Based on: COPD — gene targets, candidate compounds and trials, OSMF Research Tracker (DGIdb, Open Targets, ChEMBL, PubMed and ClinicalTrials.gov data). Numbers are a snapshot taken 8 October 2026; the tracker page is the live version.
Short answer: as of October 2026, the OSMF Research Tracker lists 57 candidate interventions for COPD that are either approved medicines or have at least one registered clinical trial, built on 10 druggable gene targets, with 15 recent trials on ClinicalTrials.gov. 5 are already approved medicines, for this condition or another one; where the approval is for a different condition, the trial is testing a new use, which is what drug repurposing means. Being in a trial says an intervention is being studied, not that it works; that is what the trial is for.
Which candidates have the most trial activity?
Ranked by the number of registered trials the tracker found. Each trial ID links to the registry entry, where you can read the design, status and sponsor.
- RV568 — 2 registered trials · investigational · NCT01475292
- Aclidinium bromide — 1 registered trial · approved medicine · NCT01462929
- Azithromycin — 1 registered trial · approved medicine · NCT04069312
- Formoterol fumarate — 1 registered trial · approved medicine · NCT00929851
- Roflumilast — 1 registered trial · approved medicine · NCT04069312
- Tiotropium — 1 registered trial · approved medicine · NCT01462929
- 18 mcg of Spiriva (Reference Product) — 1 registered trial · investigational · NCT05161156
- Adjustable bed backrest — 1 registered trial · investigational · NCT04963205
- Atrovent Respimat (20 mcg) — 1 registered trial · investigational · NCT00400153
- AZD 2115, Dose 2 — 1 registered trial · investigational · NCT02109406
- AZD2115 Dose 1 — 1 registered trial · investigational · NCT02109406
- BCG vaccine (Danish strain 1331) — 1 registered trial · investigational · NCT06257212
Which gene targets are these built on?
The tracker starts from genes with evidence of being druggable in COPD and asks which compounds act on them. Each symbol links to its DGIdb entry, which lists the interacting drugs and the papers behind them: ADRB2, CXCR2, ELANE, MMP12, MMP9, MUC5AC, NFE2L2, PDE4D, SERPINA1, TGFB1.
Which trials are registered?
- Comparing Ultrasonic and Conventional Spirometry in Chronic Respiratory Disease NCT07447232 · Recruiting · Phase NA · started 2026-06-29
- A Study to Evaluate the Long-Term Safety of Astegolimab in Participants With Chronic Obstructive Pulmonary Disease (COPD) NCT05878769 · Recruiting · Phase PHASE3 · started 2023-06-28
- A Study to Investigate the Effect of Budesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhaler (BGF MDI) Compared With Placebo MDI on Heart and Lung Function in Participants With Chronic Obstructive Pulmonary Disease (COPD) and Hyperinflation NCT07073950 · Recruiting · Phase PHASE4 · started 2025-11-24
- Clinical Trial to Investigate the Safety and Tolerability of EP395 in Patients With COPD NCT05572333 · Completed · Phase PHASE2 · started 2022-11-22
- A Study of BBT002 in Healthy Volunteers (HVs) and in Adult Patients With Chronic Obstructive Pulmonary Disease (COPD) or Chronic Rhiosininusitis With Nasal Polyps (CRSwNP) NCT06944925 · Recruiting · Phase PHASE1 · started 2025-05-08
- Evaluation of Ventilation Defects Downstream of Mucus Plugs in Patients With Muco-Obstructive Lung Disease NCT06985225 · Recruiting · started 2025-06-01
- Study of Clinical and Patient-reported Outcomes in Adults With Moderate to Severe COPD Treated With Breztri/Trixeo NCT07069829 · Recruiting · started 2025-12-15
- Effect of Spacer Use on Exacerbation Risk in High-Risk Older Adults With Chronic Airway Diseases Receiving Triple Therapy NCT07030881 · Recruiting · Phase NA · started 2025-06-17
- Effect of Perioperative Bronchodilator in COPD Patients Undergoing Lung Cancer Surgery NCT04536675 · Active Not Recruiting · Phase PHASE3 · started 2021-04-01
- The Prevalence of COPD in Patients With Cardiovascular Disease and the Benefit of Cardiopulmonary Co-management NCT06909773 · Recruiting · Phase NA · started 2025-11-28
How to read this
Evidence is graded on the tracker page in three tiers: clinical (tested in people), mechanistic (a documented action on the target) and correlative (an association in the literature). Most candidates sit in the lower tiers, and many trials are small or early-phase. The purpose of this list is to show where the research is, with sources, so that patients, clinicians and researchers can look further; it is not a ranking of what to take.
Related on this site
Research information, not medical advice. Decisions about any medicine belong with you and your clinician. The underlying data are open (CC BY 4.0) and refreshed daily; this note was generated from the tracker page on 8 October 2026.