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Pulmonary Disease, Chronic Obstructive, COPDPhase 2NCT05270525

Effect of Ensifentrine (MK-5884/RPL554) on Sputum Markers of Inflammation in Chronic Obstructive Pulmonary Disease (COPD) (MK-5884-023/RPL554-CO-207)

A Phase 2 study testing Ensifentrine and LABA/LAMA in people with Pulmonary Disease, Chronic Obstructive, COPD, run by Verona Pharma, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA at 3 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Researchers are looking for new ways to treat chronic obstructive pulmonary disease (COPD). COPD is a long-lasting swelling of the airways that makes it hard to breathe. Researchers want to learn if a trial medicine called ensifentrine can help treat sputum caused by COPD. Read more about this study

Who is it for?
Ages 40 to 80 years
What is being tested?
Ensifentrine and LABA/LAMA
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
70 participants
Where
3 sitesUnited States
Study dates
27 May 2022to 1 Mar 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants with a history of cigarette smoking ≥10 pack years and an established clinical history of chronic obstructive pulmonary disease (COPD) as defined by the American Thoracic Society (ATS)/European Respiratory Society (ERS) guidelines with symptoms compatible with COPD. Number of pack-years = [number of cigarettes per day/20] × number of years smoked [e.g., 20 cigarettes per day for 10 years, or 10 cigarettes per day for 20 years]
  • COPD Severity: Pre- and Post-albuterol/salbutamol Forced expiratory volume in 1 second/Forced vital capacity (FEV1/FVC) ratio of <0.70; Post-albuterol/salbutamol FEV1 ≥30 % and ≤80% of predicted normal calculated using the National Health and Nutrition Examination Survey III
  • Regular use of bronchodilator COPD therapy, in any form (e.g., [Long-acting muscarinic antagonist] LAMA, [Long-acting β2-agonist] LABA, LAMA+LABA, LAMA+LABA+ [Inhaled corticosteroid(s)] ICS), for at least 4 weeks prior to Screening and agrees to use study supplied COPD Maintenance Therapy once daily through the final study visit
  • Capable of using the jet nebulizer correctly and complying with all study restrictions and procedures
  • Ability to perform acceptable spirometry in accordance with American Thoracic Society/European Respiratory Society (ATS/ERS) guidelines
  • Ability to produce sputum samples during the induced sputum procedure

Who cannot join

  • Any clinically diagnosed lung disease other than COPD such as current asthma, diffuse interstitial lung diseases, cystic fibrosis, or clinically significant bronchiectasis as determined by the Investigator
  • Hospitalizations for COPD exacerbation, pneumonia, or other respiratory infection in the 12 weeks prior to Screening.
  • Alanine aminotransferase (ALT) ≥ 2 x upper limit of normal (ULN), alkaline phosphatase and/or bilirubin > 1.5 x ULN (isolated bilirubin >1.5 x ULN is acceptable if bilirubin is fractionated and direct bilirubin <35%)
  • Human immunodeficiency virus (HIV) infection or other immunodeficiency
  • History of cancer within the last 5 years, except for well-treated basal cell carcinoma and squamous cell carcinoma of the skin
  • Any clinically significant 12-lead electrocardiogram abnormalities at screening or baseline, including corrected QT interval by Fridericia's correction method >450 ms for males or >480 ms for females or history of significant cardiac dysrhythmia, including long QT syndrome
Show all 14Show fewer
  • Known history of poor outcomes with sputum induction
  • Known hypersensitivity to ensifentrine or other medications used in the study (e.g., albuterol or salmeterol)
  • Not suitable for study supplied once daily COPD Maintenance Therapy per label warnings and contraindications
  • Taking prohibited medication
  • Prior receipt of Ohtuvayre or blinded nebulized study medication in an ensifentrine (RPL554) study. Note: Other ensifentrine formats (e.g., DPI, MPI) are not exclusionary
  • Use of an experimental drug within 30 days or 5 half-lives of Screening, whichever is longer, and/or participation in a study treatment-free follow-up phase of a clinical trial within 30 days prior to Screening
  • Use of an experimental medical device or participation in a follow-up phase of an experimental medical device clinical trial within 30 days prior to Screening
  • Any other medical history, chronic uncontrolled diseases that the investigator considers clinically significant, examination or laboratory findings or reason that the Investigator considers makes the patient unsuitable to participate at Screening

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35205

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213

Other trials in United States

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Two-period Cross-over Study of the Effect of Ensifentrine on Sputum Markers of Inflammation in Subjects With COPD

Researchers are looking for new ways to treat chronic obstructive pulmonary disease (COPD). COPD is a long-lasting swelling of the airways that makes it hard to breathe. Researchers want to learn if a trial medicine called ensifentrine can help treat sputum caused by COPD. In this trial, researchers will compare a trial medicine called ensifentrine to a placebo. A placebo looks like the trial medicine but has no medicine in it. Using a placebo helps researchers better understand the effects of a trial medicine.

The goal of this trial is to learn about the effect of ensifentrine on a substance found in mucus (sputum) from the lungs that may be a sign of inflammation in participants with COPD.

Being tested
Ensifentrine, Placebo, LABA/LAMA
Medical subject headings
Lung Diseases, Pulmonary Disease, Chronic Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EnsifentrineDrug

    Ensifentrine administered twice daily by oral inhalation via a standard jet nebulizer.

  • PlaceboDrug

    Placebo matching ensifentrine administered twice daily by oral inhalation via a standard jet nebulizer.

  • LABA/LAMADrug

    Also called Anoro®

    Background treatment of LAMA/LABA administered per product approved label delivered by oral inhalation.

Study groups in NCT05270525
Study groupRoleWhat they receive
Ensifentrine Sequence 1ExperimentalIn treatment period 1 participants will receive 3 mg ensifentrine twice daily administered via a standard jet nebulizer for 8 weeks followed by treatment period 2 during which participants will receive placebo matching ensifentrine twice daily administered via a standard jet nebulizer for 8 weeks. Throughout treatment sequence 1 participants will receive LABA/LAMA background therapy.
Receives: Drug: Ensifentrine; Drug: Placebo; Drug: LABA/LAMA
Ensifentrine Sequence 2ExperimentalIn treatment period 1 participants will receive placebo matching ensifentrine twice daily administered via a standard jet nebulizer for 8 weeks followed by treatment period 2 during which participants will receive 3 mg ensifentrine twice daily administered via a standard jet nebulizer for 8 weeks. Throughout treatment sequence 2 participants will receive LABA/LAMA background therapy.
Receives: Drug: Ensifentrine; Drug: Placebo; Drug: LABA/LAMA

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Absolute Change From Baseline in Sputum Neutrophil Cell Numbers

    The Absolute change from baseline in sputum neutrophil cell numbers will be reported.

    Measured: Baseline and 8 Weeks

Secondary outcomes (22)
  1. Absolute Change in Cell Numbers From Baseline in Sputum Cell Counts

    Absolute change in cell numbers from baseline in sputum cell counts (eosinophils, basophils, macrophages, lymphocytes, total cells) will be reported.

    Measured: Baseline and 8 Weeks

  2. Percent Change From Baseline in Sputum Cell Counts

    Percent change from baseline in sputum cell counts (neutrophils, eosinophils, basophils, macrophages, lymphocytes, and total cells) will be reported.

    Measured: Baseline and 8 Weeks

  3. Percent Change From Baseline in Cytokines

    Percent Change From Baseline in Cytokines will be reported.

    Measured: Baseline and 8 Weeks

  4. Percent Change From Baseline in Proteases

    Percent Change From Baseline in Proteases will be reported.

    Measured: Baseline and 8 Weeks

  5. Percent Change From Baseline in Markers of Inflammation

    Percent Change From Baseline in Markers of Inflammation will be reported.

    Measured: Baseline and 8 Weeks

  6. Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) at 4 Weeks

    Change from baseline in FEV1 at 4 weeks during the treatment period (predose and 2 hours postdose) will be reported.

    Measured: Baseline and 4 Weeks

  7. Change From Baseline in FEV1 at 8 Weeks

    Change from baseline in FEV1 at 8 weeks during the treatment period (postdose) will be reported.

    Measured: Baseline and 8 Weeks

  8. Change From Baseline in Forced Vital Capacity (FVC) at 4 Weeks

    Change from baseline in FVC at 4 weeks during the treatment period (predose and 2 hours postdose) will be reported.

    Measured: Baseline and 4 Weeks

  9. Change From Baseline in FVC at 8 Weeks

    Change from baseline in FVC at 8 weeks during the treatment period (postdose) will be reported.

    Measured: Baseline and 8 Weeks

  10. Change From Baseline in Residual Volume (RV) at 4 Weeks

    Change from baseline in RV at 4 weeks during the treatment period (predose and 2 hours postdose) will be reported.

    Measured: Baseline and 4 Weeks

  11. Change From Baseline in RV at 8 Weeks

    Change from baseline in RV at 8 weeks (postdose) during the treatment period will be reported.

    Measured: Baseline and 8 Weeks

  12. Change From Baseline in Functional Residual Capacity (FRC) at 4 Weeks

    Change from baseline in FRC at 4 weeks during the treatment period (predose and 2 hours postdose) will be reported.

    Measured: Baseline and 4 Weeks

  13. Change From Baseline in FRC at 8 Weeks

    Change from baseline in FRC at 8 weeks (postdose) during the treatment period will be reported.

    Measured: Baseline and 8 Weeks

  14. Change From Baseline in Total Lung Capacity (TLC) at 4 Weeks

    Change from baseline in TLC at 4 weeks during the treatment period (predose and 2 hours postdose) will be reported.

    Measured: Baseline and 4 Weeks

  15. Change From Baseline in TLC at 8 Weeks

    Change from baseline in TLC at 8 weeks (postdose) during the treatment period will be reported.

    Measured: Baseline and 8 Weeks

  16. Number of Participants Who Experience One or More Adverse Events (AEs)

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Number of participants who experience one or more adverse events will be reported.

    Measured: Up to approximately 8 Weeks

  17. Change From Baseline in Systolic Blood Pressure

    Change from baseline in systolic blood pressure will be reported.

    Measured: Baseline and 8 Weeks

  18. Change From Baseline in Diastolic Blood Pressure

    Change from baseline in diastolic blood pressure will be reported.

    Measured: Baseline and 8 Weeks

  19. Change From Baseline in Heart Rate

    Change from baseline in heart rate will be reported.

    Measured: Baseline and 8 Weeks

  20. Change From Baseline in QRS Duration

    Change from baseline in QRS duration will be reported.

    Measured: Baseline and 8 Weeks

  21. Change From Baseline in QT Interval Corrected for Heart Rate Using Fridericia's Formula (QTcF)

    Change from baseline in QTcF will be reported.

    Measured: Baseline and 8 Weeks

  22. Change From Baseline in QT Interval

    Change from baseline for in QT interval will be reported.

    Measured: Baseline and 8 Weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Mar 2022
  2. Study start27 May 2022
  3. Primary completion1 Mar 2027 (estimated)
  4. Study completion1 Mar 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
70 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05270525
Sponsor's protocol ID
RPL554-CO-207
Other IDs
MK-5884-023, RPL554-CO-207
Status last verified
Oct 2026
First submitted
8 Feb 2022
Last updated
3 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Ensifentrine and LABA/LAMA in people with Pulmonary Disease, Chronic Obstructive, COPD, run by Verona Pharma, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Absolute Change From Baseline in Sputum Neutrophil Cell Numbers (time frame: Baseline and 8 Weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.

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