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Completed

NCT Number: NCT06280391

A Proof-of-Concept Study to Assess the Efficacy, Safety and Tolerability of Itepekimab (Anti-IL-33 mAb) in Participants With Non-cystic Fibrosis Bronchiectasis

ACT18018 is a multinational, randomized, double-blind, placebo-controlled, parallel-group, Phase 2 study with 3 treatment groups. The purpose of this study is to evaluate efficacy, safety and tolerability with 2 dosing regimens of itepekimab compared with placebo in male and/or female participants with NCFB aged 18 years of age up to 85 years of age (inclusive).

Study details include:

* The study duration (screening, 24-52-week treatment, 20-week safety follow-up) will be up to 47-77 weeks. * The treatment duration will be up to 24-52 weeks. * The follow-up duration will be 20 weeks. * Site/phone visits are at a monthly interval.

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Key information

Age range

18 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Investigational Site Number : 0320002, La Plata, Buenos Aires, Argentina

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participant must be 18 to 85 years of age inclusive.
  • Clinical history consistent with NCFB (cough, chronic sputum production and/or recurrent respiratory infections).
  • Participants with a FEV1 % predicted ≥30%.
  • Participants with at least 2 moderate or 1 severe Pulmonary exacerbations (PEs) in the past 12 months.

Exclusion criteria

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

  • Have bronchiectasis due to CF, hypogammaglobulinemia, common variable immunodeficiency, known active nontuberculous mycobacteria (NTM) lung infection, or pulmonary fibrosis.
  • Known or suspected immunodeficiency disorder.
  • Pulmonary exacerbation which has not resolved clinically during screening period.
  • Have significant haemoptysis.
  • Have any clinically significant abnormal laboratory values at Screening or diseases or disorders.
  • History of lung transplantation.
  • History of malignancy within 5 years before Screening, or during the screening period
  • Currently being treated with antimicrobial therapy for tuberculosis (TB).
  • Currently on active treatment for allergic bronchopulmonary aspergillosis (ABPA).
  • Participants with active autoimmune disease or participants using immunosuppressive therapy for autoimmune disease
  • Known allergy to itepekimab or to excipients
  • Live-attenuated vaccine(s) within 4 weeks prior to Screening or plans to receive such vaccines during the study
  • Unstable ischemic heart disease
  • Cardiomyopathy or other relevant cardiovascular disorder
  • Clinically significant new abnormal electrocardiogram (ECG) within 6 months prior to, or at Screening
  • History of human immunodeficiency virus (HIV) infection or positive HIV 1/2 serology at Screening.

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

Treatment and study plan

Itepekimab (SAR440340)

Drug

Pharmaceutical form: solution for injection in pre-filled syringe. Route of administration: subcutaneous

Other names: REGN3500

Placebo

Drug

Pharmaceutical form: solution for injection in pre-filled syringe. Route of administration: subcutaneous

Primary outcomes

  1. Annualized rate of moderate or severe Pulmonary exacerbations (PEs) over the treatment period

    Time frame: Baseline up to End of Treatment (EOT) (24-52 weeks)

    Annualized rate of moderate or severe PEs over the placebo-controlled treatment period

Secondary outcomes

  1. Time to first moderate or severe PE over the treatment period

    Time frame: Baseline up to End of Treatment (EOT) (24-52 weeks)

  2. Percentage of participants who are PE free over the treatment period

    Time frame: Baseline up to End of Treatment (EOT) (24-52 weeks)

  3. Annualized rate of severe PEs over the treatment period

    Time frame: Baseline up to End of Treatment (EOT) (24-52 weeks)

  4. Percentage of participants who are severe PE free over the treatment period

    Time frame: Baseline up to End of Treatment (EOT) (24-52 weeks)

  5. Time to first severe PE over the treatment period

    Time frame: Baseline up to End of Treatment (EOT) (24-52 weeks)

  6. Change From Baseline in FEV1 at Week 8 and Week 24

    Time frame: Week 8 and Week 24

    FEV1 is force expiratory volume in 1 second

  7. Number of days of new and/or added (in participants with maintenance antibiotic use) antibiotic use

    Time frame: Baseline up to End of Treatment (EOT) (24-52 weeks)

  8. Change from Baseline in QOL-B Respiratory Symptoms Domain Score in Adult Participants at Week 24

    Time frame: Week 24

    The Quality-Of-Life-Bronchiectasis (QOL-B) is a validated, self-administered patient reported outcome (PRO) that assesses symptoms, functioning and health-related QOL for subjects with NCFB.

  9. Change from baseline in SGRQ total score at Week 24

    Time frame: Week 24

    The St. George's Respiratory Questionnaire (SGRQ) is a 50-item questionnaire designed to measure and quantify health status in adult participants with chronic airflow limitation.

  10. Percentage of participants with a decrease from baseline of at least 4 points in SGRQ total score at Week 24

    Time frame: Week 24

    The St. George's Respiratory Questionnaire (SGRQ) is a 50-item questionnaire designed to measure and quantify health status in adult participants with chronic airflow limitation.

  11. Incidence of TEAEs, AESIs, SAEs, and AEs leading to permanent study treatment discontinuation in the treatment-emergent period

    Time frame: Baseline up to End of Study (EOS) (44 to 72 weeks)

  12. Serum concentrations of itepekimab from baseline to end of study

    Time frame: Baseline up to End of Study (EOS) (44 to 72 weeks)

  13. Incidence of treatment-emergent anti-itepekimab antibodies (ADA) responses throughout the study

    Time frame: Baseline up to End of Study (EOS) (44 to 72 weeks)

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Collaborators

  • Regeneron Pharmaceuticals

Registry information

Official study title

A Randomized, Double-blind, Placebo-controlled, Parallel-group, Proof-of-Concept (PoC) Study to Assess the Efficacy, Safety and Tolerability of Itepekimab, in Participants With Non-cystic Fibrosis Bronchiectasis

Important dates

Study start
2024
Primary completion
2025
Study completion
2026
First posted
Feb 28, 2024
Registry last updated
Feb 12, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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