Clinical trial Recruiting at 310 sites Phase 3 Interventional Ages 40 to 80

Lunsekimig versus placebo for eosinophilic COPD

Official title: A Phase 2b/Phase 3, Randomized, Double-blind, Placebo-controlled, Multicenter Study, to Investigate the Efficacy and Safety of Lunsekimig in Adult Participants With Inadequately Controlled Chronic Obstructive Pulmonary Disease (COPD) Characterized by an Eosinophilic Phenotype

Run by Sanofi · NCT07190222 · Data updated 2026-11-12

This trial tests whether subcutaneous lunsekimig can help adults 40–80 with inadequately controlled COPD who have a high blood eosinophil count.

Quick facts

PhasePhase 3
Study typeInterventional
Ages40 Years to 80 Years
SexAll
Enrollment942 (estimated)
SponsorSanofi
Industry-sponsored
Locations314 sites (Birmingham, Alabama and 313 other locations)
StatusRecruiting
StartedSeptember 17, 2025
Main results expectedNovember 27, 2029
Study endsJanuary 22, 2030
Registry record updatedOctober 23, 2026
Trial IDNCT07190222 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 40–80 with physician-diagnosed COPD for ≥1 year, post-bronchodilator FEV1 20–70% predicted and FEV1/FVC <0.70, ≥2 moderate or ≥1 severe exacerbations in the prior year, on ICS+LABA+LAMA for ≥12 weeks, blood eosinophils ≥150 cells/μL, ≥10 pack-year smoking history, and BMI 18–40 kg/m2.

Probably not a fit

Patients with asthma or asthma–COPD overlap, other significant pulmonary diseases, long-term high-flow oxygen requirements, or a non-eosinophilic COPD profile are unlikely to benefit from this approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized, parallel Phase 2b/Phase 3, three-arm trial comparing subcutaneous lunsekimig with matching placebo during a 48-week treatment period followed by an ~8-week follow-up. Eligible participants undergo screening of up to 4 weeks, are randomized to receive study drug or placebo, and continue regular study visits for dosing and safety assessments over about 60 weeks total. The study enrolls adults with an eosinophilic COPD phenotype who remain symptomatic despite triple inhaled therapy, and it measures efficacy, safety, and tolerability outcomes. All participants receive subcutaneous administrations during the intervention period and are monitored for exacerbations, lung function, and adverse events.

Why it matters

Potential benefit: If successful, lunsekimig could reduce COPD exacerbations and improve symptom control for patients with an eosinophilic phenotype.

How similar studies have gone: Other biologics that target eosinophils in COPD have shown mixed results, with some trials reporting reduced exacerbations in eosinophilic subgroups but no consistent benefit across all studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Between 40 to 80 years of age
* Physician diagnosed chronic obstructive pulmonary disease (COPD) ≥1 year
* Post-bronchodilator forced expiratory volume in 1 second (post-BD FEV1) ≥ 20% and ≤ 70% of predicted value and FEV1/FVC (forced expiratory volume in 1 second /forced vital capacity) \<0.70
* Former or current smokers ≥10 pack-years
* Chronic Airways Assessment Test (CAAT) ≥10
* ≥2 moderate or ≥1 severe COPD exacerbations in the prior year
* Triple (ICS+LABA+LAMA) COPD therapy ≥12 consecutive weeks
* EOS (blood eosinophil count) ≥ 150 cells/μL
* 18.0 ≤ Body Mass Index ≤ 40.0 kg/m2

Exclusion Criteria:

Participants are excluded from the study if any of the following criteria apply:

* Asthma, including pediatric asthma, or asthma-COPD overlap syndrome (ACOS)
* Significant pulmonary disease other than COPD
* Long-term oxygen therapy \>4.0 L/min or requirement of \>2.0 L/min to maintain oxygen saturation \>88% at rest
* Unstable disorder that can impact participants safety or study outcomes
* Active or incompletely treated tuberculosis
* Current or past malignancies
* Concomitant therapies:

  * long-term macrolides or phosphodiesterase Type 3 (PDE-3) or PDE-4 inhibitors unless on stable therapy for \> 6 months
  * any biologic therapy or systemic immunosuppressant within 4 months or 5 half-lives prior to Screening

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Where it's running

  • University of Alabama at Birmingham- Site Number : 8400003
    Birmingham, Alabama, United States
    Recruiting
  • Pulmonary Associates - Mobile- Site Number : 8400151
    Mobile, Alabama, United States
    Recruiting
  • Tucson Clinical Research Institute- Site Number : 8400006
    Tucson, Arizona, United States
    Recruiting
  • Ark Clinical Research- Site Number : 8400113
    Long Beach, California, United States
    Recruiting
  • Inglewood Clinical- Site Number : 8400074
    Los Angeles, California, United States
    Recruiting
  • Alliance Clinical - West Hills- Site Number : 8400067
    Los Angeles, California, United States
    Recruiting
Show 44 more locations
  • California Medical Research Associates - Northridge- Site Number : 8400089
    Northridge, California, United States
    Recruiting
  • Alpine Clinical Research Center - Boulder - 47th Street- Site Number : 8400005
    Boulder, Colorado, United States
    Recruiting
  • Critical Care Pulmonary & Sleep Associates- Site Number : 8400081
    Lakewood, Colorado, United States
    Recruiting
  • Howard University Hospital- Site Number : 8400080
    Washington D.C., District of Columbia, United States
    Recruiting
  • Meris Clinical Research- Site Number : 8400153
    Brandon, Florida, United States
    Recruiting
  • Hillcrest Medical Research- Site Number : 8400082
    DeLand, Florida, United States
    Recruiting
  • Finlay Medical Research - Greenacres- Site Number : 8400107
    Greenacres City, Florida, United States
    Recruiting
  • Direct Helpers Research Center- Site Number : 8400057
    Hialeah, Florida, United States
    Recruiting
  • University of Florida - Jacksonville- Site Number : 8400126
    Jacksonville, Florida, United States
    Recruiting
  • Salud Clinical Services- Site Number : 8400109
    Lehigh Acres, Florida, United States
    Recruiting
  • Pulmonary Specialists of the Palm Beaches- Site Number : 8400017
    Loxahatchee Groves, Florida, United States
    Recruiting
  • Elite Clinical Research - Miami- Site Number : 8400167
    Miami, Florida, United States
    Recruiting
  • DL Research Solutions- Site Number : 8400140
    Miami, Florida, United States
    Recruiting
  • Phoenix Medical Research - Miami - 24th Street- Site Number : 8400027
    Miami, Florida, United States
    Recruiting
  • Professional Research Center- Site Number : 8400046
    Miami, Florida, United States
    Recruiting
  • Research Institute of South Florida- Site Number : 8400028
    Miami, Florida, United States
    Recruiting
  • Innovations Biotech- Site Number : 8400019
    Miami, Florida, United States
    Recruiting
  • Heuer M.D. Research- Site Number : 8400018
    Orlando, Florida, United States
    Recruiting
  • Florida Institute for Clinical Research- Site Number : 8400001
    Orlando, Florida, United States
    Recruiting
  • Avanza Medical Research Center- Site Number : 8400015
    Pensacola, Florida, United States
    Recruiting
  • Hull and Hull Medical Specialists- Site Number : 8400002
    Plantation, Florida, United States
    Recruiting
  • Windom Allergy, Asthma and Sinus Specialists- Site Number : 8400041
    Sarasota, Florida, United States
    Recruiting
  • Stat Care Pulmonary and Sleep- Site Number : 8400138
    St. Petersburg, Florida, United States
    Recruiting
  • Better Life Clinical Research- Site Number : 8400152
    Tampa, Florida, United States
    Recruiting
  • Vicis Clinical Research- Site Number : 8400158
    Tampa, Florida, United States
    Recruiting
  • Appalachian Clinical Research- Site Number : 8400060
    Adairsville, Georgia, United States
    Recruiting
  • Christie Clinic in Champaign on University- Site Number : 8400023
    Champaign, Illinois, United States
    Recruiting
  • Sneeze Wheeze & Itch Associates- Site Number : 8400020
    Normal, Illinois, United States
    Recruiting
  • Peoria Pulmonary Associates Ltd- Site Number : 8400095
    Peoria, Illinois, United States
    Recruiting
  • Asha Clinical Research - Munster- Site Number : 8400115
    Hammond, Indiana, United States
    Recruiting
  • Ochsner LSU Health Shreveport - Academic Medical Center- Site Number : 8400083
    Shreveport, Louisiana, United States
    Recruiting
  • Care Access - Shreveport - Youree Drive- Site Number : 8400007
    Shreveport, Louisiana, United States
    Recruiting
  • Johns Hopkins Bayview Medical Center- Site Number : 8400076
    Baltimore, Maryland, United States
    Recruiting
  • Lucida Clinical Trials- Site Number : 8400101
    New Bedford, Massachusetts, United States
    Recruiting
  • Vitalis Clinical Research Center- Site Number : 8400040
    Allen Park, Michigan, United States
    Recruiting
  • Bolt Clinical Research- Site Number : 8400086
    Brighton, Michigan, United States
    Recruiting
  • Henry Ford Hospital- Site Number : 8400058
    Detroit, Michigan, United States
    Recruiting
  • Pulmonary Research Institute of Southeast Michigan - Farmington Hills- Site Number : 8400161
    Farmington Hills, Michigan, United States
    Recruiting
  • Hannibal Regional Healthcare System- Site Number : 8400035
    Hannibal, Missouri, United States
    Recruiting
  • Washington University- Site Number : 8400144
    St Louis, Missouri, United States
    Recruiting
  • Excel Clinical Research - Las Vegas- Site Number : 8400070
    Las Vegas, Nevada, United States
    Recruiting
  • Bioluminux Clinical Research - Hamilton, New Jersey- Site Number : 8400037
    Hamilton, New Jersey, United States
    Recruiting
  • Rutgers Institute For Infectious & Inflammatory Diseases (I3d)- Site Number : 8400093
    Newark, New Jersey, United States
    Recruiting
  • Trinity Medical, WNY- Site Number : 8400157
    Buffalo, New York, United States
    Recruiting

+264 more sites. See ClinicalTrials.gov for the full list.

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.