Clinical trial Recruiting at 5 sites Phase 3 Interventional Ages 18 to 99

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

PhasePhase 3
Study typeInterventional
Ages18 Years to 99 Years
SexAll
Enrollment59 (estimated)
SponsorAstraZeneca
Industry-sponsored
Drugs / interventionsimmunotherapy, tozorakimab
Locations13 sites (Aix-en-Provence and 12 other locations)
StatusRecruiting
StartedMay 5, 2026
Main results expectedDecember 29, 2028
Study endsDecember 29, 2028
Registry record updatedOctober 16, 2026
Trial IDNCT07566195 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

  • 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
  • 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

Similar studies

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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.