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Dupilumab Shows Promise in Phase 3 NOTUS Trial for Moderate-to-Severe COPD

• Dupilumab significantly reduced moderate or severe acute exacerbations in COPD patients compared to placebo. • The trial demonstrated improvements in lung function, as measured by FEV1, with dupilumab treatment. • Dupilumab exhibited a favorable safety profile, aligning with previous studies, in COPD patients. • These findings suggest dupilumab could be a valuable therapeutic option for moderate-to-severe COPD.

Dupilumab has shown positive results in the Phase 3 NOTUS trial for patients with moderate-to-severe chronic obstructive pulmonary disease (COPD). The study, presented at a recent medical conference, evaluated the efficacy and safety of dupilumab in reducing exacerbations and improving lung function in this patient population.
The NOTUS trial was a randomized, double-blind, placebo-controlled study involving patients with moderate-to-severe COPD who were already receiving standard-of-care inhaled therapies. Participants were randomized to receive either dupilumab or placebo for a period of 52 weeks. The primary endpoint of the study was the annualized rate of moderate or severe COPD exacerbations.
Results from the trial indicated that dupilumab significantly reduced the rate of moderate or severe COPD exacerbations compared to placebo. In addition to the primary endpoint, dupilumab also demonstrated improvements in lung function, as measured by forced expiratory volume in one second (FEV1). The safety profile of dupilumab in the NOTUS trial was consistent with previous studies, with no new safety signals identified.
COPD is a progressive lung disease characterized by airflow limitation and respiratory symptoms. Exacerbations, or flare-ups, are a major cause of morbidity and mortality in COPD patients. Current treatments for COPD primarily focus on managing symptoms and preventing exacerbations, but there remains a significant unmet need for more effective therapies.
"The findings from the NOTUS trial are encouraging and suggest that dupilumab could be a valuable therapeutic option for patients with moderate-to-severe COPD," said a lead investigator of the study. "The reduction in exacerbation rate and improvement in lung function observed with dupilumab treatment could have a meaningful impact on the lives of these patients."
Further analyses of the NOTUS trial data are ongoing, and the full results will be submitted for publication in a peer-reviewed journal. These findings could potentially lead to a new treatment option for COPD patients who are not adequately controlled with existing therapies.
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[1]
S93 Phase 3 NOTUS trial: dupilumab efficacy and safety in patients with moderate-to-severe ...
thorax.bmj.com · Nov 5, 2024

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