Inclusion
Chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema, graded as follows using the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Categories A, B, and E (ABE) (i.e., GOLD ABE) assessment tool:
Gold Grade 2 (moderate) or Grade 3 (severe) with following exacerbation history, within 1 year of screening
At least 2 moderate exacerbations (i.e., not leading to hospitalization), or
At least 1 exacerbation leading to hospitalization OR
Gold Grade 4 regardless of exacerbation history
Bronchiectasis, cystic fibrosis, interstitial lung disease, pneumoconiosis, or past or active bronchopulmonary dysplasia. 2. Has moderate to severe asthma, as defined by the Global Initiative for Asthma (GINA) Treatment Steps 3-5. 3. Has existing cardiac disease; specifically:
Congenital heart disease
Congestive heart failure New York Heart Association (NYHA) Class II-IV
Coronary artery disease requiring regular medication and/or follow-up for ischemic heart disease (i.e., participants who, through interventional procedure\[s\] and/or active medical treatment, have attained an established state of chronic stability of a duration of no less than 6 months)
Hypertension with cardiac complications (NOTE: Hypertension alone without cardiac complications will be excluded). Acceptable cardiac complications of hypertension include, but are not limited to, heart failure, cardiac arrhythmias (e.g., atrial fibrillation), ischemic heart disease, coronary artery disease, enlarged left heart, metabolic syndrome, left ventricular hypertrophy, systolic or diastolic myocardial dysfunction, angina, and myocardial infarction. 4. Has insulin-dependent diabetes. 5. Has moderate renal impairment (Stage 3 Chronic Kidney Disease \[CKD\], equivalent to an estimated glomerular filtration rate \[eGFR\] 30 to 59 milliliter per minute \[mL/min\] per 1.73 m\^2 as calculated by the Chronic Kidney Disease Epidemiology Collaboration \[CKD-EPI\] equation for adults or the Chronic Kidney Disease in Children under 25 \[CKiD U25\] equation for adolescents) with or without micro-macroproteinuria and within 3 months prior to screening; examples include, but are not limited to, any history of glomerulosclerosis, diabetic nephropathy, lupus nephritis, glomerular nephritis, immunoglobulin A (IgA) nephropathy, and Goodpasture syndrome. NOTE: Participants with chronic renal disease who meet the criteria for immune compromised (immunosuppressive therapy) should be enrolled in Stratum B. 6. Is ≥ 65 years of age at the time of randomization but does not meet any of criteria 11a through 11e, and is otherwise healthy as determined by the Investigator or designee.
Has received a kidney, liver, heart, or lung transplant more than 6 months prior to screening
Is currently receiving at least two immunosuppressive medications 4. Participants who have had a hematopoietic stem cell transplant (HSCT) must satisfy at least one of the following:
Has a history of HSCT (i.e., autologous, allogeneic, bone marrow, peripheral blood stem cell, tandem \[peripheral blood and marrow\]) within 1 year of screening
Has a history of non-autologous HSCT with graft-versus-host disease (GvHD) requiring active treatment with immunosuppressants (e.g., systemic corticosteroids ≥1 mg/kg at screening), regardless of the duration of time since HSCT 5. Is receiving immunosuppressive medicines (e.g., corticosteroids \[i.e., at least 20 mg prednisone or equivalent per day\], alkylating agents, antimetabolites, transplant-related immunosuppressive drugs, cancer chemotherapeutic agents classified as severely immunosuppressive \[e.g., Bruton's tyrosine kinase inhibitors\], tumor- necrosis blockers, or other immunosuppressive biologic agents \[e.g., for rheumatic diseases\]). NOTE: The regimen must be stable (same agents and doses, or clinically equivalent doses) for ≥2 months prior to Screening to ensure clinical stability (see Inclusion Criterion 7). 6. Has received chimeric antigen receptor-modified T-cell therapy. 7. Has received B-cell depleting therapies (e.g., rituximab, ocrelizumab, ofatumumab, alemtuzumab) within the 12 months prior to screening. 8. Has a diagnosis of any primary or secondary immunodeficiency except IgA deficiency. 9. Has advanced or untreated human immunodeficiency virus (HIV) infection manifested by a cluster of differentiation 4 (CD4) cell count less than 350/cubic millimeter (mm\^3) within 6 months of screening.