COPD Clinical Trials

288 recruiting

Understanding COPD Clinical Trials

Triple therapy inhalers combining an inhaled corticosteroid, a long-acting muscarinic antagonist, and a long-acting beta-agonist — such as fluticasone furoate/umeclidinium/vilanterol (Trelegy Ellipta), validated through clinical trials including the landmark IMPACT study — demonstrated significant reductions in COPD exacerbations and, notably, a reduction in all-cause mortality compared to dual therapy. More recently, dupilumab (Dupixent) made headlines in 2023 when clinical trial results showed it reduced exacerbations by 30% in patients with COPD and elevated eosinophil counts, marking the first biologic therapy to show benefit in this disease. COPD affects over 380 million people worldwide, and clinical trials are the pathway to addressing the enormous unmet needs that remain in treatment, prevention, and disease modification.

Why Consider a Clinical Trial?

COPD is a progressive lung disease where current treatments — primarily inhaler-based medications — can reduce symptoms and exacerbations but cannot reverse the underlying lung damage or halt disease progression in most patients. Over time, many patients find that even optimal inhaler therapy does not adequately control breathlessness, exacerbations, or the decline in lung function. Clinical trials offer access to therapies pursuing goals that current treatments cannot achieve, including reducing the rate of lung function decline, treating the inflammatory component of COPD with biologic therapies, and regenerating damaged lung tissue. COPD is also increasingly recognized as a heterogeneous disease rather than a single condition. Just as asthma was subdivided into endotypes that respond to different treatments, COPD is being classified by inflammatory profiles — eosinophilic COPD, neutrophilic COPD, and overlap phenotypes — each potentially requiring different therapeutic approaches. Clinical trials are at the forefront of this precision medicine approach to COPD, and participating in a trial may give you access to treatments specifically matched to your disease biology in ways that standard care does not yet routinely offer.

Frequently Asked Questions

Common questions about COPD clinical trials

Yes. Many COPD trials accept patients on supplemental oxygen, though eligibility may depend on the amount of oxygen you require and your overall functional status. Some trials specifically enroll patients with severe COPD who use oxygen. Your oxygen requirements will be factored into the safety monitoring plan.

Requirements vary by trial. Some trials require that you have quit smoking for a defined period (often at least six months), while others accept current smokers. Smoking status can affect drug metabolism and study outcomes, so it is typically documented carefully. Some trials also include smoking cessation support as part of the study.

COPD and asthma trials differ in the patient populations enrolled, endpoints measured, and treatments studied. COPD trials focus on preventing exacerbations and slowing lung function decline in patients with irreversible airflow obstruction, while asthma trials focus on reversible airway obstruction and inflammation control. Some patients have features of both diseases and may qualify for asthma-COPD overlap trials.

Yes. Emphysema-specific trials include bronchoscopic lung volume reduction procedures using valves or coils, trials studying alpha-1 antitrypsin augmentation therapy, and emerging regenerative approaches. CT scan imaging is typically required during screening to characterize the type and distribution of emphysema for these trials.

COPD trials often run longer than trials for some other conditions because exacerbation reduction and lung function decline need to be measured over time. Treatment phases commonly last 24 to 52 weeks, with some extending to two years. Follow-up assessments may continue beyond the active treatment period.

Showing 120 of 288 trials

Recruiting

Predicting Adverse Outcomes Using Machine Learning of COPD Patients in Hong Kong

COPD Exacerbation
Chinese University of Hong Kong100,000 enrolled1 locationNCT05825014
Recruiting

IMPACT COPD Cohort (China)

Chronic Obstructive Pulmonary Disease (COPD)Multimorbidities
Beijing Chao Yang Hospital10,000 enrolled4 locationsNCT07382986
Recruiting
Phase 4

Post-marketing Phase 4 Safety & Tolerability Study of Breztri aerosphereTM in Indian Patients With Chronic Obstructive Pulmonary Disease

Moderate to Severe COPD
AstraZeneca150 enrolled1 locationNCT06531798
Recruiting
Phase 4

Comparing Hydrocortisone and Prednisolone for Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD)

Chronic Obstructive Pulmonary Disease (COPD)
Copenhagen Respiratory Research2,000 enrolled14 locationsNCT06892210
Recruiting
Not Applicable

Home Hospital for Suddenly Ill Adults

Heart FailureAsthmaChronic Kidney Diseases+6 more
Brigham and Women's Hospital3,000 enrolled2 locationsNCT03524222
Recruiting
Phase 2

A Study to Investigate the Effect of AZD6793 in Participants With Moderate to Very Severe Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease (COPD)
AstraZeneca1,160 enrolled363 locationsNCT07082738
Recruiting

Long-term Real-world Study of Dupilumab in COPD : Patient Characteristics, Safety and Patient-reported Outcomes

Chronic Obstructive Pulmonary Disease (COPD)
Sanofi500 enrolled20 locationsNCT07380711
Recruiting

Assess Accuracy of Primary Care Asthma and COPD Diagnosis Using Oscillometry and FeNO vs Specialist Diagnosis

AsthmaCOPD
AstraZeneca600 enrolled12 locationsNCT07245576
Recruiting

University of Michigan COPD Identification Through Lung Cancer Screening Cohort Study - MAP2

Smoking, CigaretteCOPD, Chronic Obstructive Pulmonary DiseaseCancer Lung Screening
University of Michigan200 enrolled1 locationNCT07482475
Recruiting

Study of Patient With Frequent Exacerbations in Moscow

Chronic Obstructive Pulmonary Disease (COPD)
AstraZeneca500 enrolled1 locationNCT07307781
Recruiting

Investigation and Classification of Treatable Traits in Patients With Chronic Airway Diseases

Chronic Obstructive Pulmonary Disease (COPD)Asthma (Diagnosis)Chronic Airway Diseases
Beijing Chao Yang Hospital950 enrolled1 locationNCT07472738
Recruiting
Phase 1Phase 2

cfMSC Stem Cell Therapy Targeting COPD

Chronic Obstructive Pulmonary Disease (COPD)
Shenzhen Geno-Immune Medical Institute30 enrolled1 locationNCT07477600
Recruiting

Expanded Studies on the SCAPIS Stockholm Reexamination Cohort

Heart FailureCoronary Artery DiseaseOral Microbiota+9 more
Danderyd Hospital1,400 enrolled1 locationNCT07476703
Recruiting
Not Applicable

OMEGA - Dietary Intervention - COPD Trial

COPD, Chronic Obstructive Pulmonary Disease
Johns Hopkins University200 enrolled1 locationNCT05297279
Recruiting
Not Applicable

An Evaluation of the AeriSeal System for CONVERTing Collateral Ventilation Status in Patients With Severe Emphysema

Emphysema or COPDEmphysema, Pulmonary
Pulmonx Corporation200 enrolled36 locationsNCT06035120
Recruiting
Not Applicable

A Trial of the Implantable Artificial Bronchus 50 Flex in Patients With Severe Emphysema

COPDEmphysema
Pulmair Medical, Inc.20 enrolled2 locationsNCT07086339
Recruiting

Study That Will Evaluate the Brazilian Population With COPD.

COPD, Chronic Obstructive Pulmonary Disease
AstraZeneca693 enrolled10 locationsNCT06780046
Recruiting
Not Applicable

Effects Of Low-Load Blood Flow Restriction Training Of The Upper Extremity In Patients With Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease (COPD)Blood Flow Restriction Training (BFRT)
Inonu University36 enrolled1 locationNCT07469111
Recruiting
Not Applicable

Effect of Telenursing on Oral Health

COPD
Çanakkale Onsekiz Mart University80 enrolled1 locationNCT07462221
Recruiting
Phase 3

A Study Evaluating the Efficacy of Budesonide, Glycopyrronium and Formoterol Fumarate Metered Dosed Inhaler on Cardiopulmonary Outcomes in Chronic Obstructive Pulmonary Disease

COPD, Chronic Obstructive Pulmonary Disease
AstraZeneca5,000 enrolled917 locationsNCT06283966