ClinicalTrials.gg
RecruitingNCT06883305EMBARKUpdated Sep 3, 2026

A Study to Investigate the Efficacy and Safety of Tezepelumab in Adult Participants With Moderate to Very Severe COPD (D5241C00006)

A Phase 3 interventional study of Tezepelumab and Placebo in Chronic Obstructive Pulmonary Disease (COPD), sponsored by AstraZeneca. Recruiting at 305 sites in 18 countries. Open to participants aged 40 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2025; still recruiting 1 year 7 months later.

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Phase
Phase 3
Study type
Interventional
Enrollment
990
Allocation
Randomized
Ages
40 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 284 studies in Pulmonary Disease, Chronic Obstructive by AstraZeneca — 14 open to participants now, 15 under way, 4 of them phase 3. Pulmonary Disease, Chronic Obstructive · AstraZeneca.

Planned enrollment
34th of 194
990 · median 137
Started
2025
with 12 others
Phase 3
76 of 284
4 open now
Primary completion
2029-03
later than 13 of 14 live
Registered
270th of 284
by date

Among the 284 studies in Pulmonary Disease, Chronic Obstructive by AstraZeneca, this one is the 34th largest by planned enrollment of the 194 interventional ones that give a count, is one of 13 that started in 2025, is one of 76 in phase 3, reaches primary completion later than 13 of the 14 other live ones, and was the 270th registered.

Pulmonary Disease, Chronic Obstructive

5,522 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 857 are open to participants now.

Browse Pulmonary Disease, Chronic Obstructive studies →

Open to participants now

14 of the 284 studies in Pulmonary Disease, Chronic Obstructive by AstraZeneca are open now, in 12 countries. Recruiting first, the newest first:

8 more — sign in →

By country, each count listing its studies:

All 14 open studies →

Who these studies take

Of the 557 Pulmonary Disease, Chronic Obstructive studies recruiting now, 306 (55%) set no upper age limit and 82 (15%) stop at 75 or younger; 29 take children under 18; 89 take healthy volunteers.

This study: 40 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.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 284 studies in Pulmonary Disease, Chronic Obstructive by AstraZeneca, or all of them as a file.
02

Study summary

A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group, Phase 3 Study to Evaluate the Efficacy and Safety of Tezepelumab in Adults with Moderate to Very Severe Chronic Obstructive Pulmonary Disease (COPD)

Read the detailed description

This is a Phase 3, multicenter, randomized, double-blind, placebo-controlled, parallel group study to evaluate the safety and efficacy of tezepelumab in adults with moderate to very severe chronic obstructive pulmonary disease (COPD) receiving inhaled maintenance therapy and having had at least 2 moderate, or 1 severe, COPD exacerbations in the 12 months prior to Visit 1. Subjects will receive monthly subcutaneous injection of one of two different doses of tezepelumab, or placebo, with a maximum treatment duration of 76 weeks and a minimum of 52 weeks. The study also includes a off-treatment safety follow-up period of 12 weeks.

03

Conditions studied

  • Chronic Obstructive Pulmonary Disease (COPD)

Keywords

  • COPD
  • Moderate COPD
  • Severe COPD
  • Very Severe COPD
  • chronic obstructive pulmonary disease
04

Who can participate

Ages eligible
40 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. ≥40 to ≤80 years old
  2. diagnosis ≥1 year,
  3. Post-BD ≥ 20% and ≤ 70% PN, FEV1/FVC \<0.70 at screening
  4. Triple (ICS+LABA+LAMA) or dual inhaled COPD therapy, if triple therapy is considered not appropriate, ≥3 consecutive months prior to V1
  5. ≥2 moderate or ≥1 severe COPD exacerbations in the prior year; At least 1 of 2 moderate exacerbations must require the use of systemic . At least one of the previous exacerbations should be confirmed to have occurred while the participant was on triple or dual inhaled maintenance therapy
  6. EOS ≥ 150 cells/μL during screening
  7. CAT ≥15 at screening
  8. Former or current smokers ≥10 pack-years

Exclusion criteria

Exclusion Criteria:

  1. Clin. important pulmonary disease or radiological findings suggestive of a respiratory disease other than
  2. Asthma, incl. pediatric, or ACOS
  3. Any unstable disorder that can impact participants safety or study outcomes
  4. Tuberculosis requiring treatment within 12 months prior V2
  5. current or past

    Concomitant therapies:

    • Macrolides (less than 6 months)
    • Systemic immuno-suppressive, -modulating medications
  6. LTOT >4.0 L/min or O2 saturation \<89% despite LTOT
Terms in these criteria, in plain language(4)

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.

COPD

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

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
990 participants (estimated)

Study arms

  • Experimental
    Dose 1 of Tezepelumab

    Tezepelumab, SC, Q4W

    Biological: Tezepelumab

  • Experimental
    Dose 2 of Tezepelumab

    Tezepelumab, SC, Q4W

    Biological: Tezepelumab

  • Placebo comparator
    Matching Placebo

    Matching placebo, SC, Q4W

    Other: Placebo

Interventions

  • BiologicalTezepelumab

    Tezepelumab subcutaneous injection

  • OtherPlacebo

    Placebo subcutaneous injection

06

What researchers measure

Primary outcomes

  1. Annualised rate of moderate or severe COPD exacerbations

    The annualised moderate or severe COPD exacerbation rate (based on exacerbations reported by the investigator) up to 76 weeks treatment period compared to placebo.

    Time frame: Baseline up to 76 weeks

Secondary outcomes

  1. Change from baseline in post-BD FEV1

    Change from baseline in post-BD FEV1 at Week 52 compared to placebo. FEV1 is defined as the volume of air exhaled from the lungs in the first second of a forced expiration

    Time frame: From baseline to Week 52

  2. Change from baseline in pre-dose/pre-bronchodilator (pre-BD) forced expiratory volume in 1 second (FEV1)

    Change from baseline in pre-BD FEV1 at Week 52 compared to placebo. FEV1 is defined as the volume of air exhaled from the lungs in the first second of a forced expiration.

    Time frame: From baseline to Week 52

  3. Change from baseline in the St. George's Respiratory Questionnaire (SGRQ) total score

    Change from baseline in the SGRQ total score over 52 weeks compared to placebo. SGRQ is a disease-specific instrument designed to measure impact on overall health, daily life, and perceived well-being in patients with obstructive airways disease. Scores range from 0 to 100, with lower scores indicating better health status.

    Time frame: From baseline over 52 weeks

  4. Annualised rate of moderate or severe COPD exacerbations among participants with EOS ≥ 300 cells/µL collected during screening visit.

    The annualised moderate or severe COPD exacerbation rate (based on exacerbations reported by the investigator) up to 76 weeks treatment period compared to placebo among participants with EOS ≥ 300 cells/µL collected during screening visit.

    Time frame: Baseline up to 76 weeks

  5. Annualised rate of severe COPD exacerbations

    The annualised severe COPD exacerbation rate (based on exacerbations reported by the investigator) up to 76 weeks treatment period compared to placebo.

    Time frame: Baseline up to 76 weeks

  6. Annualised rate of COPD exacerbations requiring ER visit and/or hospitalisation

    The annualised rate of COPD exacerbation requiring ER visit and/or hospitalisation up to 76 weeks treatment period compared to placebo.

    Time frame: Baseline up to 76 Weeks

  7. Clinical meaningful improvement in St. George's Respiratory Questionnaire (SGRQ) total score

    Participants achieving a clinically meaningful improvement from baseline in SGRQ total score (4-point score decrease) over 52 weeks. SGRQ is a disease-specific instrument designed to measure impact on overall health, daily life, and perceived well-being in patients with obstructive airways disease. Scores range from 0 to 100, with lower scores indicating better health status.

    Time frame: From baseline over 52 weeks

  8. Change from baseline in the COPD assessment Test (CAT) total score

    Change from baseline in the CAT total score over 52 weeks CAT is an 8-item PRO that measures the impact of COPD on the health status of patients with COPD. The CAT has a scoring range of 0-40 with higher scores indicative of greater COPD impact on health status.

    Time frame: From baseline over 52 weeks

  9. Clinical meaningful improvement in COPD Assessment Test (CAT) total score

    Participants achieving a clinically meaningful improvement from baseline in CAT total score (2-point score decrease) over 52 weeks. CAT is an 8-item PRO that measures the impact of COPD on the health status of patients with COPD. The CAT has a scoring range of 0-40 with higher scores indicative of greater COPD impact on health status.

    Time frame: From baseline over 52 weeks

  10. Time to first moderate or severe COPD exacerbation

    Time to first occurrence of moderate or severe COPD exacerbation up to 76 weeks.

    Time frame: Baseline up to 76 weeks

  11. Time to first severe COPD exacerbation

    Time to first occurrence of severe COPD exacerbation up to 76 weeks.

    Time frame: Baseline up to 76 weeks

  12. Pharmacokinetics (PK): Serum trough concentrations

    Serum trough concentrations

    Time frame: Baseline, Week 24, Week 36, Week 52

  13. Immunogenicity of anti-drug antibodies (ADA)

    Incidence of anti-drug antibodies

    Time frame: Baseline, Week 24, Week 36, Week 52

07

Study locations

259 of 305 sites recruiting
  • Research Site
    Foley, Alabama 36535, United States
    Recruiting
  • Research Site
    Mobile, Alabama 36609, United States
    Recruiting
  • Research Site
    Sheffield, Alabama 35660, United States
    Recruiting
  • Research Site
    Phoenix, Arizona 85012, United States
    Not yet recruiting
  • Research Site
    Phoenix, Arizona 85027, United States
    Recruiting
  • Research Site
    Tucson, Arizona 85704, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Garden Grove, California 92844, United States
    Recruiting
  • Research Site
    Newport Beach, California 92663, United States
    Recruiting
  • Research Site
    Torrance, California 90502, United States
    Recruiting
  • Research Site
    Clearwater, Florida 33765, United States
    Recruiting
  • Research Site
    Cutler Bay, Florida 33157, United States
    Recruiting
  • Research Site
    Cutler Bay, Florida 33189, United States
    Recruiting
  • Research Site
    DeBary, Florida 32713, United States
    Recruiting
  • Research Site
    Gainesville, Florida 32608, United States
    Not yet recruiting
  • Research Site
    Homestead, Florida 33032, United States
    Recruiting
  • Research Site
    Miami, Florida 33125, United States
    Recruiting
  • Research Site
    Miami, Florida 33155, United States
    Recruiting
  • Research Site
    Miami, Florida 33175, United States
    Recruiting
  • Research Site
    Orlando, Florida 32807, United States
    Recruiting
  • Research Site
    Tampa, Florida 33606, United States
    Recruiting
  • Research Site
    Tampa, Florida 33607, United States
    Recruiting
  • Research Site
    Atlanta, Georgia 30344, United States
    Recruiting
  • Research Site
    Lithonia, Georgia 30038, United States
    Recruiting
  • Research Site
    Rincon, Georgia 31326, United States
    Recruiting
  • Research Site
    Meridian, Idaho 83646, United States
    Not yet recruiting
  • Research Site
    Chicago, Illinois 60611, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Palos Hills, Illinois 60465, United States
    Recruiting
  • Research Site
    Winfield, Illinois 60190, United States
    Recruiting
  • Research Site
    Munster, Indiana 46321, United States
    Recruiting
  • Research Site
    Baltimore, Maryland 21201, United States
    Recruiting
  • Research Site
    Columbia, Maryland 21045, United States
    Recruiting
  • Research Site
    North Dartmouth, Massachusetts 02747, United States
    Recruiting
  • Research Site
    Farmington Hills, Michigan 48336, United States
    Recruiting
  • Research Site
    Saint Cloud, Minnesota 56303, United States
    Recruiting
  • Research Site
    St Louis, Missouri 63103, United States
    Not yet recruiting
  • Research Site
    St Louis, Missouri 63103, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Missoula, Montana 59808, United States
    Recruiting
  • Research Site
    Papillion, Nebraska 68046, United States
    Recruiting
  • Research Site
    Las Vegas, Nevada 89106, United States
    Recruiting
  • Research Site
    Millville, New Jersey 08332, United States
    Recruiting
  • Research Site
    Sewell, New Jersey 08080, United States
    Recruiting
  • Research Site
    Toms River, New Jersey 08755, United States
    Recruiting
  • Research Site
    Albuquerque, New Mexico 87102, United States
    Not yet recruiting
  • Research Site
    Buffalo, New York 14203, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Buffalo, New York 14215, United States
    Recruiting
  • Research Site
    Cortland, New York 13045, United States
    Recruiting
  • Research Site
    Horseheads, New York 14845, United States
    Recruiting
  • Research Site
    Massapequa, New York 11758, United States
    Not yet recruiting
  • Research Site
    The Bronx, New York 10455, United States
    Not yet recruiting
  • Research Site
    High Point, North Carolina 27260, United States
    Recruiting
  • Research Site
    Kings Mountain, North Carolina 28086, United States
    Recruiting
  • Research Site
    New Bern, North Carolina 28562, United States
    Recruiting
  • Research Site
    Wilmington, North Carolina 28412, United States
    Completed

    Not enrolling at this site — choose another above.

  • Research Site
    Winston-Salem, North Carolina 27103, United States
    Recruiting
  • Research Site
    Columbus, Ohio 43213, United States
    Recruiting
  • Research Site
    Oklahoma City, Oklahoma 73120, United States
    Recruiting
  • Research Site
    DuBois, Pennsylvania 15801, United States
    Recruiting
  • Research Site
    Philadelphia, Pennsylvania 19140, United States
    Recruiting
  • Research Site
    Rock Hill, South Carolina 29732, United States
    Recruiting
  • Research Site
    Franklin, Tennessee 37067, United States
    Recruiting
  • Research Site
    Johnson City, Tennessee 37604, United States
    Recruiting
  • Research Site
    Dallas, Texas 75254, United States
    Recruiting
  • Research Site
    Forney, Texas 75126, United States
    Not yet recruiting
  • Research Site
    Fort Worth, Texas 76104, United States
    Recruiting
  • Research Site
    Houston, Texas 77084, United States
    Recruiting
  • Research Site
    Houston, Texas 77090, United States
    Recruiting
  • Research Site
    Humble, Texas 77338, United States
    Recruiting
  • Research Site
    Kerrville, Texas 78028, United States
    Recruiting
  • Research Site
    Mansfield, Texas 76063, United States
    Recruiting
  • Research Site
    Clearfield, Utah 84015, United States
    Recruiting
  • Research Site
    Morgantown, West Virginia 26501, United States
    Recruiting
  • Research Site
    Cudahy, Wisconsin 53110, United States
    Recruiting
  • Research Site
    Milwaukee, Wisconsin 53295, United States
    Not yet recruiting
  • Research Site
    Bragança Paulista, 12916-542, Brazil
    Recruiting
  • Research Site
    Brasília, 70200-730, Brazil
    Recruiting
  • Research Site
    Campinas, 13060-080, Brazil
    Recruiting
  • Research Site
    Chapecó, 89812-210, Brazil
    Recruiting
  • Research Site
    Curitiba, 80030-110, Brazil
    Recruiting
  • Research Site
    Jaú, 17201-130, Brazil
    Recruiting
  • Research Site
    Mossoró, 59603-020, Brazil
    Recruiting
  • Research Site
    Porto Alegre, 90035-903, Brazil
    Recruiting
  • Research Site
    Porto Alegre, 90480-000, Brazil
    Recruiting
  • Research Site
    Porto Alegre, 90560-003, Brazil
    Recruiting
  • Research Site
    Porto Alegre, 9061-000, Brazil
    Recruiting
  • Research Site
    Porto Alegre, 91350-200, Brazil
    Recruiting
  • Research Site
    Salvador, 40050-410, Brazil
    Recruiting
  • Research Site
    São José do Rio Preto, 15090-000, Brazil
    Recruiting
  • Research Site
    Vitória, 29062-110, Brazil
    Recruiting
  • Research Site
    Calgary, Alberta T3R 1W7, Canada
    Recruiting
  • Research Site
    Vancouver, British Columbia V5Z 1M9, Canada
    Recruiting
  • Research Site
    Ajax, Ontario L1S 2J5, Canada
    Recruiting
  • Research Site
    Burlington, Ontario L7N 3V2, Canada
    Recruiting
  • Research Site
    Scarborough Village, Ontario M1P 2V5, Canada
    Recruiting
  • Research Site
    Toronto, Ontario M5T 3A9, Canada
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Winchester, Ontario K0C 2K0, Canada
    Recruiting
  • Research Site
    Windsor, Ontario N8X-5A6, Canada
    Recruiting
  • Research Site
    Montreal, Quebec H1T 2M4, Canada
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Montreal, Quebec H3T 1E2, Canada
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Québec, Quebec G1G 3Y8, Canada
    Recruiting
  • Research Site
    Québec, Quebec G1V 4G5, Canada
    Recruiting

Showing the first 100 of 305 sites across 18 countries. Choose a country and city above to see the rest.

08

References and documents

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/PhRMA 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 anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

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

Started Mar 2025 (actual). Primary completion is estimated for Mar 2029, 47 months after the start.

Of 108 industry-sponsored phase 3 interventional studies under Pulmonary Disease, Chronic Obstructive, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 36. This study's planned 47 months is above that.

Counting every sponsor, half of 141 studies reached it within 23 months; a quarter within 14 and three quarters within 44.

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

Registered
Mar 3, 2025
First posted
Mar 19, 2025
StartActual
Mar 18, 2025
Primary completionEst.
Mar 13, 2029
CompletionEst.
Jun 5, 2029
Last update
Sep 3, 2026
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 Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06883305
Lead sponsor
AstraZeneca
Collaborators
Amgen
Responsible party
Sponsor
First posted
Mar 19, 2025
Start date
Mar 18, 2025
Primary completion
Mar 13, 2029 (estimated)
Completion
Jun 5, 2029 (estimated)
Last update
Sep 3, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479
Dave Singh, MD
principal investigator · Division of Infection, Immunity & Resp Medicine, The University of Manchester, United Kingdom

Oversight

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

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Studies of the drug tested here: Tezepelumab

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