About this trial
This research is being done to test if a drug called omalizumab can help people with Chronic Obstructive Pulmonary Disease (COPD) and allergies.
Each participant will be in the study for about 16 months, including 1-3 months of screening, 12 months of receiving the study drug at a clinic, and a follow-up call one month after your final clinic visit.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Able and willing to provide informed consent.
Age ≥ 40 years at screening.
Primary combustible tobacco cigarette exposure >10 pack-years.
Self-report of physician diagnosis of COPD and currently on dual or triple long-acting inhaled therapy (ICS/LABA/LAMA, ICS/LABA, LABA/LAMA).
Disqualifiers
Inability or unwillingness of a participant to give written informed consent or comply with study protocol.
Live in a location other than home (i.e., care facility)
Actively breastfeeding.
Current asthma diagnosis.
Trial design
Parallel
Treatments tested in this trial
Omalizumab (Xolair®)
DrugThe study drug (omalizumab or placebo) will be given as a subcutaneous injection, which means an injection into the fat layer just under the skin in your arm or leg. This is similar to an insulin injection and not as deep as a typical vaccine injection. After the injection, participants will be monitored for any side effects. The study team will determine the dose and how often the injection is given based on the participant's weight and blood test results. Injections will be either be given monthly, 12 doses, or twice per month, 24 doses. All injections will be given at the clinic.
Sodium Chloride (NaCl) 0.9 %
DrugThe study drug (omalizumab or placebo) will be given as a subcutaneous injection, which means an injection into the fat layer just under the skin in your arm or leg. This is similar to an insulin injection and not as deep as a typical vaccine injection. After the injection, participants will be monitored for any side effects. The study team will determine the dose and how often the injection is given based on the participant's weight and blood test results. Injections will be either be given monthly, 12 doses, or twice per month, 24 doses. All injections will be given at the clinic.
Treatment groups
Trial outcomes
Primary outcomes
Rate of COPD exacerbations
To determine the efficacy of omalizumab injection in reducing the annualized rate of moderate or severe exacerbations (primary outcome) over the course of 12 months among individuals with COPD having sensitization and exposure to any of a panel of common indoor aeroallergens.
Sponsors and contacts
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Johns Hopkins University
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborator
Genentech, Inc.
Collaborator
American Lung Association Asthma Clinical Research Centers
Collaborator
American Lung Association
Collaborator