COPD (Chronic Obstructive Pulmonary Disease)
Conditions
Brief summary
The goal of this clinical trial is to learn if drug JKN2403 works to treat moderate-to-severe COPD in adults. It will also learn about the safety and pharmacokinetic characteristics of drug JKN2403. The main questions it aims to answer are: Does drug JKN2403 reduce the incidence of AECOPD or improve the quality of life or alleviate symptoms related to COPD? Researchers will compare drug JKN2403 to a placebo (a look-alike substance that contains no drug) to see if drug JKN2403 works to treat moderate-to-severe COPD. Participants will: Take drug JKN2403 or a placebo every day for 24 weeks Visit the clinic once every four weeks for checkups and tests Keep a diary of their symptoms and the number of times they use a rescue inhaler
Interventions
JKN2403 Tablets once daily orally, for 24 weeks
Placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* Written informed consent; able and willing to comply with study procedures. * Adults with documented COPD diagnosis and medical history consistent with guideline criteria. * Relevant exposure history consistent with COPD (e.g., smoking). * On stable, guideline-based maintenance COPD therapy prior to randomization, per investigator judgment. * Protocol-defined exacerbation history, symptom burden, and lung function at screening.
Exclusion criteria
* Current or past asthma, or other clinically significant respiratory disease that may confound assessment. * Clinically significant uncontrolled comorbidities that increase risk or interfere with participation/outcomes. * Immunodeficiency/immune dysregulation, active autoimmune disease requiring systemic immunosuppression, or significant opportunistic infection history. * Active clinically significant infection or recent infection requiring systemic therapy; recent protocol-defined COPD exacerbation. * Current/recent malignancy (except low-risk, adequately treated cancers per protocol) or clinically significant abnormal screening labs. * Prohibited recent vaccines or therapies, prior relevant biologic/targeted therapy exposure, severe hypersensitivity to biologics/IMP, - pregnancy/breastfeeding, or inability to comply (including substance abuse), per investigator judgment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The annualized incidence rate of moderate to severe AECOPD | at 24 months |
| The duration from the first administration to the first occurrence of moderate to severe AECOPD | at 24 months |
Secondary
| Measure | Time frame |
|---|---|
| trough (pre-bronchodilator) FEV1 | at 4, 8, 12 ,16, 20 and 24 weeks |
| quality of life(SGRQ score) | at 4, 8,12, 16, 20 and 24 weeks |
| quality of life (CAT score) | at 4, 8,12, 16, 20 and 24 months |
| The annualized incidence rate of CID | at 24 weeks |
| The duration from the first administration to the first occurrence of CID | at 24 weeks |
Countries
China