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Astegolimab

Phase 3

Chronic Obstructive Pulmonary Disease | Monoclonal antibody | Respiratory |Roche Holding AG|Trials Updated: Aug 14, 2026

Development status

Highest phase Phase 3
Registered trials 4 across 2 sponsors since Sep 2021

Target and mechanism

Molecular targetIL1RAP, IL1RL1
Target classInhibitor
ModalityMonoclonal antibody

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment4,702

FDA Designations

No designations recorded

Clinical trial landscape

Astegolimab · 4 trials · 3 indications

Phase 3 2Phase 2 1Phase 1 1
NCT05878769A Study to Evaluate the Long-Term Safety of Astegolimab in Participants With Chronic Obstructive Pulmonary Disease (COPD)Chronic Obstructive Pulmonary Disease
ACTIVE NOT_RECRUITING2,000 Analytics
NCT05595642A Study to Evaluate Astegolimab in Participants With Chronic Obstructive Pulmonary DiseaseChronic Obstructive Pulmonary Disease (COPD)
ACTIVE NOT_RECRUITING1,290 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Evaluate the Long-Term Safety of Astegolimab in Participants With Chronic Obstructive Pulmonary Disease (COPD)
Chronic Obstructive Pulmonary DiseaseUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Evaluate Astegolimab in Participants With Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of all adverse events (AEs)
Up to 12 weeks after last dose of study treatment
Annualized rate of moderate and severe COPD exacerbations over the 52-week treatment period
52 weeks
Area under the curve from Hour 0 to the time of last measurable concentration (AUC0-t) of astegolimab
Approximately 85 days
AUC extrapolated to infinity (AUC0-infinity) of astegolimab
Approximately 85 days
Maximum serum concentration (Cmax) of astegolimab
Approximately 85 days

Secondary Endpoints

Time to first moderate or severe COPD exacerbation during the 52-week treatment period
52 weeks
Absolute change from baseline in health-related quality of life (HRQoL) at Week 52 as assessed through the St. George's Respiratory Questionnaire-COPD (SGRQ-C) total score
Week 52
Absolute change from baseline in post-bronchodilator forced expiratory volume (FEV1) at Week 52
Week 52
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Open-Label ExtensionEXPERIMENTALEligible participants from parent studies GB43311 and GB44332 will receive subcutaneous (SC) astegolimab every 2 weeks (Q2W) until the end of the study
Astegolimab SC Q2WEXPERIMENTALParticipants will receive subcutaneous (SC) astegolimab every 2 weeks (Q2W)
Astegolimab SC Q4WEXPERIMENTALParticipants will receive alternating SC astegolimab and placebo Q2W, thus receiving SC astegolimab Q4W.
Placebo SC Q2WPLACEBO_COMPARATORParticipants will receive SC placebo Q2W
Astegolimab Q2WEXPERIMENTALParticipants will receive subcutaneous (SC) astegolimab every 2 weeks (Q2W).
Astegolimab Q4WEXPERIMENTALParticipants will receive alternating SC astegolimab and placebo Q2W, thus receiving astegolimab every 4 weeks (Q4W).
PlaceboPLACEBO_COMPARATORParticipants will receive SC placebo Q2W.
Treatment AEXPERIMENTALParticipants will receive one subcutaneous (SC) dose in the abdomen.
Treatment BEXPERIMENTALParticipants will receive one subcutaneous (SC) dose in the thigh.
Treatment CEXPERIMENTALParticipants will receive one subcutaneous (SC) dose in the upper arm.

Interventions

NameTypeDescription
AstegolimabDRUGParticipants will receive SC astegolimab Q2W
PlaceboDRUGParticipants will receive SC placebo Q2W
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Eligibility Criteria

Age Range40 Years to 90 Years
SexALL
Healthy VolunteersNo
Study Sites481

Inclusion Criteria: * Completion of the 52-week treatment period in either parent GB43311 or GB44332 Exclusion Criteria: * Withdrawal of consent and/or premature discontinuation from parent study * Any permanent discontinuation of study drug in parent study * Significant non-compliance in the par...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChileChinaCzechiaDenmarkFranceGermanyGreeceHong KongHungaryIndiaIsraelItalyJapanKenyaLatviaMexicoNetherlandsNew ZealandPeruPhilippinesPolandPuerto RicoRomaniaSouth AfricaSouth KoreaSpainSwedenSwitzerlandTaiwanThailandTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)

MEDIUMAug 14, 2026NCT05878769Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMAug 14, 2026NCT05878769Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWAug 5, 2026NCT05878769lastUpdatePostDate: changed

Frequently asked questions about Astegolimab

What is Astegolimab used for?

Astegolimab is an investigational monoclonal antibody being developed for the treatment of chronic obstructive pulmonary disease (COPD). It has also been studied in healthy volunteers in a pharmacokinetic trial. It is not approved for any indication and remains in clinical development.

What does Astegolimab target?

Astegolimab targets IL1RAP and IL1RL1, acting as an inhibitor of this receptor pathway. IL1RL1 is also known as ST2, the receptor for IL-33, a cytokine involved in airway inflammation. By blocking this signaling axis, astegolimab is designed to dampen inflammation relevant to COPD.

Who makes Astegolimab?

Astegolimab is developed by Roche Holding AG, which trades on the OTC market under the ticker RHHBY. Roche is running the clinical development program, including the Phase 3 COPD trials and the completed Phase 1 healthy volunteer study.

What phase is Astegolimab in?

Astegolimab is in Phase 3 development for chronic obstructive pulmonary disease. Two Phase 3 trials are active but no longer recruiting, and a Phase 2 COPD trial and a Phase 1 healthy volunteer study have been completed. The drug is investigational and has not been approved by the FDA.

What clinical trials is Astegolimab in?

Astegolimab has been studied in four trials. The Phase 3 COPD studies are NCT05878769, a long-term safety trial with 2,000 participants, and NCT05595642, with 1,290 participants. The completed Phase 2 COPD trial is NCT05037929, and the completed Phase 1 healthy volunteer study is NCT06462118.

How many patients have been enrolled in Astegolimab trials?

Across the four listed trials, total enrollment is 4,624 participants. The Phase 3 long-term safety study NCT05878769 enrolled 2,000 participants, the Phase 3 study NCT05595642 enrolled 1,290, the completed Phase 2 trial NCT05037929 enrolled 1,334, and the Phase 1 study NCT06462118 enrolled 78 healthy volunteers.