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Researchers are evaluating the efficacy, safety, and tolerability of two dosing regimens of itepekimab compared to placebo as an add-on treatment to intranasal corticosteroids in adult men and women with chronic rhinosinusitis with nasal polyps (CRSwNP). This multinational, randomized, double-blind, placebo-controlled Phase 3 study includes participants aged 18 years and older who have inadequately controlled CRSwNP. The study aims to better understand how these treatments impact nasal polyp symptoms and disease control over a one-year period. Participants will be randomly assigned to receive one of two dosing regimens of itepekimab or a placebo, all administered by subcutaneous injection. All participants will continue using mometasone furoate nasal spray as standard intranasal corticosteroid therapy. Treatment will last up to 52 weeks, followed by a 20-week safety follow-up period. The study includes a total of 9 site visits and 20 phone or home visits during the participant's involvement. Participants will be involved in regular assessments including endoscopic nasal polyp scoring and nasal congestion symptom evaluations at baseline and throughout the 24 weeks, among other time points. Researchers will monitor changes in nasal polyp scores and nasal congestion scores to measure the treatment effects. Safety and tolerability will be closely followed during the treatment and safety follow-up periods, with total participation lasting up to 76 weeks for most participants, or 56 weeks for those transitioning to an extension study.

Researchers are evaluating the effect of a triple therapy inhaler called BGF MDI containing budesonide, glycopyrronium, and formoterol fumarate compared with a dual therapy inhaler called GFF MDI containing glycopyrronium and formoterol fumarate in people with Chronic Obstructive Pulmonary Disease (COPD) who have a higher risk of heart and lung problems. This Phase III randomized, double-blind, parallel group study takes place at multiple centers and focuses on cardiopulmonary outcomes in these patients. Participants receive either the BGF MDI 320/14.4/9.6 micrograms twice daily or the GFF MDI 14.4/9.6 micrograms twice daily. The treatments are inhaled using metered dose inhalers. The study compares these two therapies over time to see how they affect the time until the first severe heart or lung event occurs. The study design ensures that neither participants nor researchers know which treatment is given to reduce bias. During the study, participants will have regular visits to the study site or virtual visits to complete assessments. Researchers will monitor lung function, symptoms, and blood tests, including blood eosinophil counts and COPD assessment test scores. The main outcome measured is the time to the first severe cardiac or COPD event, with follow-up lasting up to three years. Safety and adherence to treatment will also be closely observed throughout the study period.

Researchers are evaluating the efficacy and safety of verekitug (UPB-101) in adults with moderate-to-severe Chronic Obstructive Pulmonary Disease (COPD), a long-term inflammatory lung condition. This global, multicenter Phase 2b study aims to understand how well verekitug works compared to a placebo, alongside participants' usual COPD medications. Participants must have a confirmed COPD diagnosis and meet specific lung function and symptom criteria to join the study. Participants will be randomly assigned to receive one of two doses of verekitug or a matching placebo, in addition to their regular COPD background treatments. The study includes a screening period of about 4 weeks, followed by treatment lasting between 60 and 108 weeks. After treatment, there is a 16-week follow-up period to monitor participants after their last dose. Throughout the study, participants will undergo various assessments including lung function tests and symptom evaluations. Researchers will track the annual rate of moderate or severe COPD flare-ups from the start of treatment through week 108. Safety and tolerability will be closely monitored during the treatment and follow-up periods to ensure participants' well-being over the course of the trial.

Researchers are evaluating the safety and effectiveness of tezepelumab in adults aged 40 to 80 years with moderate to very severe chronic obstructive pulmonary disease (COPD). These participants must have a history of COPD for at least one year and have experienced multiple COPD exacerbations despite using inhaled maintenance therapy. This Phase 3, multicenter, randomized, double-blind, placebo-controlled study focuses on those who have had at least two moderate or one severe exacerbation in the prior year while on inhaled triple or dual therapy. Participants will receive monthly subcutaneous injections of either one of two doses of tezepelumab or a placebo. Treatment will last for a minimum of 52 weeks and up to 76 weeks. After the treatment period, there will be a 12-week off-treatment safety follow-up to monitor any lasting effects or safety concerns. During the study, researchers will assess the participants' lung function and monitor the annual rate of moderate or severe COPD exacerbations. Participants will undergo screening to confirm eligibility based on lung function tests, eosinophil counts, and symptom scores. Safety will be closely monitored throughout the treatment and follow-up periods to evaluate adverse effects and overall participant health.

Researchers are conducting a phase IIb, double-blind, placebo-controlled study to evaluate the efficacy and safety of tozorakimab in adults with uncontrolled asthma who are already receiving medium-to-high doses of inhaled corticosteroids. This study aims to find the appropriate dose range of tozorakimab for this population, focusing on those with documented asthma for at least 12 months and evidence of uncontrolled symptoms. Participants will receive either tozorakimab or a placebo, both administered subcutaneously. The study compares different doses of tozorakimab against placebo, while all participants continue their current medium or high dose inhaled corticosteroids combined with long-acting beta-agonists (LABA). The treatment period and dosing schedule are designed to assess the drug's impact on asthma control and exacerbations. During the study, participants will be closely monitored through asthma daily diaries, lung function tests including pre-bronchodilator FEV1 measurements, and assessments of asthma control using the ACQ-6 score. Researchers will track the annualized rate of severe asthma exacerbations over 26 to 52 weeks. Safety and adherence will be evaluated, and women of childbearing potential will have pregnancy testing and must use contraception as per local regulations. Overall participation will involve regular visits to assess health status and response to treatment.

This research aims to compare two fluid resuscitation strategies in patients with septic shock who need more fluid treatment. The study focuses on whether integrating fluid intolerance signals into treatment decisions can prevent harm caused by fluid overload without affecting the recovery from low blood flow. Researchers will assess changes in lung, heart, and kidney function during the treatment period and monitor improvements in blood flow markers such as capillary refill time and lactate levels. Participants will be divided into two groups. One group will receive standard care involving fluid challenges of 500 ml balanced crystalloid over 30 minutes, repeated as needed based on response. The other group will have fluid administration guided by ultrasound and other measures to detect fluid intolerance signals, with fluid challenges adjusted or replaced by alternative treatments like vasopressors or inodilators based on risk levels. The active treatment period lasts 6 hours. Throughout the study, patients will be monitored with ultrasound, blood tests, and clinical assessments to track organ function and response to treatment. The main outcome is the change in oxygenation (PaO2:FiO2 ratio) over 6 hours. Other evaluations include heart and kidney function markers, capillary refill time, and lactate levels. Patients will continue to be observed for up to 28 days to assess longer-term outcomes and safety.

This research aims to evaluate the long-term safety and effectiveness of lunsekimig in adults with asthma who have previously completed related parent studies. It is a phase 2, open-label extension study offering eligible participants continued treatment to assess ongoing outcomes. The study focuses on adults who have stable asthma managed with moderate or high-dose inhaled corticosteroids and other controller medications. Participants will receive lunsekimig as a subcutaneous injection in solution form. The study duration extends up to 100 weeks, with treatment lasting up to 96 weeks. This extension study follows participants from previous trials, allowing them to continue lunsekimig treatment while being closely monitored. During the study, participants will undergo regular visits and procedures to track safety and efficacy. Researchers will monitor the number of participants experiencing any treatment-emergent adverse events, including serious or special interest events, from the start to week 100. Participants must comply with contraception requirements and attend scheduled assessments throughout the study period.

Researchers are evaluating the efficacy, safety, and tolerability of adding subcutaneous lunsekimig compared with placebo as treatment for adults aged 18 to 80 with high-risk asthma who currently do not qualify for biologic therapies. This Phase 2, randomized, double-blind, placebo-controlled study focuses on participants with mild-to-moderate asthma diagnosed for over a year, who have had at least one asthma exacerbation in the previous year. The goal is to better understand lunsekimig's effects in this specific asthma population. Participants will be randomly assigned to receive either subcutaneous injections of lunsekimig or placebo over approximately 52 weeks. Alongside this, they may continue using other asthma medications such as various inhaled treatments including fluticasone/salmeterol, budesonide/formoterol, budesonide/albuterol, or short-acting beta agonists. The study includes up to 18 visits throughout the treatment period, with some participants possibly continuing into a long-term safety (LTS) study lasting up to 60 weeks total. During the study, participants will undergo regular assessments to monitor asthma control, lung function, and the rate of asthma exacerbations. The primary measurement is the annualized rate of asthma exacerbation events from baseline up to 52 weeks. Safety and tolerability will also be closely observed. The total study duration for most participants will be around 64 weeks if they do not enter the LTS study. Researchers will gather data through clinical visits, lung function tests, and ongoing safety monitoring to evaluate the treatment's impact and participant health throughout the trial.

Researchers are evaluating the safety and effectiveness of inhaled treprostinil in adults with progressive pulmonary fibrosis (PPF) over a period of 52 weeks. This Phase 3, multinational, randomized, double-blind, placebo-controlled study focuses on adults aged 18 and older who have PPF other than idiopathic pulmonary fibrosis (IPF) confirmed by lung imaging. Participants must show evidence of disease progression despite standard treatment for interstitial lung disease (ILD). Participants will be randomly assigned to receive either inhaled treprostinil or a placebo. Both are administered using an ultrasonic nebulizer delivering doses four times daily, starting at 3 breaths per dose and titrated up to a target of 12 breaths per dose as tolerated. The study includes six clinic visits during the treatment period at Weeks 4, 8, 16, 28, 40, and 52. After completing the 52-week visit, participants may have the option to join an open-label extension study. During the study, researchers will assess lung function through spirometry, measuring forced vital capacity (FVC), and monitor clinical worsening, acute exacerbations, survival, respiratory symptoms, and quality of life using questionnaires. Blood tests will measure biomarkers like NT-proBNP, and oxygen use and lung diffusion capacity will be tracked. Safety evaluations include monitoring adverse events, vital signs, lab tests, and heart function via ECG. The main outcome measured is the change in absolute FVC from baseline to Week 52.