A Phase 3 interventional study of Tezepelumab in Chronic Rhinosinusitis With Nasal Polyps, sponsored by AstraZeneca. Active, not recruiting at 41 sites in 9 countries. Open to participants aged 18 Years to 130 Years. Per ClinicalTrials.gov, last updated 2026-10-07.
Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment
The main objective of this study is to evaluate treatment outcomes of tezepelumab among participants with physician-determined surgery-eligible CRSwNP, with or without asthma.
Study details include:
This is a multicentre, open-label, single-arm, phase IIIb study is to describe changes from baseline in (1) participant-reported nasal congestion as evaluated by the nasal congestion score (NCS) and (2) participant-reported sino-nasal symptoms as evaluated by sino-nasal outcome test, 22 item (SNOT-22) following initiation of tezepelumab treatment.
Approximately 60 sites in 10 countries will enrol adult patients with physician determined surgery eligible CRSwNP.
The study is divided into 3 periods as described below:
330 studies on the registry are indexed under Rhinosinusitis; 55 are open to participants now.
This study's enrollment of 181 is above the median of 60 across 227 interventional studies indexed under Rhinosinusitis.
Browse Rhinosinusitis studies →AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.
Of its 358 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.
Counted across the registry records on this site, refreshed daily.
The following age-specific requirements apply:
Exclusion Criteria:
Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, haematological, psychiatric, or major physical impairment that is not stable in the opinion of the investigator and could:
History of cancer:
Tezepelumab: Tezepelumab single dose subcutaneously injection.
Combination Product: Tezepelumab
IMP. Subcutaneous injection. Unit dose strengths 210 mg.
Also known as: TEZSPIRE®
Change from baseline in nasal congestion
Changes from baseline in participant-reported nasal congestion as evaluated by the nasal congestion score (NCS) as part of the nasal polyposis symptom diary (NPSD) following initiation of tezepelumab treatment.
Time frame: Week 24
Change from baseline in sino-nasal symptoms
changes from baseline in participant reported sino nasal symptoms as evaluated by sino nasal outcome test, 22 item (SNOT 22) total score following initiation of tezepelumab treatment.
Time frame: Week 24
Proportion of NCS responders
Proportion of NCS responders (minimal clinically important difference \[MCID\] from baseline = 1.0) at each collected timepoint.
Time frame: End of treatment - Week 24
Time to first response for NCS
Description of time to first response for NCS by analysing data at all collected timepoints.
Time frame: End of Treatment-week 24
Change from baseline in NCS
Change from baseline in NCS at each collected timepoint.
Time frame: Daily for the 2 weeks prior to Week 0 through end of treatment visit (EOT; Week 24).
Proportion of SNOT-22 responders
Proportion of SNOT-22 responders (MCID from baseline = -8.9) at each collected timepoint.
Time frame: Screening, Weeks 0, 2, 4, 8, 12, 16, 20, and 24.
Time to first response for SNOT-22
Description of time to first response for SNOT-22 by analysing data at all collected timepoints.
Time frame: Screening, Weeks 0, 2, 4, 8, 12, 16, 20, and 24.
Change from baseline in SNOT-22
Change from baseline in SNOT-22 at each collected timepoint.
Time frame: Screening, Weeks 0, 2, 4, 8, 12, 16, 20, and 24.
Change from baseline visit in nasal blockage (NB)
Change from baseline visit in NB measured by PNIF
Time frame: Weeks 0, 4, 12, and 24.
Change from baseline visit in NB
Change from baseline visit in NB measured by VAS-NB
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, 24.
Proportion of PNIF responders
Proportion of PNIF responders (MCID from baseline =20 L/min).
Time frame: Weeks 0, 4, 12, and 24.
Proportion of VAS-NB responders
Proportion of VAS-NB responders (MCID from baseline = -3.0) (in participants with VAS-NB ≥ 7 at baseline).
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, 24.
Time to first response for PNIF
Description of time to first response for PNIF by analysing data at all collected timepoints.
Time frame: Weeks 0, 4, 12, and 24
First response for VAS NB
Description of time to first response for VAS NB by analysing data at all collected timepoints (in participants with VAS-NB ≥ 7 at baseline).
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, 24.
Change from baseline in loss of smell score evaluated by UPSIT or Sniffin Sticks
Change from baseline in loss of smell score evaluated by UPSIT or Sniffin Sticks
Time frame: Weeks 0, 1, 2, 4, 8, 12, 16, 20, and 24
Change from baseline in loss of smell score evaluated by VAS-Taste
Change from baseline in loss of smell score evaluated by VAS-Taste
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, and 24
Change from baseline in loss of smell score evaluated by VAS-Smell
Change from baseline in loss of smell score evaluated by VAS-Smell
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, and 24.
Proportion of UPSIT responders
Proportion of UPSIT responders (MCID from baseline = 4)
Time frame: Weeks 0, 1, 2, 4, 8, 12, 16, 20, and 24.
Proportion of Sniffin sticks responders
Proportion of Sniffin sticks responders (MCID from baseline = 6)
Time frame: Weeks 0, 1, 2, 4, 8, 12, 16, 20, and 24
Proportion of VAS-Smell responders
Proportion of VAS-Smell responders (MCID from baseline = -3.0) (in participants with VAS-Smell ≥ 7 at baseline)
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, and 24
Proportion of participants with a reduction in VAS-Taste score from baseline
Proportion of participants with a reduction in VAS-Taste score from baseline (in participants with VAS-Taste ≥ 7 at baseline)
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, and 24.
Time to first response for UPSIT/Sniffin sticks
Time to first response for UPSIT/Sniffin sticks by analysing data at all collected timepoints.
Time frame: Weeks 0, 1, 2, 4, 8, 12, 16, 20, and 24
Time to first response for VAS Smell
Time to first response for VAS Smell by analysing data at all collected timepoints (in participants with VAS-Smell ≥ 7 at baseline).
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, and 24
Time to first improvement in VAS-Taste
Time to first improvement in VAS-Taste by analysing data at all collected timepoints (in participants with VAS-Taste ≥ 7 at baseline).
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, and 24.
Change from baseline in sleep as evaluated by PSQI total score
Change from baseline in sleep as evaluated by PSQI total score
Time frame: Weeks 0, 12, and 24.
Change from baseline in sleep as evaluated by SNOT-22 Sleep domain score
Change from baseline in sleep as evaluated by SNOT-22 Sleep domain score
Time frame: Screening, Week 0, Weeks 2, 4, 8, 12, 16, 20, and 24
Change from baseline in sleep as evaluated by VAS-Sleep
Change from baseline in sleep as evaluated by VAS-Sleep
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, and 24
Proportion of PSQI responders
Proportion of PSQI responders (MCID from baseline = - 4.4)
Time frame: Weeks 0, 12, and 24
Proportion of SNOT-22 Sleep domain responders
Proportion of SNOT-22 Sleep domain responders (MCID from baseline = -2.9)
Time frame: Screening, Week 0, Weeks 2, 4, 8, 12, 16, 20, and 24
Proportion of participants with any improvement in VAS Sleep from baseline
Proportion of participants with any improvement in VAS Sleep from baseline (in participants with VAS-Sleep ≥ 7 at baseline)
Time frame: Daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, and 24
Time to first response for PSQI
Time to first response for PSQI by analysing data at all collected timepoints.
Time frame: Weeks 0, 12, and 24.
Time to first response for SNOT-22 Sleep domain
Time to first response for SNOT-22 Sleep domain by analysing data at all collected timepoints.
Time frame: Screening, Week 0, Weeks 2, 4, 8, 12, 16, 20, and 24.
Time to first improvement for VAS-Sleep
Time to first improvement for VAS-Sleep by analysing data at all collected timepoints (in participants with VAS-Sleep ≥ 7 at baseline).
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, and 24
Change from baseline in total NPS
Change from baseline in total NPS evaluated by nasal endoscopy.
Time frame: Screening, Weeks 2 and 24
Proportion of NPS responders
Proportion of NPS responders (MCID from baseline = 1.0) at Weeks 2 and 24.
Time frame: Screening, Weeks 2 and 24
Change from baseline in NPQ score
Change from baseline in NPQ score
Time frame: Weeks 0, 8, 12, and 24.
Proportion of NPQ responders
Proportion of NPQ responders (MCID from baseline = 7.0)
Time frame: Weeks 0, 8, 12, and 24
Time to first response for NPQ
Time to first response for NPQ by analysing data collected at each specified timepoint.
Time frame: Weeks 0, 8, 12, and 24.
Change from baseline in TSS
Change from baseline in TSS
Time frame: daily for the 2 weeks prior to Week 0 and through EOT (Week 24)
Proportion of TSS responders
Proportion of TSS responders (MCID from baseline = 4.0)
Time frame: daily for the 2 weeks prior to Week 0 and through EOT (Week 24)
Time to first response for TSS
Time to first response for TSS by analysing data at all collected timepoints.
Time frame: daily for the 2 weeks prior to Week 0 and through EOT (Week 24)
Change from baseline in NP severity
Change from baseline in NP severity as measured by VAS Overall symptoms
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, and 24.
Proportion of VAS Overall symptom responders
Proportion of VAS Overall symptom responders (MCID from baseline = 2.5)
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, and 24.
Time to first response for VAS-Overall symptom
Time to first response for VAS-Overall symptom by analysing data at all collected timepoints
Time frame: daily for the 2 weeks prior to Week 0 through the first 12 weeks of Treatment Period, and at Weeks 16, 20, and 24.
Proportion of participants who respond as 'well controlled' or 'completely controlled' NP symptoms to the NP control question
Proportion of participants who respond as 'well controlled' or 'completely controlled' NP symptoms to the NP control question
Time frame: Weeks 0, 4, 8, 12, 20, and 24.
Time to first response for NP control
Time to first response for NP control by analysing data at all collected timepoints.
Time frame: Weeks 0, 4, 8, 12, 20, and 24.
Endoscopy findings will be used to describe histological changes and describe CRSwNP visualization
Endoscopy findings will be used to describe histological changes and describe CRSwNP visualization from baseline to Week 24.
Time frame: Screening, Weeks 2 and 24
Change from baseline in blood eosinophil count (BEC), total serum IgE, specific IgE (including fungi/moulds [eg, Alternaria]), S. aureus enterotoxin IgE, and Fractional exhaled nitric oxide (FeNO; for asthma participants only)
Change from baseline in blood eosinophil count (BEC), total serum IgE, specific IgE (including fungi/moulds \[eg, Alternaria\]), S. aureus enterotoxin IgE, and Fractional exhaled nitric oxide (FeNO; for asthma participants only)
Time frame: Screening (for BEC and FeNO), Week 0 (for IgE and S. aureus enterotoxin IgE), Weeks 12 and 24
Change from baseline in WPAI-CRSwNP
Change from baseline in WPAI-CRSwNP
Time frame: Week 0 and Week 24
Proportion and annualised rate of primary care visits (all rates for CRSwNP-related and asthma-related).
Proportion and annualised rate of primary care visits (all rates for CRSwNP-related and asthma-related).
Time frame: 24 weeks pre-and post index (index = 1st tezepelumab dosing).
Change in incident rate of nasal infection comparing the post-index period versus the pre-index period
Change in incident rate of nasal infection comparing the post-index period versus the pre-index period (index = 1st tezepelumab dosing).
Time frame: 24 weeks pre- and post-index. (index = 1st tezepelumab dosing)
Change in proportion of participants with CRSwNP-related SCS use during the post-index period (24 weeks following tezepelumab first dose) versus the pre-treatment period (24 weeks prior to tezepelumab first dose)
Change in proportion of participants with CRSwNP-related SCS use during the post-index period (24 weeks following tezepelumab first dose) versus the pre-treatment period (24 weeks prior to tezepelumab first dose)
Time frame: 24-weeks pre- and post- index. (index = 1st tezepelumab dosing).
Change in average SCS daily dose during the post-index period versus dose at/closest to the index
Change in average SCS daily dose during the post-index period (24 weeks following tezepelumab first dose) versus dose at/closest to the index
Time frame: 24-weeks pre- and post- index. (index = 1st tezepelumab dosing).
Proportion of participants with the decision for CRSwNP surgery during the 24 weeks pre- and post-index and change in NP surgery proportion following tezepelumab initiation.
Proportion of participants with the decision for CRSwNP surgery during the 24 weeks pre- and post-index and change in NP surgery proportion following tezepelumab initiation.
Time frame: 24-weeks pre- and post- index. (index = 1st tezepelumab dosing).
Proportion of patients with CRSwNP exacerbation
Proportion of patients with CRSwNP exacerbation
Time frame: 24-weeks pre- and post-index (index = 1st tezepelumab dosing).
Change since baseline in Asthma Control Questionnaire 6 (ACQ-6) score
Change since baseline in Asthma Control Questionnaire 6 (ACQ-6) score
Time frame: Weeks 0 and 24.
ACQ-6 responder: proportion of participants with change since baseline in ACQ-6 of 0.5 or above
ACQ-6 responder: proportion of participants with change since baseline in ACQ-6 of 0.5 or above
Time frame: Weeks 0 and 24
Annualised asthma exacerbation rate
Annualised asthma exacerbation rate
Time frame: 24 weeks pre-and post-index (index = 1st tezepelumab dosing).
Change from baseline in Annualised asthma exacerbation rate
Change from baseline in Annualised asthma exacerbation rate
Time frame: 24 weeks pre-and post-index (index = 1st tezepelumab dosing).
Lung function (Forced expiratory volume in 1 second [FEV1]) (if available at site)
Lung function (Forced expiratory volume in 1 second \[FEV1\]) (if available at site)
Time frame: Weeks 0, 12 (lung function only) and 24.
Asthma-related SCS use (yes/no)
Asthma-related SCS use (yes/no)
Time frame: 24 weeks pre-and post-index (index = 1st tezepelumab dosing).
Proportion and annualised rate of urgent care (all rates for CRSwNP-related and asthma-related).
Proportion and annualised rate of urgent care (all rates for CRSwNP-related and asthma-related).
Time frame: 24 weeks pre-and post index (index=1st tezepelumab dosing)
Proportion and annualised rate of unplanned surgery (all rates for CRSwNP-related and asthma-related).
Proportion and annualised rate of unplanned surgery (all rates for CRSwNP-related and asthma-related).
Time frame: 24 weeks pre and post index (index=ist tezepelumab dosing)
Proportion and annualised rate of unplanned out participant visits (all rates for CRSwNP-related and asthma-related).
Proportion and annualised rate of unplanned out participant visits (all rates for CRSwNP-related and asthma-related).
Time frame: 24 weeks pre- and post index (index=1st tezepelumab dosing)
Proportion and annualised rate of emergency room visits (all rates for CRSwNP-related and asthma-related).
Proportion and annualised rate of emergency room visits (all rates for CRSwNP-related and asthma-related).
Time frame: 24 weeks pre-and post index (index=1st tezepelumab dosing)
Proportion and annualised rate of hospitalisations (all rates for CRSwNP-related and asthma-related).
Proportion and annualised rate of hospitalisations (all rates for CRSwNP-related and asthma-related).
Time frame: 24 weeks pre-and post index(index=1st tezepelumab dosing)
Asthma related SCS use as part of an exacerbation
Asthma related SCS use as part of an exacerbation
Time frame: 24 weeks pre-and post index(index=1st tezepelumab dosing)
Asthma related SCS duration of use
Asthma related SCS duration of use
Time frame: 24 weeks pre-and post index(index=1st tezepelumab dosing)
Asthma related SCS daily dose
Asthma related SCS daily dose
Time frame: 24 weeks pre-and post index(index=1st tezepelumab dosing)
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 Vivli.org. All requests 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 approved.
Supporting information: Study protocol, Sap
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