Dupilumab added to standard COPD care after a flare-up
Official title: A Randomized, Double-Blind, Placebo-Controlled Study Comparing the Efficacy of Dupilumab Added on to Standard of Care (SOC) Treatment vs SOC Treatment Following Hospitalization for a COPD Exacerbation
Run by Regeneron Pharmaceuticals · NCT07587658 · Data updated 2026-11-12
This study tests whether adding dupilumab to usual COPD care after a severe flare requiring hospitalization can reduce the chance of another flare.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 40 Years and up |
| Sex | All |
| Enrollment | 754 (estimated) |
| Sponsor | Regeneron Pharmaceuticals Industry-sponsored |
| Drugs / interventions | dupilumab |
| Locations | 1 site (Mullica Hill, New Jersey) |
| Status | Recruiting |
| Started | October 6, 2026 |
| Main results expected | July 30, 2028 |
| Study ends | July 30, 2028 |
| Registry record updated | October 16, 2026 |
| Trial ID | NCT07587658 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with COPD who were hospitalized or treated in the ED for an acute exacerbation and have elevated blood eosinophil counts.
✕Probably not a fit
Patients without elevated eosinophils or with conditions requiring exclusion may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with COPD who were hospitalized or treated in the ED for a severe flare and have high eosinophil counts are randomized to receive dupilumab or placebo in addition to standard COPD care. The goal is to see if the study drug can lower the rate of recurrent exacerbations during about 90 days of treatment. The study compares dupilumab plus usual care against usual care alone and monitors safety alongside efficacy. Enrollment is at a site in Mullica Hill, New Jersey, sponsored by Regeneron with collaboration from Sanofi.
Why it matters
Potential benefit: If successful, adding dupilumab could reduce future COPD flare-ups after hospitalization.
How similar studies have gone: Previous trials in similar inflammatory COPD phenotypes have shown potential benefits with targeted biologics, but results vary by patient subgroup.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: 1. Has a clinical diagnosis of COPD prior to randomization, as defined in the protocol 2. Hospitalized or admitted to the ED \>24 hours (from time of first admission or presentation to the ED) for acute exacerbation of COPD as primary diagnosis according to the principal investigator and exacerbation is managed by Systemic Corticosteroids (SCS) ± antibiotics and other appropriate treatments as per SOC 3. Elevated blood eosinophil counts during the current exacerbation, as defined in the protocol. The exacerbation event starts from the day Systemic Corticosteroids (SCS) ± antibiotics are administered continuously up to the day they presented to ED/hospital Key Exclusion Criteria: 1. Clinical evidence of pneumonia as the primary cause of admission in the investigator's opinion or acquired during hospital stay 2. Complicating pulmonary conditions during the 8 weeks prior to randomization which may confound treatment assessments, as defined in the protocol 3. Clinically significant pulmonary diseases other than COPD which may impair lung function and interfere with treatment assessments 4. Participants with clinically significant α-1 anti-trypsin deficiency which may impair lung function and interfere with treatment assessments 5. Cardiac-related comorbidity, as defined in the protocol 6. Treatment with invasive mechanical ventilation in-hospital during the index event, as defined in the protocol 7. Any biologic therapy or biologic Investigational Medicinal Product (IMP) to treat type 2 inflammatory diseases within 6 months prior to the screening visit or 5 half-lives, whichever is longer, as defined in the protocol NOTE: Other Protocol-defined Inclusion/Exclusion Criteria Apply
Where it's running
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Inspira Medical Center Mullica Hill
Mullica Hill, New Jersey, United States Recruiting
Study contacts
- Study coordinator: Clinical Trials Administrator
- Email: clinicaltrials@regeneron.com
- Phone: 844-734-6643
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.