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Tezepelumab

Phase 3

Severe Asthma | Monoclonal antibody | Respiratory |AstraZeneca PLC|Last Updated: May 26, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDBiomarker
Total Trials2
Total Enrollment726
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07363642Phase 3b Study in Patients With Severe Asthma Treated With TezepelumabPHASE3 RECRUITING 400Jan 28, 2026Mar 31, 2029May 26, 202676 China
NCT06473779Open-label Study to Assess Reduction of Background Asthma Medication While Sustaining Asthma Control and Clinical Remission With Tezepelumab in Patients 12-80yrs With Severe Asthma.PHASE3 ACTIVE NOT_RECRUITING 326Sep 30, 2024Jun 25, 2027Mar 12, 202670 United States, Argentina +10
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Study Endpoints
Primary Endpoints
To assess the potential for Tezepelumab treated patients to reduce their standard of care asthma controller regimen in the overall patient population while maintaining asthma control
within 36 weeks after the first administration

Main Endpoints: Proportion of patients with at least one controller medication category reduction at the end of reduction phase (week 36) while sustaining asthma control * discontinuation of LTRA, or * discontinuation of LAMA, or * discontinuation of theophylline, or * Reduce inhale therapy to MD ICS/LABA, or * Reduce inhale therapy to LD ICS/LABA

Proportion of patients who reduced their SYMBICORT® daily maintenance dose without the loss of asthma control at the end of the step-down phase.
Week 56

Proportion of patients who reduced their SYMBICORT® daily maintenance dose without the loss of asthma control at the end of the step-down phase to either: Outside of the US: * Medium-dose maintenance and reliever therapy, or * Low-dose maintenance and reliever therapy, or * SYMBICORT® anti-inflammatory reliever only In the US: * Medium-dose SYMBICORT® and AIRSUPRA®,or * Low-dose SYMBICORT® and AIRSUPRA®, or * AIRSUPRA® only

Secondary Endpoints
To assess standard asthma efficacy measures for Tezepelumab treated patients for pulmonary function measured by pre-BD FEV1
From week0~week48
To assess standard asthma efficacy measures for Tezepelumab treated patients for asthma symptoms control measured by Asthma Control Questionnaire-5(ACQ-5) score
From week0~week48
To assess standard asthma efficacy measures for Tezepelumab treated patients for asthma symptoms control measured by St. George's Respiratory Questionnaire (SGRQ) score
From week0~week48
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TezepelumabEXPERIMENTALSevere asthma taking medium-high dose ICS/LABA with up to one additional controller will be enrolled into this single arm treatment
Group 1 - Asthma Control or Low Biomarkers - Step-down of ICSEXPERIMENTALAsthma Control or Low Biomarkers - Step-down of ICS. Only patients with asthma control or low biomarkers at Week 24 will be randomized into Group 1 or 2
Group 2 - Asthma Control or Low Biomarkers - No Step-down of ICSEXPERIMENTALAsthma Control or Low Biomarkers - No Step-down of ICS. Only patients with asthma control or low biomarkers at Week 24 will be randomized into Group 1 or 2
Group 3 - No Asthma Control or Low Biomarkers - No Step-down of ICSEXPERIMENTALNo Asthma Control or Low Biomarkers - No Step-down of ICS
Interventions
NameTypeDescription
TezepelumabDRUGSevere asthma taking medium-high dose ICS/LABA with up to one additional controller will be enrolled into this single arm treatment
Budesonide/formoterolCOMBINATION_PRODUCTAxMP. Oral inhalation. High-dose: 160 μg/4.5 μg per inhalation; Medium and Low-dose: 80 μg/4.5 μg per inhalation
Albuterol/budesonide (AIRSUPRA®)COMBINATION_PRODUCTAxMP. Oral inhalation. Reliever only. Unit dose strengths 90 μg/80 μg per inhalation In US only.
MannitolCOMBINATION_PRODUCTNIMP. Oral nebulization. Unit dose strengths: Graduated doses of 0 mg, 5 mg, 10 mg, 20 mg and 40 mg capsules
SalbutamolCOMBINATION_PRODUCTAxMP. Used outside the US only. Oral inhalation. Unit dose strengths: 100 μg per inhalation
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Eligibility Criteria
Age Range12 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites76

Inclusion Criteria: 1.Provision of informed consent prior to any study-specific procedures. Written informed consent, and assent when applicable for study participation must be obtained prior to any study related procedures being performed (local regulations are to be followed in determining the as...

Countries:ChinaUnited StatesArgentinaBelgiumBulgariaCanadaDenmarkFranceGermanyItalyMexicoSpainUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 27, 2026NCT07363642lastUpdatePostDate: changed
LOWMay 27, 2026NCT07363642lastUpdatePostDate: changed
LOWMay 26, 2026NCT07363642primaryCompletionDate: changed
LOWMay 26, 2026NCT06473779primaryCompletionDate: changed
LOWMay 24, 2026NCT07363642studyFirstPostDate: changed
LOWMay 24, 2026NCT06473779studyFirstPostDate: changed