Clinical trial Recruiting at 2 sites Phase 4 Interventional Ages 18 to 65

Testing CE1226 doses to slow lung disease in adults with alpha-1 antitrypsin deficiency

Official title: A Phase 4, Multicenter, Double-blind, Study to Investigate the Efficacy, Safety, and Tolerability of 3 Active Doses of Respreeza® / Zemaira® Weekly Intravenous Infusions Administered Over 3 Years as Longterm Maintenance Therapy in Adult Subjects With Emphysema Related to Alpha1 Antitrypsin Deficiency

Run by CSL Behring · NCT07326592 · Data updated 2026-11-12

This trial tests two active doses of CE1226 to see if they slow lung density decline in adults with AAT deficiency and emphysema over 3 years compared with the standard 60 mg/kg dose.

More Emphysema trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment270 (estimated)
SponsorCSL Behring
Industry-sponsored
Locations2 sites (Aalborg and 1 other locations)
StatusRecruiting
StartedSeptember 29, 2026
Main results expectedSeptember 15, 2033
Study endsSeptember 15, 2033
Registry record updatedOctober 16, 2026
Trial IDNCT07326592 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–65 with confirmed AAT deficiency–related emphysema (PiZZ, PiZ(null), or Pi(null/null)) and low AAT levels.

Probably not a fit

Patients with recent pulmonary exacerbations, prior gene therapy, or significant liver disease related to AAT may not benefit from this trial.

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 multicenter, parallel-group, double-blind, randomized Phase 4 trial evaluating two active CE1226 doses for their ability to reduce the rate of annual lung density loss in adults with AAT deficiency-related emphysema. Participants are randomized to receive either one of two active dose levels or a comparator dose, with blinding maintained for investigators and participants. The study follows participants for three years to assess changes in lung density by imaging, aiming to identify an optimal dosing strategy to slow disease progression. Eligible adults are 18–65 with PiZZ, PiZ(null), or Pi(null/null) genotypes and low serum AAT levels, without recent pulmonary exacerbations or prior AAT gene therapy.

Why it matters

Potential benefit: If successful, CE1226 could slow lung deterioration and potentially improve long-term lung function for people with AAT deficiency-related emphysema.

How similar studies have gone: Previous approaches in similar AATD-directed therapies have shown signals of impact on disease progression in some settings, but this exact CE1226 dosing strategy is novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age greater than or equal to (\>=) 18 and less than or equal to (\<=) 65 years at the time of providing written informed consent.
* Confirmed diagnosis of emphysema related to AATD with either the PiZZ, PiZ(null), or Pi(null/null) genotype with documented serum AAT levels less than (\<) 11 micrometer (μM) (or \< 50 mg/dL \[milligram/deciliter\]) at any time before the first administration of CE1226 on Day 1 (Baseline).

Exclusion Criteria:

* Participants should not have acute illness or pulmonary exacerbation within 6 weeks before the first administration of CE1226 on Day 1 (Baseline).
* Participants should not have previously received gene therapy for AATD at any point.
* Participants with liver disease secondary to AATD.

Where it's running

  • Aalborg Universitetshospital, Syd
    Aalborg, Denmark
    Recruiting
  • Sygehus Lillebælt, Vejle
    Vejle, Denmark
    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.