ClinicalTrials.gg
CompletedNCT03406078SOURCEUpdated Dec 9, 2021Results posted

Study to Evaluate the Efficacy and Safety of Tezepelumab in Reducing Oral Corticosteroid Use in Adults With Oral Corticosteroid Dependent Asthma

A Phase 3 interventional study of Tezepelumab and Placebo in Asthma, sponsored by AstraZeneca. Completed at 60 sites in 7 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2021-12-09.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Phase 3
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 28 studies testing tezepelumab in Asthma — 7 open to participants now, 8 under way, 5 of them phase 3. tezepelumab · Asthma.

Enrollment
13th of 28
150 · median 121
Started
2018
with 1 other
Phase 3
16 of 28
4 open now
Registered
6th of 28
by date
Lead sponsor
16 of 28
AstraZeneca

Among the 28 studies testing tezepelumab in Asthma, this one is the 13th largest by enrollment, is one of 2 that started in 2018, is one of 16 in phase 3, and was the 6th registered.

Asthma

4,846 studies on the registry are indexed under Asthma; 602 are open to participants now.

Browse Asthma studies →

Open to participants now

7 of the 28 studies testing tezepelumab in Asthma are open now, in 12 countries. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 7 open studies →

About tezepelumab

tezepelumab: first FDA approval 2021 (TEZSPIRE), first EMA approval 2022. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 417 Asthma studies recruiting now, 140 (34%) set no upper age limit and 205 (49%) stop at 75 or younger; 146 take children under 18; 104 take healthy volunteers.

This study: 18 Years to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 28 studies testing tezepelumab in Asthma, or all of them as a file.
02

Study summary

Phase 3 Study to Evaluate the Efficacy and Safety of Tezepelumab in Reducing Oral Corticosteroid Use in Adults with Oral Corticosteroid Dependent Asthma

Read the detailed description

A Multicentre, Randomized, Double-Blind, Placebo Controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Tezepelumab in Reducing Oral Corticosteroid Use in Adults with Oral Corticosteroid Dependent Asthma

03

Conditions studied

  • Asthma

Browse trials for

Keywords

  • Asthma
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Subjects must have received a physician-prescribed medium- or high-dose ICS as per GINA guideline for at least 12 months
  2. Subjects must have received physician prescribed LABA and high dose ICS (total daily dose >500μg fluticasone propionate dry powder formulation equivalent) for at least 3 months. The ICS and LABA can be parts of a combination product, or given by separate inhalers.
  3. Additional maintenance asthma controller medications are allowed according to standard practice of care i.e., leukotriene receptor antagonists (LTRAs), theophylline, long-acting muscarinic antagonists (LAMAs), secondary ICS and cromones. The use of these medications must be documented for at least 3 months
  4. Subjects must have received OCS for the treatment of asthma for at least 6 months prior to screening and on a stable dose of between ≥ 7.5 to ≤ 30mg (prednisone or prednisolone equivalent) daily or daily equivalent for at least 1 month. The OCS dose may be administered every other day (or different doses every other day); Average dose over two days = The daily dose.
  5. Morning pre-bronchodilator (BD) must be \< 80% predicted normal
  6. Subjects must have evidence of asthma as documented by post-BD (albuterol/salbutatomol) reversibility of FEV1 ≥12% and ≥200 mL (15-30 min after administration of 4 puffs of albuterol/salbutamol), documented either in the previous 12 months
  7. Subjects must have a history of at least 1 asthma exacerbation event within 12 months
  8. Minimum 10 days compliance with the morning and evening eDiary completion and OCS,ICS,LABA as well as other asthma controller medications as captured in the eDiary during the 14 days prior to randomization
  9. Documented physician-diagnosed asthma for at least 12 months

Exclusion criteria

Exclusion Criteria:

  1. Any pulmonary disease other than asthma (e.g. active lung infection, (COPD), bronchiectasis, pulmonary fibrosis, cystic fibrosis, hypoventilation syndrome associated with obesity, lung cancer, alpha 1 anti-trypsin deficiency, and primary ciliary dyskinesia) or ever diagnosed with pulmonary or systemic disease, other than asthma, that are associated with elevated peripheral eosinophil counts (e.g. allergic bronchopulmonary aspergillosis/mycosis, Churg-Strauss syndrome, hypereosinophilic syndrome).
  2. Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, hematological, psychiatric, or major physical impairment that is not stable in the opinion of the Investigator and could:

    Affect the safety of the subject throughout the study Influence the findings of the study or the interpretation Impede the subject's ability to complete the entire duration of study

  3. History of cancer: Subjects who have had basal cell carcinoma, localized squamous cell carcinoma of the skin or in situ carcinoma of the cervix are eligible to participate in the study provided that curative therapy was completed at least 12 months prior to visit 1.Subjects who have had other are eligible provided that curative therapy was completed at least 5 years
  4. A helminth parasitic infection diagnosed within 6 months prior to screening that has not been treated with, or has failed to respond to, standard of care therapy.
  5. Current smokers or subjects with smoking history ≥ 10 pack-years and subjects using vaping products, including electronic cigarettes. Former smokers with a smoking history of \<10 pack years and users of vaping or e-cigarette products must have stopped for at least 6 months prior to visit 1 to be eligible.
  6. History of chronic alcohol or drug abuse within 12 months
  7. Tuberculosis requiring treatment within the 12 months
  8. History of any known immunodeficiency disorder including a positive (HIV) test.
  9. Major surgery within 8 weeks prior to visit 1 or planned surgical procedures requiring general anaesthesia or in-subject status for >1 day during the conduct of the study.
  10. Clinically significant asthma exacerbation, in the opinion of the Investigator, including those requiring use of systemic or increase in the maintenance dose of OCS within 30 days
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
150 participants (actual)

Study arms

  • Experimental
    Tezepelumab

    Tezepelumab subcutaneous injection

    Biological: Tezepelumab

  • Placebo comparator
    Placebo

    Placebo subcutaneous injection

    Other: Placebo

Interventions

  • BiologicalTezepelumab

    Tezepelumab subcutaneous injection

  • OtherPlacebo

    Placebo subcutaneous injection

06

What researchers measure

Primary outcomes

  1. Categorized Percent Reduction From Baseline in the Daily OCS Dose While Not Losing Asthma Control

    Categorized percent reduction from baseline at Week 48. Percent change from baseline is defined as {final dose-baseline dose)/baseline dose}\*100, and the categories of percent change from baseline in daily OCS dose are defined as: ≥90% to ≤100% reduction, ≥75% to \<90% reduction, ≥50% to \<75% reduction, \>0% to \<50% reduction, and, no change or any increase.

    Time frame: Baseline to Week 48

Secondary outcomes

  1. Annualised Asthma Exacerbation Rate (AAER)

    The annualized exacerbation rate is based on exacerbations reported by the investigator in the eCRF over 48 weeks.

    Time frame: Baseline to Week 48

  2. Proportion of Subjects With 100% Reduction From Baseline in Daily OCS Dose at Week 48

    Proportion (expressed as a percentage) of subjects with 100% reduction from baseline in daily OCS dose at Week 48. Percent change from baseline is defined as {(final dose-baseline dose)/baseline dose}\*100.

    Time frame: Baseline to Week 48

  3. Proportion of Subjects With Daily OCS Dose ≤5 mg at Week 48

    Proportion (expressed as a percentage) of subjects with daily OCS dose ≤5 mg at Week 48.

    Time frame: Week 48

  4. Proportion of Subjects With ≥50% Reduction From Baseline in Daily OCS Dose at Week 48

    Proportion (expressed as a percentage) of subjects with ≥50% reduction from baseline in daily OCS dose at Week 48. Percent change from baseline is defined as {(final dose-baseline dose)/baseline dose}\*100.

    Time frame: Baseline to Week 48

  5. Change From Baseline in Pre-bronchodilator (Pre-BD) Forced Expiratory Volume in 1 Second (FEV1)

    Change from baseline in pre-BD FEV1 at Week 48. FEV1 is defined as the volume of air exhaled from the lungs in the first second of a forced expiration.

    Time frame: Baseline to Week 48

  6. Change From Baseline in Weekly Mean Daily Asthma Symptom Score Via the Daily Asthma Symptom Diary

    Change from baseline in Asthma Symptom Diary score at Week 48. The Asthma Symptom Diary comprises of 10 items (5 items in the morning; 5 items in the evening). Asthma symptoms during night time and daytime are recorded by the patient each morning and evening in the daily diary. A daily ASD score is the mean of the 10 items. Responses for all 10 items are required to calculate the daily ASD score; otherwise, it is treated as missing. For the 7-day average asthma symptom score, scoring is done with no imputation using the mean of at least 4 of the 7 daily ASD scores as a mean weekly item score. The 7-day average ASD score ranges from 0 to 4, where 0 indicates no asthma symptoms.

    Time frame: Baseline to Week 48

  7. Change From Baseline in Weekly Mean Rescue Medication Use

    Change from baseline in weekly mean rescue medication use at Week 48. Daily rescue medication use is defined as: Number of night inhaler puffs + 2 x \[number of night nebulizer times\] + number of daytime inhaler puffs + 2 x \[number of day nebulizer times\]. Each timepoint is calculated as weekly means based on daily diary data.

    Time frame: Baseline to Week 48

  8. Change From Baseline in Weekly Mean Home Peak Expiratory Flow (PEF) (Morning and Evening)

    Change from baseline in weekly mean morning and evening peak expiratory flow (PEF) at Week 48. Home PEF testing will be performed by the subject in the morning upon awakening and in the evening at bedtime using an electronic, hand-held spirometer. Each timepoint is calculated as weekly means using at least 4 of the 7 days of PEF data.

    Time frame: Baseline to Week 48

  9. Change From Baseline in Weekly Mean Number of Night-time Awakening Due to Asthma

    Change from baseline in weekly mean number (expressed as a percentage) of night time awakenings at Week 48. Night-time awakenings percentage defined as number of nights with awakenings due to asthma and requiring rescue medication divided by number of nights with data and multiplied by 100%. At least 4 out of 7 days of data is required to calculate a weekly mean.

    Time frame: Baseline to Week 48

  10. Change From Baseline in Asthma Control Questionnaire 6 (ACQ-6) Score

    Change from baseline in ACQ-6 at Week 48. The ACQ-6 captures asthma symptoms and short-acting β2-agonist use via subject-report. Questions are weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The ACQ-6 score is the mean of the responses.

    Time frame: Baseline to Week 48

  11. Change From Baseline in Standardized Asthma Quality of Life Questionnaire for 12 Years and Older (AQLQ(s)+12) Total Score

    Change from baseline in AQLQ(S)+12 as compared to placebo at Week 48. The AQLQ(S)+12 is a questionnaire that measures the health-related quality of life experienced by asthma subjects. The total score is defined as the average of all 32 questions in the AQLQ(S)+12 questionnaire. AQLQ(S)+12 is a 7-point scale questionnaire, ranging from 7 (no impairment) to 1 (severe impairment).

    Time frame: Baseline to Week 48

  12. Change From Baseline in European Quality of Life - 5 Dimensions 5 Levels Questionnaire (EQ-5D-5L) Score

    Change from baseline in EQ-5D-5L at Week 48. The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no/slight/moderate/severe/extreme problems) that reflect increasing levels of difficulty. The EQ-5D-5L scores are converted into a single index-based value (Health State Valuation), using the UK population-based weights. The Helth State Valuation is scored between 0 to 1, where higher score indicates a better health state.

    Time frame: Baseline to Week 48

  13. Number of Participants With Asthma Specific Resource Utilizations

    Number of participants with asthma specific resource utilizations (e.g. unscheduled physician visits, unscheduled phone calls to physicians, use of other asthma medications) over 48 weeks.

    Time frame: Baseline to Week 48

  14. Change From Baseline in Work Productivity and Activity Impairment Questionnaire and Classroom Impairment Questionnaire (WPAI+CIQ) Score

    Change from baseline in WPAI+CIQ score at Week 48. The WPAI+CIQ consists of 10 questions about how asthma and asthma related issues impact a subject's ability to work, attend classes, and perform regular daily activities. Work (Class) productivity loss is derived by sum of percentage of missed work (class hours) due to asthma and product of percentage of actual working hours (class) times degree of asthma affecting work (class) productivity while working. Percentage of missed work (class hours) due to asthma is calculated by number of hours missed work (class) due to asthma divided by total number of hours missed work (class) plus number of hours actually worked (in class). Activity impairment is the degree health affected regular activities (other than work or class) rated from 0 to 10, with 0 meaning no effect, divided by 10, and then expressed as a percentage.

    Time frame: Baseline to Week 48

  15. Change From Baseline in FENO

    Change from baseline in fractional exhaled nitric oxide (FeNO) at week 48.

    Time frame: Baseline to Week 48

  16. Change From Baseline in Peripheral Blood Eosinophils

    Change from baseline in blood eosinophil counts at week 48.

    Time frame: Baseline to Week 48

  17. Change From Baseline From Total Serum IgE

    Change from baseline in total serum IgE at week 48.

    Time frame: Baseline to Week 48

  18. PK: Serum Trough Concentrations

    Serum trough concentrations at each scheduled visit.

    Time frame: Pre-dose samples at Baseline, Week 4, Week 12, Week 24, Week 40, Week 48, Week 60

  19. Immunogenicity: Incidence of Anti-drug Antibodies (ADA)

    Anti-drug antibodies (ADA) responses at baseline and post baseline. Persistently positive is defined as positive at \>=2 post baseline assessments (with \>=16 weeks between the first and the last positive) or positive at last post baseline assessment. Transiently positive is defined as having at least one post baseline ADA positive assessment and not fulfilling the conditions of persistently positive. Treatment boosted ADA defined as baseline positive ADA that was boosted to a 4 fold or higher level following treatment. Treatment emergent ADA defined as sum of treatment induced ADA and treatment boosted ADA.

    Time frame: Baseline to Week 60

07

Results

Posted Dec 9, 2021

Participant flow

The study was conducted at 60 centres in 7 countries. A total of 243 subjects were screened between 5MAR2018 and 27SEP2019, of which 150 were randomized and treated. 93 subjects were screen failures mainly due to exclusion criteria met and/or inclusion criteria not met. Assignment was done by Interactive Voice/Web Response System(IVRS/IWRS).

Participant flow — Overall Study
MilestoneTezepelumabPlacebo
Started7476
Completed6873
Not completed63
Withdrew: Death10
Withdrew: Lost to follow-up01
Withdrew: Withdrawal by subject52

Outcome measures

PrimaryCategorized Percent Reduction From Baseline in the Daily OCS Dose While Not Losing Asthma Control

Categorized percent reduction from baseline at Week 48. Percent change from baseline is defined as {final dose-baseline dose)/baseline dose}\*100, and the categories of percent change from baseline in daily OCS dose are defined as: ≥90% to ≤100% reduction, ≥75% to \<90% reduction, ≥50% to \<75% reduction, \>0% to \<50% reduction, and, no change or any increase.

Time frame:
Baseline to Week 48
Reported as:
Count of participants · Participants
Categorized Percent Reduction From Baseline in the Daily OCS Dose While Not Losing Asthma Control
ParticipantsTezepelumabPlacebo
>=90% to <=100% reduction4035
>=75% to <90% reduction54
>=50% to <75% reduction1014
>0% to <50% reduction59
no change or any increase1414
Statistical analysis
  • Tezepelumab vs Placebo · Proportional odds model · p = 0.434 · Cumulative odds ratio: 1.28 · 95% CI 0.69 to 2.35Response variable: categorised % reduction from baseline in final OCS dose. Covariates in the model: treatment, region and daily OCS dose at baseline.
SecondaryAnnualised Asthma Exacerbation Rate (AAER)

The annualized exacerbation rate is based on exacerbations reported by the investigator in the eCRF over 48 weeks.

Time frame:
Baseline to Week 48
Reported as:
Least squares mean · Events per year
Annualised Asthma Exacerbation Rate (AAER)
Events per yearTezepelumabPlacebo
Annualised Asthma Exacerbation Rate (AAER)1.38 (0.98 to 1.95)2.00 (1.46 to 2.74)
SecondaryProportion of Subjects With 100% Reduction From Baseline in Daily OCS Dose at Week 48

Proportion (expressed as a percentage) of subjects with 100% reduction from baseline in daily OCS dose at Week 48. Percent change from baseline is defined as {(final dose-baseline dose)/baseline dose}\*100.

Time frame:
Baseline to Week 48
Reported as:
Number · Percentage of participants
Proportion of Subjects With 100% Reduction From Baseline in Daily OCS Dose at Week 48
Percentage of participantsTezepelumabPlacebo
Proportion of Subjects With 100% Reduction From Baseline in Daily OCS Dose at Week 4854.146.1
SecondaryProportion of Subjects With Daily OCS Dose ≤5 mg at Week 48

Proportion (expressed as a percentage) of subjects with daily OCS dose ≤5 mg at Week 48.

Time frame:
Week 48
Reported as:
Number · Percentage of participants
Proportion of Subjects With Daily OCS Dose ≤5 mg at Week 48
Percentage of participantsTezepelumabPlacebo
Proportion of Subjects With Daily OCS Dose ≤5 mg at Week 4871.672.4
SecondaryProportion of Subjects With ≥50% Reduction From Baseline in Daily OCS Dose at Week 48

Proportion (expressed as a percentage) of subjects with ≥50% reduction from baseline in daily OCS dose at Week 48. Percent change from baseline is defined as {(final dose-baseline dose)/baseline dose}\*100.

Time frame:
Baseline to Week 48
Reported as:
Number · Percentage of participants
Proportion of Subjects With ≥50% Reduction From Baseline in Daily OCS Dose at Week 48
Percentage of participantsTezepelumabPlacebo
Proportion of Subjects With ≥50% Reduction From Baseline in Daily OCS Dose at Week 4874.369.7
SecondaryChange From Baseline in Pre-bronchodilator (Pre-BD) Forced Expiratory Volume in 1 Second (FEV1)

Change from baseline in pre-BD FEV1 at Week 48. FEV1 is defined as the volume of air exhaled from the lungs in the first second of a forced expiration.

Time frame:
Baseline to Week 48
Reported as:
Least squares mean · Litre
Change From Baseline in Pre-bronchodilator (Pre-BD) Forced Expiratory Volume in 1 Second (FEV1)
LitreTezepelumabPlacebo
Change From Baseline in Pre-bronchodilator (Pre-BD) Forced Expiratory Volume in 1 Second (FEV1)0.21 ± 0.046-0.04 ± 0.046
SecondaryChange From Baseline in Weekly Mean Daily Asthma Symptom Score Via the Daily Asthma Symptom Diary

Change from baseline in Asthma Symptom Diary score at Week 48. The Asthma Symptom Diary comprises of 10 items (5 items in the morning; 5 items in the evening). Asthma symptoms during night time and daytime are recorded by the patient each morning and evening in the daily diary. A daily ASD score is the mean of the 10 items. Responses for all 10 items are required to calculate the daily ASD score; otherwise, it is treated as missing. For the 7-day average asthma symptom score, scoring is done with no imputation using the mean of at least 4 of the 7 daily ASD scores as a mean weekly item score. The 7-day average ASD score ranges from 0 to 4, where 0 indicates no asthma symptoms.

Time frame:
Baseline to Week 48
Reported as:
Least squares mean · Score on a scale
Change From Baseline in Weekly Mean Daily Asthma Symptom Score Via the Daily Asthma Symptom Diary
Score on a scaleTezepelumabPlacebo
Change From Baseline in Weekly Mean Daily Asthma Symptom Score Via the Daily Asthma Symptom Diary-0.36 ± 0.071-0.26 ± 0.068
SecondaryChange From Baseline in Weekly Mean Rescue Medication Use

Change from baseline in weekly mean rescue medication use at Week 48. Daily rescue medication use is defined as: Number of night inhaler puffs + 2 x \[number of night nebulizer times\] + number of daytime inhaler puffs + 2 x \[number of day nebulizer times\]. Each timepoint is calculated as weekly means based on daily diary data.

Time frame:
Baseline to Week 48
Reported as:
Least squares mean · Weekly mean rescue medication use
Change From Baseline in Weekly Mean Rescue Medication Use
Weekly mean rescue medication useTezepelumabPlacebo
Change From Baseline in Weekly Mean Rescue Medication Use-0.85 ± 0.280-0.37 ± 0.268
SecondaryChange From Baseline in Weekly Mean Home Peak Expiratory Flow (PEF) (Morning and Evening)

Change from baseline in weekly mean morning and evening peak expiratory flow (PEF) at Week 48. Home PEF testing will be performed by the subject in the morning upon awakening and in the evening at bedtime using an electronic, hand-held spirometer. Each timepoint is calculated as weekly means using at least 4 of the 7 days of PEF data.

Time frame:
Baseline to Week 48
Reported as:
Least squares mean · L/min
Change From Baseline in Weekly Mean Home Peak Expiratory Flow (PEF) (Morning and Evening)
L/minTezepelumabPlacebo
morning PEF13.29 ± 5.653-9.71 ± 5.435
evening PEF10.05 ± 5.980-11.37 ± 5.749
SecondaryChange From Baseline in Weekly Mean Number of Night-time Awakening Due to Asthma

Change from baseline in weekly mean number (expressed as a percentage) of night time awakenings at Week 48. Night-time awakenings percentage defined as number of nights with awakenings due to asthma and requiring rescue medication divided by number of nights with data and multiplied by 100%. At least 4 out of 7 days of data is required to calculate a weekly mean.

Time frame:
Baseline to Week 48
Reported as:
Least squares mean · Percentage of nights with awakenings
Change From Baseline in Weekly Mean Number of Night-time Awakening Due to Asthma
Percentage of nights with awakeningsTezepelumabPlacebo
Change From Baseline in Weekly Mean Number of Night-time Awakening Due to Asthma-15.71 ± 3.482-12.79 ± 3.317
SecondaryChange From Baseline in Asthma Control Questionnaire 6 (ACQ-6) Score

Change from baseline in ACQ-6 at Week 48. The ACQ-6 captures asthma symptoms and short-acting β2-agonist use via subject-report. Questions are weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The ACQ-6 score is the mean of the responses.

Time frame:
Baseline to Week 48
Reported as:
Least squares mean · Score on a scale
Change From Baseline in Asthma Control Questionnaire 6 (ACQ-6) Score
Score on a scaleTezepelumabPlacebo
Change From Baseline in Asthma Control Questionnaire 6 (ACQ-6) Score-0.87 ± 0.125-0.51 ± 0.123
SecondaryChange From Baseline in Standardized Asthma Quality of Life Questionnaire for 12 Years and Older (AQLQ(s)+12) Total Score

Change from baseline in AQLQ(S)+12 as compared to placebo at Week 48. The AQLQ(S)+12 is a questionnaire that measures the health-related quality of life experienced by asthma subjects. The total score is defined as the average of all 32 questions in the AQLQ(S)+12 questionnaire. AQLQ(S)+12 is a 7-point scale questionnaire, ranging from 7 (no impairment) to 1 (severe impairment).

Time frame:
Baseline to Week 48
Reported as:
Least squares mean · Score on a scale
Change From Baseline in Standardized Asthma Quality of Life Questionnaire for 12 Years and Older (AQLQ(s)+12) Total Score
Score on a scaleTezepelumabPlacebo
Change From Baseline in Standardized Asthma Quality of Life Questionnaire for 12 Years and Older (AQLQ(s)+12) Total Score0.94 ± 0.1240.58 ± 0.123
SecondaryChange From Baseline in European Quality of Life - 5 Dimensions 5 Levels Questionnaire (EQ-5D-5L) Score

Change from baseline in EQ-5D-5L at Week 48. The EQ-5D-5L questionnaire assesses 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response options (no/slight/moderate/severe/extreme problems) that reflect increasing levels of difficulty. The EQ-5D-5L scores are converted into a single index-based value (Health State Valuation), using the UK population-based weights. The Helth State Valuation is scored between 0 to 1, where higher score indicates a better health state.

Time frame:
Baseline to Week 48
Reported as:
Least squares mean · Score on a scale
Change From Baseline in European Quality of Life - 5 Dimensions 5 Levels Questionnaire (EQ-5D-5L) Score
Score on a scaleTezepelumabPlacebo
Change From Baseline in European Quality of Life - 5 Dimensions 5 Levels Questionnaire (EQ-5D-5L) Score0.07 ± 0.0260.00 ± 0.027
SecondaryNumber of Participants With Asthma Specific Resource Utilizations

Number of participants with asthma specific resource utilizations (e.g. unscheduled physician visits, unscheduled phone calls to physicians, use of other asthma medications) over 48 weeks.

Time frame:
Baseline to Week 48
Reported as:
Number · Participants
Number of Participants With Asthma Specific Resource Utilizations
ParticipantsTezepelumabPlacebo
Hospitalisation510
Emergency room visit47
Unscheduled visit to specialist2941
Home visit12
Telephone call2643
Ambulance transport01
SecondaryChange From Baseline in Work Productivity and Activity Impairment Questionnaire and Classroom Impairment Questionnaire (WPAI+CIQ) Score

Change from baseline in WPAI+CIQ score at Week 48. The WPAI+CIQ consists of 10 questions about how asthma and asthma related issues impact a subject's ability to work, attend classes, and perform regular daily activities. Work (Class) productivity loss is derived by sum of percentage of missed work (class hours) due to asthma and product of percentage of actual working hours (class) times degree of asthma affecting work (class) productivity while working. Percentage of missed work (class hours) due to asthma is calculated by number of hours missed work (class) due to asthma divided by total number of hours missed work (class) plus number of hours actually worked (in class). Activity impairment is the degree health affected regular activities (other than work or class) rated from 0 to 10, with 0 meaning no effect, divided by 10, and then expressed as a percentage.

Time frame:
Baseline to Week 48
Reported as:
Mean · Percentage
Change From Baseline in Work Productivity and Activity Impairment Questionnaire and Classroom Impairment Questionnaire (WPAI+CIQ) Score
PercentageTezepelumabPlacebo
Work productivity loss-6.27 ± 25.30-9.66 ± 36.63
Class productivity loss-10.00 ± 0—
Activity impairment-13.2 ± 29.3-7.8 ± 26.4
SecondaryChange From Baseline in FENO

Change from baseline in fractional exhaled nitric oxide (FeNO) at week 48.

Time frame:
Baseline to Week 48
Reported as:
Least squares mean · ppb
Change From Baseline in FENO
ppbTezepelumabPlacebo
Change From Baseline in FENO-11.71 ± 2.757-1.40 ± 2.774
SecondaryChange From Baseline in Peripheral Blood Eosinophils

Change from baseline in blood eosinophil counts at week 48.

Time frame:
Baseline to Week 48
Reported as:
Least squares mean · cells/μL
Change From Baseline in Peripheral Blood Eosinophils
cells/μLTezepelumabPlacebo
Change From Baseline in Peripheral Blood Eosinophils-83.79 ± 17.07833.38 ± 16.605
SecondaryChange From Baseline From Total Serum IgE

Change from baseline in total serum IgE at week 48.

Time frame:
Baseline to Week 48
Reported as:
Least squares mean · IU/mL
Change From Baseline From Total Serum IgE
IU/mLTezepelumabPlacebo
Change From Baseline From Total Serum IgE-80.66 ± 36.25337.77 ± 35.621
SecondaryPK: Serum Trough Concentrations

Serum trough concentrations at each scheduled visit.

Time frame:
Pre-dose samples at Baseline, Week 4, Week 12, Week 24, Week 40, Week 48, Week 60
Reported as:
Geometric mean · μg/mL
PK: Serum Trough Concentrations
μg/mLTezepelumabPlacebo
Baseline0 ± 0—
Week 410.3298 ± 42.31—
Week 1217.9626 ± 57.85—
Week 2418.9210 ± 55.83—
Week 4016.7095 ± 181.44—
Week 4813.9224 ± 352.35—
Week 603.5591 ± 177.36—
SecondaryImmunogenicity: Incidence of Anti-drug Antibodies (ADA)

Anti-drug antibodies (ADA) responses at baseline and post baseline. Persistently positive is defined as positive at \>=2 post baseline assessments (with \>=16 weeks between the first and the last positive) or positive at last post baseline assessment. Transiently positive is defined as having at least one post baseline ADA positive assessment and not fulfilling the conditions of persistently positive. Treatment boosted ADA defined as baseline positive ADA that was boosted to a 4 fold or higher level following treatment. Treatment emergent ADA defined as sum of treatment induced ADA and treatment boosted ADA.

Time frame:
Baseline to Week 60
Reported as:
Number · Participants
Immunogenicity: Incidence of Anti-drug Antibodies (ADA)
ParticipantsTezepelumabPlacebo
ADA positive at baseline and/or post-baseline (ADA prevalence)32
Any baseline ADA positive22
Only baseline ADA positive11
Any post-baseline ADA positive21
Both baseline and at least one post-baseline ADA positive11
Treatment-induced ADA positive10
Treatment-boosted ADA positive00
TE-ADA positive (ADA incidence)10
ADA persistently positive11
ADA transiently positive10

Adverse events

Collected over Baseline to Week 60. Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Tezepelumab1/74 (1.4%)12/74 (16.2%)35/74 (47.3%)
Placebo0/76 (0%)16/76 (21.1%)48/76 (63.2%)
Most frequent serious events
Showing 10 of 23
Most frequent serious events
EventTezepelumabPlacebo
AsthmaRespiratory, thoracic and mediastinal disorders4/748/76
PneumoniaInfections and infestations1/742/76
Cardiac arrestCardiac disorders1/740/76
Cardiac failureCardiac disorders1/740/76
Supraventricular tachycardiaCardiac disorders1/740/76
Inguinal herniaGastrointestinal disorders1/740/76
Intervertebral discitisInfections and infestations1/740/76
Septic shockInfections and infestations1/740/76
Incisional herniaInjury, poisoning and procedural complications1/740/76
ArthralgiaMusculoskeletal and connective tissue disorders1/740/76
Most frequent other events
Showing 10 of 14
Most frequent other events
EventTezepelumabPlacebo
NasopharyngitisInfections and infestations12/7419/76
Upper respiratory tract infectionInfections and infestations9/748/76
HeadacheNervous system disorders3/748/76
AsthmaRespiratory, thoracic and mediastinal disorders6/748/76
Bronchitis bacterialInfections and infestations6/747/76
HypertensionVascular disorders2/746/76
Influenza like illnessGeneral disorders0/745/76
SinusitisInfections and infestations1/745/76
BronchitisInfections and infestations4/743/76
Oral candidiasisInfections and infestations4/744/76

Baseline characteristics

Age, Continuous
Age, Continuous(years)TezepelumabPlaceboTotal
Mean53.5 ± 12.153.4 ± 11.953.4 ± 12.0
Sex: Female, Male
Sex: Female, Male(Participants)TezepelumabPlaceboTotal
Female494594
Male253156
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)TezepelumabPlaceboTotal
White6264126
Black or African American101
Asian111122
Native Hawaiian or Other Pacific Islander000
American Indian or Alaska Native000
Other011
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)TezepelumabPlaceboTotal
Hispanic or Latino101424
Not Hispanic or Latino6462126
08

Study locations

60 sites
  • Research Site
    Bakersfield, California 93301, United States
  • Research Site
    Newark, Delaware 19713, United States
  • Research Site
    Kissimmee, Florida 34741, United States
  • Research Site
    Kissimmee, Florida 34746, United States
  • Research Site
    Fall River, Massachusetts 02721, United States
  • Research Site
    Ann Arbor, Michigan 48109, United States
  • Research Site
    Saint Louis, Missouri 63141, United States
  • Research Site
    Bronx, New York 10461, United States
  • Research Site
    Durham, North Carolina 27705, United States
  • Research Site
    Greenville, North Carolina 27834, United States
  • Research Site
    Cincinnati, Ohio 45231, United States
  • Research Site
    Cleveland, Ohio 44130, United States
  • Research Site
    Toledo, Ohio 43617, United States
  • Research Site
    Oklahoma City, Oklahoma 73109, United States
  • Research Site
    Altoona, Pennsylvania 16602, United States
  • Research Site
    Homestead, Pennsylvania 15120, United States
  • Research Site
    Philadelphia, Pennsylvania 19140, United States
  • Research Site
    Anderson, South Carolina 29621, United States
  • Research Site
    North Charleston, South Carolina 29406, United States
  • Research Site
    McKinney, Texas 75069, United States
  • Research Site
    San Antonio, Texas 78251, United States
  • Research Site
    Buenos Aires, C1414AIF, Argentina
  • Research Site
    Ciudad de Buenos Aire, C1425BEN, Argentina
  • Research Site
    Córdoba, X5003DCE, Argentina
  • Research Site
    Mendoza, 5500, Argentina
  • Research Site
    Quilmes, B1878FNR, Argentina
  • Research Site
    San Fernando, 1646, Argentina
  • Research Site
    San Miguel de Tucuman, T4000IAR, Argentina
  • Research Site
    Aschaffenburg, 63739, Germany
  • Research Site
    Bamberg, 96049, Germany
  • Research Site
    Berlin, 10367, Germany
  • Research Site
    Berlin, 10717, Germany
  • Research Site
    Berlin, 10969, Germany
  • Research Site
    Hamburg, 22299, Germany
  • Research Site
    Hannover, 30625, Germany
  • Research Site
    Hannover, D-30173, Germany
  • Research Site
    Koblenz, 56068, Germany
  • Research Site
    Lübeck, 23552, Germany
  • Research Site
    Mainz Am Rhein, 55131, Germany
  • Research Site
    München, 81377, Germany
  • Research Site
    Daegu, 42415, Korea, Republic of
  • Research Site
    Seoul, 03082, Korea, Republic of
  • Research Site
    Seoul, 03312, Korea, Republic of
  • Research Site
    Seoul, 03722, Korea, Republic of
  • Research Site
    Seoul, 05505, Korea, Republic of
  • Research Site
    Seoul, 06351, Korea, Republic of
  • Research Site
    Seoul, 06591, Korea, Republic of
  • Research Site
    Kraków, 31-559, Poland
  • Research Site
    Wrocław, 53-301, Poland
  • Research Site
    Łódź, 90-153, Poland
  • Research Site
    Adana, 01330, Turkey
  • Research Site
    Ankara, 06230, Turkey
  • Research Site
    Ankara, 06280, Turkey
  • Research Site
    Bursa, 16059, Turkey
  • Research Site
    Istanbul, 34098, Turkey
  • Research Site
    Manisa, 45030, Turkey
  • Research Site
    Dnipro, 49007, Ukraine
  • Research Site
    Kherson, 73000, Ukraine
  • Research Site
    Lutsk, 4300, Ukraine
  • Research Site
    Vinnytsia, 21029, Ukraine
09

References and documents

Publications

  • Wechsler ME, Menzies-Gow A, Brightling CE, Kuna P, Korn S, Welte T, Griffiths JM, Salapa K, Hellqvist A, Almqvist G, Lal H, Kaur P, Skarby T, Colice G; SOURCE study group. Evaluation of the oral corticosteroid-sparing effect of tezepelumab in adults with oral corticosteroid-dependent asthma (SOURCE): a randomised, placebo-controlled, phase 3 study. Lancet Respir Med. 2022 Jul;10(7):650-660. doi: 10.1016/S2213-2600(21)00537-3. Epub 2022 Mar 29. Erratum In: Lancet Respir Med. 2022 Jul;10(7):e72. doi: 10.1016/S2213-2600(22)00128-X. PubMed 35364018 ↗
  • Wechsler ME, Colice G, Griffiths JM, Almqvist G, Skarby T, Piechowiak T, Kaur P, Bowen K, Hellqvist A, Mo M, Garcia Gil E. SOURCE: a phase 3, multicentre, randomized, double-blind, placebo-controlled, parallel group trial to evaluate the efficacy and safety of tezepelumab in reducing oral corticosteroid use in adults with oral corticosteroid dependent asthma. Respir Res. 2020 Oct 13;21(1):264. doi: 10.1186/s12931-020-01503-z. PubMed 33050928 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Access criteria: When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool. Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Data sharing details ↗ · astrazenecagroup-dt.pharmacm.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Sep 2020, 30 months.

Results were first posted in Dec 2021, 1 year 2 months after primary completion.

Of 173 industry-sponsored phase 3 interventional studies under Asthma, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 41. This study's 30 months is above that.

Counting every sponsor, half of 205 studies reached it within 27 months; a quarter within 14 and three quarters within 42.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 14, 2018
First posted
Jan 23, 2018
StartActual
Mar 5, 2018
Primary completionActual
Sep 25, 2020
CompletionActual
Sep 25, 2020
Results first posted
Dec 9, 2021
Last update
Dec 9, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 9, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03406078
Lead sponsor
AstraZeneca
Collaborators
Amgen
Responsible party
Sponsor
First posted
Jan 23, 2018
Start date
Mar 5, 2018
Primary completion
Sep 25, 2020
Completion
Sep 25, 2020
Results posted
Dec 9, 2021
Last update
Dec 9, 2021

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Tezepelumab

Start the discussion