Clinical trial Recruiting at 7 sites Phase 3 Interventional Ages 40 to 80

Ensa?fentrine to help prevent COPD flare-ups in adults on standard care

Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Ensifentrine (MK-5884) Versus Placebo for the Prevention of COPD Exacerbations in Adults With a History of Moderate or Severe Exacerbations While Receiving Standard of Care (ENHANCE-3)

Run by Merck Sharp & Dohme LLC · NCT07874815 · Data updated 2026-11-12

This study tests whether ensifentrine (MK-5884) can help prevent moderate or severe COPD exacerbations compared with placebo in adults already receiving standard COPD treatment.

More Pulmonary Disease, Chronic Obstructive trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages40 Years to 80 Years
SexAll
Enrollment2136 (estimated)
SponsorMerck Sharp & Dohme LLC
Industry-sponsored
Drugs / interventionsdupilumab, mepolizumab, tozorakimab
Locations7 sites (Hialeah Gardens, Florida and 6 other locations)
StatusRecruiting
StartedNovember 2, 2026
Main results expectedApril 29, 2029
Study endsApril 29, 2029
Registry record updatedNovember 6, 2026
Trial IDNCT07874815 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with COPD and a history of at least one moderate or severe exacerbation in the past year, on a stable SOC regimen for at least 2 months, and with a smoking history of ≥10 pack-years.

Probably not a fit

Patients whose COPD exacerbations are not driven by airway inflammation responsive to ensifentrine, or those with incompatible SOC regimens, 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

This Phase 3 trial compares ensifentrine (MK-5884) to placebo when added to patients' usual COPD therapy. Eligible adults have COPD with a history of exacerbations and are on stable SOC including LAMA/LABA/ICS or LAMA/LABA. The study will evaluate whether ensifentrine reduces exacerbations, and may also look at lung function and health-related quality of life. Primary focus is safety and efficacy in preventing moderate to severe COPD flare-ups while maintaining standard care. Participants will continue their SOC throughout the trial at compatible sites in Florida and Indiana.

Why it matters

Potential benefit: If successful, ensifentrine could reduce the number of COPD flare-ups and improve lung function and quality of life beyond standard treatment.

How similar studies have gone: Previous approaches targeting COPD exacerbations have shown potential benefits in subgroup analyses, but this exact combination with ensifentrine is being tested in a Phase 3 trial.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Inclusion Criteria include but are not limited to:

* Has a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) that was made ≥12 months prior to randomization
* Has been on the stable treatment with the same standard of care (SOC) with long-acting muscarinic antagonist (LAMA)/long-acting beta-2 agonist (LABA)/inhaled corticosteroid (ICS) or LAMA/LABA (if ICS is not appropriate), for at least 2 months prior to Screening
* Has a documented history of ≥1 moderate or severe COPD exacerbation while on standard of care (SOC) within 1 year of Screening
* Is a current or former cigarette smoker with a history of cigarette smoking ≥10 packyears at Screening (number of pack-years = \[number of cigarettes per day/20\] × number of years smoked \[e.g., 20 cigarettes per day for 10 years, or 10 cigarettes per day for 20 years\]). Pipe, cigar, and/or e-cigarette/vape use cannot be used to calculate pack-year history.
* Has post-bronchodilator forced expiratory volume 1 (FEV1) ≥25% and \<70% of Predicted Normal Value

Exclusion Criteria:

Exclusion criteria include but are not limited to:

* Has a history of intubation for respiratory failure within 1 year of Screening
* Is receiving long-term oxygen therapy defined as \>15 hours per day
* Uses chronic bilevel positive airway pressure for treatment of respiratory condition unless for treatment of sleep apnea at a stable pressure for at least 3 months
* Is currently using or has used a biologic therapy (e.g., dupilumab, mepolizumab, or tozorakimab) within 6 months prior to Screening Visit
* Has history of or current malignancy of any organ system, treated or untreated within the past 5 years, except for localized basal or squamous cell carcinoma of the skin.

Where it's running

  • Family First Medical Research Center ( Site 4458)
    Hialeah Gardens, Florida, United States
    Recruiting
  • Advanced Pulmonary Research Institute ( Site 4427)
    Loxahatchee Groves, Florida, United States
    Recruiting
  • Velocity Clinical Research ( Site 4464)
    Valparaiso, Indiana, United States
    Recruiting
  • CHEAR Center LLC ( Site 4407)
    The Bronx, New York, United States
    Recruiting
  • Lowcountry Lung & Critical Care, PA ( Site 4413)
    Charleston, South Carolina, United States
    Recruiting
  • M3 Wake Research, Inc. ( Site 4440)
    Chattanooga, Tennessee, United States
    Recruiting
Show 1 more location
  • Victoria Clinical Research Group ( Site 4430)
    Victoria, Texas, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.