Clinical trial Recruiting at 233 sites Phase 3 Interventional Ages 40 to 80

Evaluating Tezepelumab for Adults with Moderate to Very Severe COPD

Official title: A Randomised, Double-blind, Placebo-controlled, Parallel Group, Multicentre, Phase III Study to Evaluate the Efficacy and Safety of Tezepelumab in Adult Participants With Moderate to Very Severe Chronic Obstructive Pulmonary Disease

Run by AstraZeneca · NCT06878261 · Data updated 2026-11-12

This study is testing if a new medication called tezepelumab can help adults with moderate to very severe COPD feel better and reduce their flare-ups over a treatment period of up to 76 weeks.

Quick facts

PhasePhase 3
Study typeInterventional
Ages40 Years to 80 Years
SexAll
Enrollment990 (estimated)
SponsorAstraZeneca
Industry-sponsored
Drugs / interventionsTezepelumab
Locations284 sites (Birmingham, Alabama and 283 other locations)
StatusRecruiting
StartedMarch 25, 2025
Main results expectedMarch 13, 2029
Study endsJune 5, 2029
Registry record updatedOctober 9, 2026
Trial IDNCT06878261 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 40 to 80 with a diagnosis of COPD who have had multiple exacerbations in the past year.

Probably not a fit

Patients with other significant pulmonary diseases or those with asthma may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 3 clinical trial investigates the efficacy and safety of tezepelumab in adults diagnosed with moderate to very severe chronic obstructive pulmonary disease (COPD). Participants will receive either tezepelumab or a placebo through monthly subcutaneous injections over a treatment duration of up to 76 weeks. The study aims to enroll individuals who have experienced multiple COPD exacerbations in the past year while on inhaled maintenance therapy. Safety follow-up will occur for 12 weeks after treatment completion.

Why it matters

Potential benefit: If successful, this treatment could significantly improve the management of COPD and reduce exacerbations in affected patients.

How similar studies have gone: Previous studies have shown promising results with similar monoclonal antibody approaches in treating COPD, indicating potential for success in this trial.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. ≥40 to ≤80 years old
2. COPD diagnosis ≥1 year,
3. Post-BD FEV1 ≥ 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 corticosteroids. 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:

1. Clin. important pulmonary disease or radiological findings suggestive of a respiratory disease other than COPD
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. Malignancies 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

Where it's running

  • Research Site
    Cullman, Alabama, United States
    Recruiting
  • Research Site
    Phoenix, Arizona, United States
    Recruiting
  • Research Site
    Scottsdale, Arizona, United States
    Recruiting
  • Research Site
    Palo Alto, California, United States
    Recruiting
  • Research Site
    Redding, California, United States
    Recruiting
  • Research Site
    New Britain, Connecticut, United States
    Recruiting
Show 44 more locations
  • Research Site
    Wilmington, Delaware, United States
    Recruiting
  • Research Site
    Bay Pines, Florida, United States
    Recruiting
  • Research Site
    Boynton Beach, Florida, United States
    Recruiting
  • Research Site
    Jacksonville, Florida, United States
    Recruiting
  • Research Site
    Leesburg, Florida, United States
    Recruiting
  • Research Site
    Miami, Florida, United States
    Recruiting
  • Research Site
    Ocala, Florida, United States
    Recruiting
  • Research Site
    Winter Park, Florida, United States
    Recruiting
  • Research Site
    Atlanta, Georgia, United States
    Recruiting
  • Research Site
    Cordele, Georgia, United States
    Recruiting
  • Research Site
    Decatur, Georgia, United States
    Recruiting
  • Research Site
    Savannah, Georgia, United States
    Recruiting
  • Research Site
    Evanston, Illinois, United States
    Recruiting
  • Research Site
    Evansville, Indiana, United States
    Recruiting
  • Research Site
    Indianapolis, Indiana, United States
    Recruiting
  • Research Site
    Indianapolis, Indiana, United States
    Recruiting
  • Research Site
    Kansas City, Kansas, United States
    Recruiting
  • Research Site
    Bowling Green, Kentucky, United States
    Recruiting
  • Research Site
    Owensboro, Kentucky, United States
    Recruiting
  • Research Site
    Baltimore, Maryland, United States
    Recruiting
  • Research Site
    Potomac, Maryland, United States
    Recruiting
  • Research Site
    Rosedale, Maryland, United States
    Recruiting
  • Research Site
    Ann Arbor, Michigan, United States
    Recruiting
  • Research Site
    Minneapolis, Minnesota, United States
    Recruiting
  • Research Site
    Hannibal, Missouri, United States
    Recruiting
  • Research Site
    Staten Island, New York, United States
    Recruiting
  • Research Site
    Syracuse, New York, United States
    Recruiting
  • Research Site
    The Bronx, New York, United States
    Recruiting
  • Research Site
    Charlotte, North Carolina, United States
    Recruiting
  • Research Site
    Oklahoma City, Oklahoma, United States
    Recruiting
  • Research Site
    Tulsa, Oklahoma, United States
    Recruiting
  • Research Site
    Sayre, Pennsylvania, United States
    Recruiting
  • Research Site
    Anderson, South Carolina, United States
    Recruiting
  • Research Site
    Columbia, South Carolina, United States
    Recruiting
  • Research Site
    Gaffney, South Carolina, United States
    Recruiting
  • Research Site
    Spartanburg, South Carolina, United States
    Recruiting
  • Research Site
    Union, South Carolina, United States
    Recruiting
  • Research Site
    Rapid City, South Dakota, United States
    Recruiting
  • Research Site
    Knoxville, Tennessee, United States
    Recruiting
  • Research Site
    Boerne, Texas, United States
    Recruiting
  • Research Site
    El Paso, Texas, United States
    Recruiting
  • Research Site
    Houston, Texas, United States
    Recruiting
  • Research Site
    Houston, Texas, United States
    Recruiting
  • Research Site
    Houston, Texas, United States
    Recruiting

+234 more sites. See ClinicalTrials.gov for the full list.

Study contacts

  • Principal investigator: MeiLan Han, MD — University of Michigan Health, Pulmonary & Critical Care Medicine,
  • Study coordinator: AstraZeneca Clinical Study Information Center
  • Email: information.center@astrazeneca.com
  • Phone: 1-877-240-9479

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.