Clinical Trials
McAllen, Texas, 78503, United States
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Duke Asthma, Allergy, and Airway Center
Durham, North Carolina, 27705, United States
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Guy's and St Thomas NHS Foundation Trust
London, SE1 7EH, United Kingdom
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Health Center Uzice
Užice, 31000, Serbia
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Health Synergy Clinical Research, LLC
West Palm Beach, Florida, 33407, United States
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Hospital Italiano de Buenos Aires
CABA, Buenos Aires, C1199, Argentina
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Hospital Universitario Austral
Pilar, Buenos Aires, 1629, Argentina
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Inquest Clinical Research
Baytown, Texas, 77521, United States
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Institute for Pulmonary Diseases and Tuberculosis Nis
Niš, 18108, Serbia
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Institute for Pulmonary Diseases of Vojvodina
Kamenitz, 21204, Serbia
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Institute for Respiratory Health
Nedlands, Western Australia, 6009, Australia
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Instituto Ave Pulmo-Fundacion Enfisema
Mar del Plata, Buenos Aires, 7600, Argentina
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Investigaciones en Patologias Respiratorias SRL
San Miguel de Tucumán, Tucumán Province, 4000, Argentina
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JSC "National Center for Lung Health"
Tbilisi, 0101, Georgia
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LLC "Israel-Georgian Medical Research Clinic Healthycore"
Tbilisi, 0112, Georgia
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LLC Diacor
Tbilisi, 0159, Georgia
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Leland Stanford Junior University, Stanford Hospital
Palo Alto, California, 94304, United States
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Medicines Evaluation Unit Ltd.
Wythenshawe, Greater Manchester, M23 9QZ, United Kingdom
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National Jewish Health
Denver, Colorado, 80206, United States
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Ochsner Medical Complex - The Grove
Baton Rouge, Louisiana, 70836, United States
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Pharmax Research of South Florida, Inc.
Miami, Florida, 33175, United States
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Pivotal Research Solutions
Stonecrest, Georgia, 30038, United States
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Premier Pulmonary Critical Care and Sleep Medicine
Denison, Texas, 75020, United States
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Primeway Clinical Research Group
Fayetteville, Georgia, 30214, United States
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Queen Elizabeth hospital Birmingham
Birmingham, B15 2GW, United Kingdom
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Salford Royal Hospital - Northern Care Alliance NHS Foundation Trust Barnes Clinical Research Facility
Salford, M6 8HD, United Kingdom
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St. Vincent's Hospital Sydney
Darlinghurst, New South Wales, 2010, Australia
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Stony Brook University Hospital
Stony Brook, New York, 11733, United States
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Sunshine Coast University Hospital
Birtinya, Queensland, 4575, Australia
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The Canberra Hospital
Garran, Australian Capital Territory, 2605, Australia
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The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210, United States
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University Clinical Center Kragujevac
Kragujevac, 34000, Serbia
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University Hospitals Birmingham NHS Foundation Trust Birmingham Heartlands Hospital
Birmingham, B9 5SS, United Kingdom
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University of Alabama at Birmingham Lung Health Center
Birmingham, Alabama, 35233, United States
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University of Iowa
Iowa City, Iowa, 52242, United States
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University of Kansas Medical Center
Kansas City, Kansas, 66160, United States
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Vermont Lung Center
Colchester, Vermont, 05446, United States
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Westmead Hospital
Westmead, New South Wales, 2145, Australia
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