Long-term safety of Tozorakimab in COPD patients with prior exacerbations
Official title: A Phase III, Multicentre, Open-Label, Chronic Dosing, Extension Study to Evaluate the Long-term Safety of Tozorakimab in Participants With Chronic Obstructive Pulmonary Disease (COPD) With a History of COPD Exacerbations (ROMEO)
Run by AstraZeneca · NCT07566195 · Data updated 2026-11-12
This study tests two long-term dosing regimens of tozorakimab in people with COPD who have a history of flare-ups and who completed earlier studies.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 99 Years |
| Sex | All |
| Enrollment | 59 (estimated) |
| Sponsor | AstraZeneca Industry-sponsored |
| Drugs / interventions | immunotherapy, tozorakimab |
| Locations | 13 sites (Aix-en-Provence and 12 other locations) |
| Status | Recruiting |
| Started | May 5, 2026 |
| Main results expected | December 29, 2028 |
| Study ends | December 29, 2028 |
| Registry record updated | October 16, 2026 |
| Trial ID | NCT07566195 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with COPD who completed prior studies and are affiliated with the French Social Security system, able to provide informed consent, and willing to continue contraception as previously agreed.
✕Probably not a fit
Patients without prior exposure in predecessor studies or who have contraindications to long-term monoclonal antibody therapy may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
ROMEO is a Phase 3, multicenter, open-label extension that continues to dose tozorakimab in participants with COPD and prior exacerbations to assess long-term safety. It builds on prior trials by evaluating two dose regimens over an extended period. Eligibility requires completion of predecessor studies and affiliation with the French Social Security system, with informed consent as a must. The study design is open-label and focuses on safety and tolerability rather than efficacy endpoints. Sites are located in Aix-en-Provence, Brest, and Colmar, France, with AstraZeneca as the lead sponsor and several collaborators.
Why it matters
Potential benefit: If successful, the study could support safer, longer-term use of tozorakimab for COPD patients with a history of exacerbations.
How similar studies have gone: Prior related studies with similar monoclonal antibody approaches in COPD have shown safety signals in extended dosing, but long-term data for tozorakimab remain limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Participants previously randomized in predecessor studies. 2. Participants should be affiliated with the French Social Security system. 3. Participants who are willing to continue using contraceptive methods as agreed to for the predecessor studies. 4. Capable of giving signed informed consent. Exclusion Criteria: 1. Clinically important pulmonary disease other than COPD. 2. Participant meeting criteria for IP discontinuation as judged by the Investigator or the Sponsor. 3. Current alcohol, drug or chemical abuse. 4. Treatment with systemic corticosteroids or other immunosuppressive medication within 2 weeks prior to Visit 1 of ROMEO. 5. Known history of: 1. Severe allergic reaction to any monoclonal and polyclonal antibody. 2. Allergy or reaction to any component of the IMP formulation. 6. Receipt of blood products or immunoglobulins within 30 days prior to visit 1 of ROMEO. 7. Receipt of live attenuated vaccines within 30 days prior to visit 1 of ROMEO. 8. Chronic use (or expected need for chronic use during the study) of immunosuppressive medications (including, but not limited to, systemic corticosteroids), marketed or investigational biologic, or another prohibited medication. 9. Chronic use of antibiotics if the duration of treatment is \< 3 months prior to Visit 1 of ROMEO (first IMP administration). Chronic macrolide or other antibiotic therapy is allowed provided the participant has been on a stable dose/regimen for ≥ 3 months prior to Visit 1 of ROMEO (first IMP administration) and has had at least one COPD exacerbation while on stable therapy. 10. Use of allergen immunotherapy within 3 months of Visit 1 of ROMEO (first IMP administration), except for stable maintenance dose allergen-specific immunotherapy started 4 weeks prior to V1. 11. Use of interferon gamma within 3 months of visit 1 of ROMEO (first IMP administration). 12. Participation in any interventional clinical trial or receipt of any investigational non-biologic product within 30 days or 5 half-lives prior to Visit 1 of ROMEO (first IMP administration), whichever is longer. 13. Involvement in the planning and/or conduct of the study (applies to both staff employed by the Sponsor and/or staff at the study site). 14. Participants who are not able to comply with the study requirements, procedures, and restrictions.
Where it's running
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Research Site
Grenoble, France Recruiting -
Research Site
Lyon, France Recruiting -
Research Site
Marseille, France Recruiting -
Research Site
Montpellier, France Recruiting -
Research Site
Pessac, France Recruiting -
Research Site
Aix-en-Provence, France Active not recruiting
Show 7 more locations
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Research Site
Brest, France Active not recruiting -
Research Site
Colmar, France Withdrawn -
Research Site
Gleizé, France Active not recruiting -
Research Site
Pringy, France Active not recruiting -
Research Site
Quimper, France Active not recruiting -
Research Site
Saint-Herblain, France Active not recruiting -
Research Site
Toulouse, France Active not recruiting
Study contacts
- Study coordinator: AstraZeneca Clinical Study Information Center
- Email: information.center@astrazeneca.com
- Phone: 1-877-240-9479
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.