ClinicalTrials.gg
RecruitingNCT06951867TRESPASSUpdated Sep 18, 2026

Tezspire Cardiac Events PASS

An observational study in Cardiovascular Events and MACE, sponsored by AstraZeneca. Recruiting at 4 sites in 4 countries. Open to participants aged 12 Years to 130 Years. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by AstraZeneca · Observational

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 1 month later.

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Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
16,640
Ages
12 Years to 130 Years
Sex
All
01

Where this study stands

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

Among 25 studies in Coronary Artery Disease by AstraZeneca — 1 open to participants now, 1 under way, none of them phase 3. Coronary Artery Disease · AstraZeneca.

Started
2025
the only one that year
Observational
3 of 25
1 open now
Registered
25th of 25
by date

Among the 25 studies in Coronary Artery Disease by AstraZeneca, this one is the only one that started in 2025, is one of 3 observational ones, and was the 25th registered.

Coronary Artery Disease

4,862 studies on the registry are indexed under Coronary Artery Disease; 893 are open to participants now.

Browse Coronary Artery Disease studies →

Open to participants now

1 of the 25 studies in Coronary Artery Disease by AstraZeneca is open now, in 4 countries.

By country, each count listing its studies:

Who these studies take

Of the 589 Coronary Artery Disease studies recruiting now, 403 (68%) set no upper age limit and 68 (12%) stop at 75 or younger; 38 take children under 18; 48 take healthy volunteers.

This study: 12 Years to 130 Years · all sexes · no healthy volunteers.

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02

Study summary

The aim of this study is to evaluate the risk of serious adverse cardiovascular events in adolescent and adult patients with severe asthma taking tezepelumab compared to a population receiving standard of care treatment for severe asthma.

Read the detailed description

Tezepelumab (brand name: TEZSPIRE®), a human monoclonal antibody specific for the epithelial cell-derived cytokine thymic stromal lymphopoietin (TSLP), was recently launched as a first-in-class biologic add on treatment for patients with severe asthma. Results from DESTINATION, a long-term extension, phase 3 trial, showed a numeric imbalance in the occurrence of cardiac disorder system organ class serious adverse events (SAEs) in participants receiving tezepelumab compared to placebo. The observed imbalance resulted in the inclusion of serious cardiovascular events as an important potential risk to be addressed in the European Union (EU) risk management plan (RMP). AstraZeneca proposed to evaluate the risk of serious cardiovascular events with long-term tezepelumab treatment to meet regulatory requirements under a category 3 Post-Authorisation Safety Study (PASS).

This study is a non-interventional, longitudinal, population-based cohort study, using secondary data derived from multiple data sources. The study will consist of descriptive and a prevalent new-user design for comparative analyses of serious cardiovascular events outcomes in adolescent and adult patients with severe asthma exposed and unexposed to tezepelumab.

The study will be conducted using data sources from Denmark, France, Germany, and the United States of America (USA). The start of the study period will correspond to tezepelumab market launch date in each country of interest (i.e. between Q1 2022 - Q3 2023). An approximately five-year study period is planned in each country, with an anticipated last date of study period on 28 February 2029.

03

Conditions studied

  • Cardiovascular Events
  • MACE

Keywords

  • post Marketing Requirements (PMR) study
  • cardiovascular events
  • non-fatal myocardial infarction
  • non-fatal stroke
  • cardiovascular death
  • arrythmias
  • coronary artery disease
  • heart failure
  • myocardial disorders
04

Who can participate

Ages eligible
12 Years to 130 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

The study will be conducted using data sources from Denmark, France, Germany, and the United States of America (USA).

The source population will consist of patients with a diagnosis of asthma receiving tezepelumab or high-intensity SOC treatment for severe asthma at any point during the study inclusion period. From this source population, the exposed study population (i.e. patients who initiate tezepelumab treatment) and the unexposed study population (i.e. comparable patients who are unexposed to tezepelumab) will be identified.

Eligibility criteria

Inclusion Criteria:

  • patients with a diagnosis of asthma receiving tezepelumab or high-intensity SOC treatment for severe asthma at any point during the study inclusion period.

Exclusion Criteria for both exposed and unexposed groups include:

  • \<12 months of data availability prior to index date,
  • age \<12 years at index date,
  • history of congenital heart disease or heart transplant outcome-specific exclusion criterion applied for each objective will include the presence of non-fatal myocardial infarction or stroke and the specific outcome of interest in the 180 days prior to index date
  • for comparative analysis, an additional exclusion criterion will be considered, i.e. exposure to non-tezepelumab biologics on index date or within the 5-half-life clearance period of the biologic
  • matching criteria (including, among other variables, the type and duration of SOC exposure in the 12 months before index date and propensity score [PS] matching) will be applied to ensure exposed and unexposed patients' comparability
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
16,640 participants (estimated)
Patient registry
No

Groups and cohorts

  • tezepelumab severe asthma patients

    patients with a diagnosis of severe asthma receiving tezepelumab

    Drug: Tezepelumab

  • tezepelumab unexposed asthma patients

    patients with a diagnosis of severe asthma receiving non-tezepelumab standard of care for severe asthma

Interventions

  • The exposure of primary interest is tezepelumab for severe asthma. Exposure will be assessed based on prescriptions or administrations depending on the data source. A comparable cohort of unexposed patients treated with high-intensity SOC will be identified based on the presence of a trigger exposure (i.e., augmentation or change of the non-biologic high-intensity treatment that does not represent treatment de-escalation) to mirror tezepelumab start in the exposed cohort. Due to the limited knowledge of the cardiovascular profile of biologics, SOC for comparative analyses will only include non-biologic high-intensity treatment.

    Also known as: TEZSPIRE

06

What researchers measure

Primary outcomes

  1. composite outcome MACE

    The primary outcome of interest is the composite outcome MACE, consisting of non-fatal myocardial infarction, non-fatal stroke, or cardiovascular death.

    Time frame: five years from tezepelumab market launch

Secondary outcomes

  1. composite of four serious adverse cardiovascular events

    The secondary outcomes of interest are a composite of four serious adverse cardiovascular events, including arrhythmias, coronary artery disease, heart failure and myocardial disorders, and the individual components of the primary and secondary composite outcomes.

    Time frame: five years from tezepelumab market launch

07

Study locations

4 of 4 sites recruiting
  • Healthcare Integrated Research Database (HIRD)
    Wilmington, Delaware 19801, United States
    Recruiting
  • Danish registries (access/analysis)
    Copenhagen, Denmark
    Recruiting
  • French National Health Data System (SNDS)
    Paris, France
    Recruiting
  • Team Gesundheit GKV Claims data (SHI)
    Berlin, Germany
    Recruiting
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 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 shared.

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. A 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 reached

Started Sep 2025 (actual). Primary completion is estimated for May 2029, 44 months after the start.

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

Registered
Apr 23, 2025
First posted
Apr 30, 2025
StartActual
Sep 15, 2025
Primary completionEst.
May 31, 2029
CompletionEst.
May 31, 2029
Last update
Sep 18, 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 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06951867
Lead sponsor
AstraZeneca
Collaborators
IQVIA Pvt. Ltd
Responsible party
Sponsor
First posted
Apr 30, 2025
Start date
Sep 15, 2025
Primary completion
May 31, 2029 (estimated)
Completion
May 31, 2029 (estimated)
Last update
Sep 18, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479
Peter Egger
principal investigator · IQVIA Pty Ltd

Oversight

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

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