Written informed consent obtained according to local regulations
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Clinical instability (exacerbation 6 months prior to baseline as indicated by treatment)
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History of COPD for at least 12 months prior to baseline, with chronic productive cough for at least three months in each of the two years prior to baseline
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Upper/lower respiratory tract infection not resolved 4 weeks prior to baseline
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Outpatients 40–80 years of age
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Diagnosis of asthma and/or other relevant lung disease or previous episodes of pneumothorax
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Post-bronchodilator 30% ≤ FEV1 ≤ 80% predicted
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Known alpha-1 antitrypsin deficiency
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Post-bronchodilator FEV1/FVC ratio ≤ 70%
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History of intubation for COPD or a respiratory failure of any cause in the past year
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Current or former smokers with smoking history ≥ 20 pack years
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Formal contraindications to sputum collection
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Suspicion or diagnosis of a bleeding disorder irrespective of its pathophysiological mechanism
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