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Tozorakimab

Phase 3

Chronic Obstructive Pulmonary Disease (COPD) | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Jul 21, 2026

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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials6
Total Enrollment5,706
FDA Designations
No designations recorded
Clinical trial landscape

Tozorakimab · 10 trials · 5 indications

Phase 3 5Phase 2 3Phase 1 2
NCT06040086Efficacy and Safety of Tozorakimab in Symptomatic Chronic Obstructive Pulmonary Disease With a History of ExacerbationsChronic Obstructive Pulmonary Disease (COPD)
ACTIVE NOT_RECRUITING1,454 Analytics
NCT05742802Long-term Efficacy and Safety of Tozorakimab in Participants With Chronic Obstructive Pulmonary Disease With a History of Exacerbations (PROSPERO).Chronic Obstructive Pulmonary Disease (COPD)
COMPLETED1,713 Analytics
NCT05624450Efficacy and Safety of Tozorakimab in Patients Hospitalised for Viral Lung Infection Requiring Supplemental OxygenViral Lung Infection and Acute Respiratory Failure
RECRUITING3,527 Analytics
NCT05158387Efficacy and Safety of Tozorakimab in Symptomatic Chronic Obstructive Pulmonary Disease With a History of Exacerbations.Chronic Obstructive Pulmonary Disease (COPD)
COMPLETED1,172 Analytics
NCT05166889Efficacy and Safety of Tozorakimab in Symptomatic Chronic Obstructive Pulmonary Disease With a History of ExacerbationsChronic Obstructive Pulmonary Disease (COPD)
COMPLETED1,132 Analytics
PHASE3ACTIVE NOT_RECRUITING
Efficacy and Safety of Tozorakimab in Symptomatic Chronic Obstructive Pulmonary Disease With a History of Exacerbations
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
PHASE3COMPLETED
Long-term Efficacy and Safety of Tozorakimab in Participants With Chronic Obstructive Pulmonary Disease With a History of Exacerbations (PROSPERO).
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
PHASE3RECRUITING
Efficacy and Safety of Tozorakimab in Patients Hospitalised for Viral Lung Infection Requiring Supplemental Oxygen
Viral Lung Infection and Acute Respiratory FailureUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Tozorakimab in Symptomatic Chronic Obstructive Pulmonary Disease With a History of Exacerbations.
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Tozorakimab in Symptomatic Chronic Obstructive Pulmonary Disease With a History of Exacerbations
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
Study Endpoints
Primary Endpoints
Annualized rate of moderate to severe COPD exacerbations in participants who are former smokers.
Over 52 weeks

The primary endpoint will be assessed in the primary population (former smokers with symptomatic COPD and a history of exacerbations, on optimised treatment with maintenance inhaled therapy \[triple therapy, or dual therapy if triple is not considered appropriate\]).

Annualised rate of severe COPD exacerbations in former smokers.
Up to 104 weeks.

The primary efficacy endpoint is the rate of severe COPD exacerbations.

Proportion of participants who die or progress to Invasive Mechanical Ventilation (IMV) / Extracorporeal Membrane Oxygen (ECMO)
by Day 28

To evaluate the effect of tozorakimab versus placebo as an add on to Standard of Care (SoC) in participants with viral lung infection requiring supplemental oxygen on the prevention of death or progression to IMV/ECMO.

Change From Baseline to Week 12 in Pre-bronchodilator Forced Expiratory Volume in 1 Second (Pre-BD FEV1) as Measured in Clinic
Baseline through Week 12

The difference in mean change from baseline in FEV1

Annualised rate of severe asthma exacerbations
Over 26 to 52 weeks

The rate ratio of severe asthma exacerbations will be assessed in the participants with uncontrolled moderate-to-severe asthma and ≥ 1 severe exacerbation within 12 months prior to screening.

Area under concentration-time curve from time 0 to infinity (AUCinf) of tozorakimab
From Day 1 to Day 113

To compare the PK exposure following single SC administration of tozorakimab using AI and APFS devices in healthy participants.

Area under concentration-curve from time 0 to the last quantifiable concentration (AUClast) of tozorakimab
From Day 1 to Day 113

To compare the PK exposure following single SC administration of tozorakimab using AI and APFS devices in healthy participants.

Maximum observed drug concentration (Cmax) of tozorakimab
From Day 1 to Day 113

To compare the PK exposure following single SC administration of tozorakimab using AI and APFS devices in healthy participants.

Area under the concentration-time curve from time 0 to infinity (AUCinf)
Day 1 (Pre-dose), Days 3, 4, 5, 7, 8, 9, 15, 29, 43, 57, 85 and 113 (Post-dose).

To evaluate the relative bioavailability of two different dosage forms of tozorakimab (test and reference).

Area under the concentration-curve from time 0 to the last quantifiable concentration (AUClast)
Day 1 (Pre-dose), Days 3, 4, 5, 7, 8, 9, 15, 29, 43, 57, 85 and 113 (Post-dose).

To evaluate the relative bioavailability of two different dosage forms of tozorakimab (test and reference).

Maximum observed drug concentration (Cmax)
Day 1 (Pre-dose), Days 3, 4, 5, 7, 8, 9, 15, 29, 43, 57, 85 and 113 (Post-dose).

To evaluate the relative bioavailability of two different dosage forms of tozorakimab (test and reference).

Secondary Endpoints
Annualized rate of moderate to severe COPD exacerbations in former or current smokers.
Over 52 weeks
Change from baseline in SGRQ total score from in former smokers
Over 52 weeks
Change from baseline in SGRQ total score from in the overall population of current and former smokers.
Over 52 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TozorakimabEXPERIMENTALDosing subcutaneously tozorakimab
PlaceboPLACEBO_COMPARATORDosing subcutaneously with equivalent volume to tozorakimab
Tozorakimab Dose 1EXPERIMENTALInjection subcutaneously Tozorakimab via pre-filled syringe.
Tozorakimab Dose 2EXPERIMENTALInjection subcutaneously Tozorakimab via pre-filled syringe.
Treatment A: Tozorakimab (Test)EXPERIMENTALParticipants will receive a single SC dose of tozorakimab via AI device.
Treatment B: Tozorakimab (Reference)ACTIVE_COMPARATORParticipants will receive a single SC dose of tozorakimab via APFS device with the same container closure as the AI.
Tozorakimab Dosage form A (Test)EXPERIMENTALParticipants will receive a single dose of Tozorakimab Dosage form A via subcutaneous (SC) injection.
Tozorakimab Dosage form B (Reference)EXPERIMENTALParticipants will receive a single dose of Tozorakimab Dosage form B via SC injection.
Interventions
NameTypeDescription
PlaceboDRUGPlacebo administered subcutaneously, equivalent volume to tozorakimab throughout the study.
TozorakimabDRUGAdministered subcutaneously tozorakimab and placebo throughout the study.
Tozorakimab 1COMBINATION_PRODUCTParticipants randomised to either dose regimen in the predecessor studies will be assigned to a single Tozorakimab dose regimen in the PROSPERO study.
Tozorakimab 2COMBINATION_PRODUCTParticipants randomised to either dose regimen in the predecessor studies will be assigned to a single Tozorakimab dose regimen in the PROSPERO study.
Autoinjector (AI) DeviceDEVICEAI device will be used to administer single SC dose of tozorakimab on Day 1.
Accessorised Prefilled Syringe (APFS) DeviceDEVICEAPFS device will be used to administer single SC dose of tozorakimab on Day 1.
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Eligibility Criteria
Age Range40 Years to 130 Years
SexALL
Healthy VolunteersNo
Study Sites368

Inclusion Criteria: 1. Participant must be ≥ 40 years of age and capable of giving signed informed consent. 2. Documented diagnosis of COPD for at least one year prior to enrolment. 3. Post BD FEV1/FVC \< 0.70 and post-BD FEV1 \>20% of predicted normal value 4. Documented history of ≥ 2 moderate or...

Countries:United StatesArgentinaBelgiumBrazilBulgariaCanadaChileChinaDenmarkFranceGermanyGreeceHungaryIndiaIrelandItalyJapanMalaysiaMexicoNetherlandsPeruPolandSouth KoreaSpainThailandTurkey (Türkiye)UkraineUnited KingdomVietnamAustraliaColombiaCzechiaFinlandIsraelNorwayPhilippinesPortugalRomaniaSwedenTaiwanEgyptHong KongPuerto RicoSaudi ArabiaSlovakiaSouth AfricaRussiaNew Zealand
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Recent Changes (Last 90 Days)
MEDIUMJul 21, 2026NCT05624450Enrollment: 2870 → 3527
LOWJul 20, 2026NCT06932263primaryCompletionDate: changed
LOWJul 20, 2026NCT06932263primaryCompletionDate: changed
HIGHJul 14, 2026NCT06897748Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHJul 14, 2026NCT06897748Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHJun 25, 2026NCT05742802Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHJun 25, 2026NCT05742802Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHJun 25, 2026NCT05742802Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWMay 29, 2026NCT06932263lastUpdatePostDate: changed
LOWMay 29, 2026NCT06932263lastUpdatePostDate: changed
LOWMay 29, 2026NCT06932263lastUpdatePostDate: changed
MEDIUMMay 26, 2026NCT05166889TRIAL_REMOVED: changed
MEDIUMMay 26, 2026NCT05158387TRIAL_REMOVED: changed
LOWMay 26, 2026NCT05624450primaryCompletionDate: changed
LOWMay 26, 2026NCT06932263primaryCompletionDate: changed
LOWMay 26, 2026NCT06897748primaryCompletionDate: changed
LOWMay 26, 2026NCT05742802primaryCompletionDate: changed
LOWMay 26, 2026NCT06040086primaryCompletionDate: changed
LOWMay 24, 2026NCT05624450studyFirstPostDate: changed
LOWMay 24, 2026NCT06932263studyFirstPostDate: changed