Could a simple vaccine slash COPD attacks?
NCT ID NCT07508644
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether a single dose of the RSV vaccine (Arexvy) can reduce moderate-to-severe COPD flare-ups in people who have frequent attacks. Researchers will enroll 320 high-risk patients aged 50+ and follow them for one year. Half will get the vaccine plus standard care, the other half standard care alone.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- RSV vaccine (Arexvy)
- What this could lead to
- If it works, this could reduce the number of serious COPD flare-ups by at least 20%, offering a new way to manage the disease.
- What could go wrong
- This is a Phase 4 trial, but it's open-label (no placebo), which can bias results. The 20% reduction target is modest, and the vaccine may not work for everyone.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 320 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2027
An estimate. Start dates often move.
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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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50 years and older
- 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: * Age 50 years or older * Spirometry evidence of airflow obstruction (post-bronchodilator FEV1/FVC \<0.70) * Current or former smoker who had accrued a ≥10 pack-year smoking history * Frequent COPD exacerbator, as defined by at least ≥2 moderate or ≥1 severe AECOPD in the 12 months prior to screening \[31,32\] * On dual LABD (LABA and LAMA) using the same inhaler/device for ≥8 weeks * Up-to-date influenza and pneumococcal vaccination received at least 1 month prior to screening Exclusion Criteria: * Coexisting significant pulmonary disease predominating the respiratory symptoms (e.g. asthma, bronchiectasis) * Life expectancy shorter than 1 year due to serious or unstable chronic illness (e.g. advanced lung cancer) * Refused to receive RSV vaccine (for the RSV group only) * Received RSV vaccine of any brand before * Immunocompromised or long-term steroid user (≥10mg/day prednisolone or equivalent for ≥2 weeks), which may affect the RSV vaccine efficacy * History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine * Pregnant or lactating (females not yet menopausal must have a negative pregnancy test before receiving the RSV vaccination) * Unable to provide informed consent
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Prince of Wales Hospital
Shatin, Hong Kong
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