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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 40 Years to 80 Years |
| Sex | All |
| Enrollment | 2136 (estimated) |
| Sponsor | Merck Sharp & Dohme LLC Industry-sponsored |
| Drugs / interventions | dupilumab, mepolizumab, tozorakimab |
| Locations | 7 sites (Hialeah Gardens, Florida and 6 other locations) |
| Status | Recruiting |
| Started | November 2, 2026 |
| Main results expected | April 29, 2029 |
| Study ends | April 29, 2029 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07874815 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
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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
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Victoria Clinical Research Group ( Site 4430)
Victoria, Texas, United States Recruiting
Study contacts
- Study coordinator: Toll Free Number
- Email: Trialsites@msd.com
- Phone: 1-888-577-8839
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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.