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A Clinical Study of TQC2731 Injection in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease

Phase 2
Recruiting
Conditions
Chronic Obstructive Pulmonary Disease
Interventions
Drug: TQC2731 injection
Drug: TQC2731 Placebo
Registration Number
NCT06707883
Lead Sponsor
Shanghai Chia Tai Tianqing Pharmaceutical Technology Development Co., Ltd.
Brief Summary

To evaluate the efficacy and safety of TQC2731 injection in patients with moderate to severe chronic obstructive pulmonary disease.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
258
Inclusion Criteria
  • Able and willing to provide written informed consent and comply with the study protocol;
  • Participant must be ≥40 to ≤80 years of age at the time of signing informed consent.
  • Participants with a physician diagnosis of Chronic Obstructive Pulmonary Disease(COPD) and a history of COPD ≥12 months with medical records or related records at the time of screening;
  • Post-bronchodilator FEV1/Forced vital capacity (FVC)<0.70 and post-bronchodilator FEV1 % predicted ≥20% and < 80% during screening.
  • Modified Medical Research Council (mMRC) Dyspnea Scale grade≥2 during screening.
  • Background triple therapy (ICS+long-acting beta-agonists (LABA)+LAMA) for at least 3 months with a stable dose for at least 1 month prior to randomization; Double therapy allowed if ICS is contraindicated.
  • With a history of acute exacerbation of ≥2 moderate or ≥1 severe within the previous 12 months prior to screening.
Exclusion Criteria
  • COPD with asthma;
  • Subjects with active pulmonary diseases other than COPD assessed by the investigator.
  • Moderate to severe Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) occurred within 4 weeks prior to screening or during screening;
  • History of lung transplantation;
  • Previous use of TQC2731.
  • Diagnosis of alpha-1 anti-trypsin deficiency;
  • History of lung volume reduction surgery or pneumonectomy within 6 months prior to randomization, or planned lung volume reduction surgery during the study period;
  • Positive hepatitis B surface antigen, or hepatitis C virus antibody, or syphilis antibody.
  • Diagnosis of immunodeficiency, including but not limited to HIV infection;
  • Infection requiring systemic therapy within 2 weeks prior to randomization.
  • Starting rehabilitation within 4 weeks prior to randomization, or planned rehabilitation during the study period;
  • Treatment with oxygen of more than 12 hours per day.
  • Heart failure New York Heart Association (NYHA) class III or IV during the screening period.
  • History of malignancy within 5 years prior to screening, excluding cervical carcinoma in situ, ductal carcinoma in situ, etc.
  • Pregnancy or breastfeeding.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TQC2731 injectionTQC2731 injectionTQC2731 injection, 28days as a treatment cycle.
TQC2731 PlaceboTQC2731 PlaceboTQC2731 Placebo, 28days as a treatment cycle.
Primary Outcome Measures
NameTimeMethod
Annual rate of acute COPD exacerbationBaseline to week 24

Annualized rate of moderate or severe COPD exacerbations over the 24-week treatment period compared to placebo

Secondary Outcome Measures
NameTimeMethod
Change in pre-bronchodilator forced expiratory volume (FEV1)Baseline to week 24

Change in pre-bronchodilator FEV1 from baseline to week 24 compared to placebo.

Annual rate of acute COPD exacerbationBaseline to week 52

Annualized rate of severe COPD exacerbations over the 52-week treatment period compared to placebo.

Improvement in St. George's Respiratory Questionnaire (SGRQ)Baseline to week 52

Proportion of patients with SGRQ improvement ≥4 points at Week 52

Change in SGRQBaseline to week 52

Change from baseline to Week 52 in SGRQ total score compared to placebo

Change in pre-bronchodilator FEV1Baseline to week 52

Change in pre-bronchodilator FEV1 from baseline to week 52 compared to placebo.

Change in post-bronchodilator FEV1Baseline to week 24 and 52

Change in post-bronchodilator FEV1 from baseline to week 24 and 52 compared to placebo.

Change in EXACTBaseline to week 52

Change from baseline to Week 52 in EXACT total score compared to placebo.

Adverse Events (AE) and Serious Adverse Events (SAE)Baseline to 64 weeks

The incidence and severity of AE and SAE, as well as abnormal laboratory examination index.

Anti-drug antibodies (ADA)Baseline through week 52

Incidence of ADA.

Immunoglobulin E (IgE)Baseline to 52 weeks

Changes in IgE levels in peripheral blood.

Fractional exhaled nitric oxide (FeNO)Baseline to 52 weeks

Changes in FeNO.

Trial Locations

Locations (60)

The First People's Hospital of Chuzhou

🇨🇳

Chuzhou, Anhui, China

The second hospital of ANHUI medical university

🇨🇳

Hefei, Anhui, China

Huainan Dongfang Hospital Group General Hospital

🇨🇳

Huainan, Anhui, China

Capital Medical University Beijing Chaoyang Hospital

🇨🇳

Beijing, Beijing, China

China-Japan Friendship Hospital

🇨🇳

Beijing, Beijing, China

The First Hospital of Lanzhou University

🇨🇳

Lanzhou, Gansu, China

Shunde Hospital Of Southern Medical University

🇨🇳

Foshan, Guangdong, China

The First Affiliated Hospital of Guangzhou Medical University

🇨🇳

Guangzhou, Guangdong, China

Jiangmen Central Hospital

🇨🇳

Jiangmen, Guangdong, China

Affiliated Qingyuan Hospital,Guangzhou Medical University,Qingyuan People's Hospital

🇨🇳

Qingyuan, Guangdong, China

Zhongshan City People's Hospital

🇨🇳

Zhongshan, Guangdong, China

Nanxishan Hospital of Guangxi Zhuang Autonomous

🇨🇳

Guilin, Guangxi, China

The First People' Hospital Of YuLin

🇨🇳

Yulin, Guangxi, China

Zunyi Medical University Affiliated Hospital

🇨🇳

Zunyi, Guizhou, China

Cangzhou Central Hospital

🇨🇳

Cangzhou, Hebei, China

The Second Hospital of Hebei Medical University

🇨🇳

Shijiazhuang, Hebei, China

Jiaozuo Second People's Hospital

🇨🇳

Jiaozuo, Henan, China

The First Affiliated Hospital of Henan University of Science & Technology

🇨🇳

Luoyang, Henan, China

Puyang Oilfield General Hospital

🇨🇳

Puyang, Henan, China

Henan Chest Hospital

🇨🇳

Zhengzhou, Henan, China

Jianghan University Affiliated Hospital (Wuhan Sixth Hospital)

🇨🇳

Wuhan, Hubei, China

Wuhan Central Hospital

🇨🇳

Wuhan, Hubei, China

Yichang Central People's Hospital

🇨🇳

Yichang, Hubei, China

Changsha First Hospital

🇨🇳

Changsha, Hunan, China

Xiangya Hospital of Central South University

🇨🇳

Changsha, Hunan, China

The Third Xiangya Hospital of Central South University

🇨🇳

Changsha, Hunan, China

Xiangtan County People's Hospital

🇨🇳

Xiangtan, Hunan, China

Xiangya Hospital Zhuzhou Central South University

🇨🇳

Zhuzhou, Hunan, China

Inner Mongolia Autonomous Region People's Hospital

🇨🇳

Hohhot, Inner Mongolia, China

The Affiliated Hospital of Inner Mongolia Medical University

🇨🇳

Hohhot, Inner Mongolia, China

Jiangyin Hospital of Traditional Chinese Medicine

🇨🇳

Jiangyin, Jiangsu, China

The Fifth People's Hospital of Wuxi

🇨🇳

Wuxi, Jiangsu, China

Yixing People'S Hospital

🇨🇳

Wuxi, Jiangsu, China

XuZhou Central Hospital

🇨🇳

Xuzhou, Jiangsu, China

Affiliated Hospital of Jiangsu University

🇨🇳

Zhenjiang, Jiangsu, China

Jiangxi Provincial People's Hospital

🇨🇳

Nanchang, Jiangxi, China

Xinyu People'S Hospital

🇨🇳

Xinyu, Jiangxi, China

The First Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

General Hospital of Anshan Iron and Steel Group Corporation

🇨🇳

Anshan, Liaoning, China

Benxi Central Hospital

🇨🇳

Benxi, Liaoning, China

Shengjing Hospital of China Medical University

🇨🇳

Shenyang, Liaoning, China

Heze Municipal Hospital

🇨🇳

Heze, Shandong, China

Linyi People's Hospital

🇨🇳

Linyi, Shandong, China

Qingdao Municipal Hospital

🇨🇳

Qingdao, Shandong, China

Weifang NO.2 People' Hospital

🇨🇳

Weifang, Shandong, China

Shanghai General Hospital

🇨🇳

Shanghai, Shanghai, China

Shanghai JiaoTong University of medicine Ruijin Hospital

🇨🇳

Shanghai, Shanghai, China

Shanghai Pulmonary Hospital

🇨🇳

Shanghai, Shanghai, China

Affiliated Hospital Of ChengDu University

🇨🇳

Chengdu, Sichuan, China

Guangyuan Central Hospital

🇨🇳

Guangyuan, Sichuan, China

Leshan People's Hospital

🇨🇳

Leshan, Sichuan, China

Meishan People's Hospital

🇨🇳

MeiShan, Sichuan, China

Suining Central Hospital

🇨🇳

Suining, Sichuan, China

General Hospital of Tianjin Medical University

🇨🇳

Tianjin, Tianjin, China

The Fourth Central Hospital of Tianjin

🇨🇳

Tianjin, Tianjin, China

The First Affiliated Hospital of Shihezi University

🇨🇳

Shihezi, Xinjiang, China

The First Affiliated Hospital of Xinjiang Medical University

🇨🇳

Ürümqi, Xinjiang, China

Jiaxing Second Hospital

🇨🇳

Jiaxing, Zhejiang, China

Taizhou Central Hospital Central Hospital

🇨🇳

Taizhou, Zhejiang, China

The 2th School of Medicine ,WMU/The 2th affiliated Hospital and Yuying Children's Hospital of WMU

🇨🇳

Wenzhou, Zhejiang, China

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