Lunsekimig versus placebo for inadequately controlled eosinophilic COPD
Official title: A Phase 2b/Phase 3, Randomized, Double-blind, Placebocontrolled, 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 · NCT07190209 · Data updated 2026-11-12
This study tests whether regular subcutaneous lunsekimig helps adults aged 40–80 with eosinophilic COPD that remains uncontrolled despite triple inhaled therapy.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 40 Years to 80 Years |
| Sex | All |
| Enrollment | 942 (estimated) |
| Sponsor | Sanofi Industry-sponsored |
| Locations | 314 sites (Chandler, Arizona and 313 other locations) |
| Status | Recruiting |
| Started | September 16, 2025 |
| Main results expected | November 27, 2029 |
| Study ends | January 22, 2030 |
| Registry record updated | October 19, 2026 |
| Trial ID | NCT07190209 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 40 to 80 years old with COPD for ≥1 year, a blood eosinophil count ≥150 cells/µL, persistent symptoms (CAAT ≥10), a history of recent exacerbations, former or current smokers (≥10 pack-years), and on stable triple inhaled therapy are the ideal candidates.
✕Probably not a fit
Patients with asthma or asthma-COPD overlap, other significant pulmonary disease, need for high-flow long-term oxygen, eosinophil counts below the entry threshold, or who are well controlled on current therapy are unlikely to benefit from this intervention.
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 3-arm Phase 2b/3 trial comparing subcutaneous lunsekimig to matching placebo over a 48-week treatment period with an additional screening and 8-week follow-up for a total study time up to about 60 weeks. Eligible participants have physician-diagnosed COPD for at least one year, a blood eosinophil count ≥150 cells/µL, persistent symptoms and recent exacerbations despite ICS+LABA+LAMA therapy, and meet standard spirometric criteria. Participants receive scheduled subcutaneous doses of lunsekimig or placebo and are monitored for exacerbations, lung function, symptoms, safety, and tolerability throughout the treatment period. The trial collects safety and efficacy data to determine whether lunsekimig provides clinical benefit in this eosinophilic COPD subgroup.
Why it matters
Potential benefit: If successful, lunsekimig could reduce COPD exacerbations and improve symptoms and lung function for patients with an eosinophilic phenotype.
How similar studies have gone: Other eosinophil-targeting biologics in COPD have shown modest reductions in exacerbations in selected eosinophilic subgroups, but results across trials have been mixed.
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
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Chandler Clinical Research Trials- Site Number : 8400025
Chandler, Arizona, United States Recruiting -
Pulmonary Associates - Phoenix - East Bell Road- Site Number : 8400114
Phoenix, Arizona, United States Recruiting -
Epic Medical Research - Surprise- Site Number : 8400096
Surprise, Arizona, United States Recruiting -
IMAX Clinical Trials- Site Number : 8400109
La Palma, California, United States Recruiting -
Long Beach Research Institute- Site Number : 8400027
Long Beach, California, United States Recruiting -
Downtown L.A. Research Center- Site Number : 8400009
Los Angeles, California, United States Recruiting
Show 44 more locations
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Newport Native MD- Site Number : 8400003
Newport Beach, California, United States Recruiting -
Paradigm Research - Redding- Site Number : 8400108
Redding, California, United States Recruiting -
Amicis Research Center - Valencia- Site Number : 8400119
Valencia, California, United States Recruiting -
Helix Biomedics- Site Number : 8400065
Boynton Beach, Florida, United States Recruiting -
Beautiful Minds Clinical Research Center- Site Number : 8400017
Cutler Bay, Florida, United States Recruiting -
Eastern Medical Group Research- Site Number : 8400020
Fort Myers, Florida, United States Recruiting -
University of Miami Dermatology Clinical Trials Unit- Site Number : 8400078
Miami, Florida, United States Recruiting -
MCR Research- Site Number : 8400004
Miami, Florida, United States Recruiting -
Nuren Medical & Research Center- Site Number : 8400030
Miami, Florida, United States Recruiting -
My Community Research Center- Site Number : 8400164
Miami, Florida, United States Recruiting -
Reed Medical Research Corp- Site Number : 8400167
Miami, Florida, United States Recruiting -
Deluxe Health Center- Site Number : 8400010
Miami Lakes, Florida, United States Recruiting -
Omega Research Consultants - Orlando - Forest City- Site Number : 8400015
Orlando, Florida, United States Recruiting -
Pharmakon Medical Research- Site Number : 8400156
Palm Beach Gardens, Florida, United States Recruiting -
Broward Research Center - Pembroke Pines- Site Number : 8400053
Pembroke Pines, Florida, United States Recruiting -
Clinical Research Trials of Florida- Site Number : 8400011
Tampa, Florida, United States Recruiting -
Deluxe Health Center-Tampa- Site Number : 8400056
Tampa, Florida, United States Recruiting -
Private Practice - Dr. David Kavtaradze- Site Number : 8400006
Cordele, Georgia, United States Recruiting -
Primeway Clinical Research- Site Number : 8400121
Fayetteville, Georgia, United States Recruiting -
University of Illinois-Chicago - College of Medicine- Site Number : 8400055
Chicago, Illinois, United States Recruiting -
Avicenna Clinical Research- Site Number : 8400126
Chicago Ridge, Illinois, United States Recruiting -
NorthShore Medical Group - Evanston ( Endeavor Health)- Site Number : 8400073
Evanston, Illinois, United States Recruiting -
Indy Clinical Research- Site Number : 8400071
Indianapolis, Indiana, United States Recruiting -
University of Kansas Medical Center- Site Number : 8400054
Kansas City, Kansas, United States Recruiting -
Southern Clinical Research - Zachary- Site Number : 8400113
Zachary, Louisiana, United States Recruiting -
Brigham & Women's Hospital- Site Number : 8400148
Boston, Massachusetts, United States Recruiting -
University of Michigan Health System - Ann Arbor- Site Number : 8400090
Ann Arbor, Michigan, United States Recruiting -
Veritas Clinical Research- Site Number : 8400007
Madison Heights, Michigan, United States Recruiting -
Mayo Clinic in Rochester - Minnesota- Site Number : 8400005
Rochester, Minnesota, United States Recruiting -
Henderson Clinical Trials- Site Number : 8400026
Henderson, Nevada, United States Recruiting -
Sanmora Bespoke Clinical Research Solutions- Site Number : 8400144
East Orange, New Jersey, United States Recruiting -
New York Hospital Queens- Site Number : 8400058
Flushing, New York, United States Recruiting -
Duke Asthma, Allergy and Airway Center- Site Number : 8400047
Durham, North Carolina, United States Recruiting -
Advanced Respiratory and Sleep Medicine - Hickory- Site Number : 8400013
Hickory, North Carolina, United States Recruiting -
Science 37, Llc- Site Number : 8400154
Morrisville, North Carolina, United States Recruiting -
Atrium Health Wake Forest Baptist Pulmonary, Sleep And Allergy- Site Number : 8400048
Winston-Salem, North Carolina, United States Recruiting -
Plains Clinical Research Center- Site Number : 8400140
Fargo, North Dakota, United States Recruiting -
Dayton Clinical Research- Site Number : 8400124
Dayton, Ohio, United States Recruiting -
Epic Medical Research - Chickasha- Site Number : 8400097
Chickasha, Oklahoma, United States Recruiting -
Oregon Health & Science University (OHSU)- Site Number : 8400155
Portland, Oregon, United States Recruiting -
Temple University Hospital- Site Number : 8400059
Philadelphia, Pennsylvania, United States Recruiting -
Preferred Primary Care Physicians - Pleasant Hills- Site Number : 8400092
Pittsburgh, Pennsylvania, United States Recruiting -
AnMed Oglesby Center- Site Number : 8400074
Anderson, South Carolina, United States Recruiting -
MD First Research - Lancaster- Site Number : 8400102
Lancaster, South Carolina, United States Recruiting
+264 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Trial Transparency email recommended (Toll free for US & Canada)
- Email: contact-us@sanofi.com
- Phone: 800-633-1610
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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.