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Tozorakimab

Phase 3

Chronic Obstructive Pulmonary Disease (COPD) | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Apr 16, 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
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials6
Total Enrollment5,706
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06040086Efficacy and Safety of Tozorakimab in Symptomatic Chronic Obstructive Pulmonary Disease With a History of ExacerbationsPHASE3 ACTIVE NOT_RECRUITING 1,454Sep 22, 2023May 22, 2026Mar 18, 2026368 United States, Argentina +27
NCT05742802Long-term Efficacy and Safety of Tozorakimab in Participants With Chronic Obstructive Pulmonary Disease With a History of Exacerbations (PROSPERO).PHASE3 ACTIVE NOT_RECRUITING 1,713Mar 6, 2023May 28, 2026Mar 13, 2026335 United States, Argentina +35
NCT05158387Efficacy and Safety of Tozorakimab in Symptomatic Chronic Obstructive Pulmonary Disease With a History of Exacerbations.PHASE3 COMPLETED 1,172Feb 7, 2022Mar 22, 2026Apr 16, 2026212 United States, Australia +18
NCT05166889Efficacy and Safety of Tozorakimab in Symptomatic Chronic Obstructive Pulmonary Disease With a History of ExacerbationsPHASE3 COMPLETED 1,132Jan 3, 2022Mar 11, 2026Apr 16, 2026212 United States, Argentina +19
NCT06897748A Study to Investigate Efficacy and Safety of Tozorakimab Injections Compared With Placebo in Adult Participants With Symptomatic Chronic Obstructive Pulmonary Disease (COPD) With a History of COPD Exacerbations and Elevated EosinophilsPHASE2 ACTIVE NOT_RECRUITING 98Apr 12, 2025Apr 30, 2026Apr 8, 202612 Russia
NCT04631016A Phase II, Randomized, Double-blind, Placebo-controlled Study to Assess MEDI3506 in Participants With COPD and Chronic BronchitisPHASE2 COMPLETED 137Dec 14, 2020Nov 13, 2023Feb 27, 202590 United States, Australia +13
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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.

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

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.
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.
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Eligibility Criteria
Age Range40 Years — 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 KingdomVietnamAustraliaColombiaCzechiaFinlandIsraelNorwayPhilippinesPortugalRomaniaSwedenTaiwanPuerto RicoRussiaNew ZealandSouth Africa
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT05166889TRIAL_REMOVED: changed
MEDIUMMay 26, 2026NCT05158387TRIAL_REMOVED: changed
LOWMay 26, 2026NCT06897748primaryCompletionDate: changed
LOWMay 26, 2026NCT05742802primaryCompletionDate: changed
LOWMay 26, 2026NCT06040086primaryCompletionDate: changed
LOWMay 24, 2026NCT05166889studyFirstPostDate: changed
LOWMay 24, 2026NCT06897748studyFirstPostDate: changed
LOWMay 24, 2026NCT05742802studyFirstPostDate: changed
LOWMay 24, 2026NCT06040086studyFirstPostDate: changed
LOWMay 24, 2026NCT05158387studyFirstPostDate: changed