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Tezepelumab Home Use Study

A Multicenter, Randomized, Open-label, Parallel Group, Functionality, and Performance Study of an Accessorized Pre-filled Syringe and Autoinjector With Home-administered Subcutaneous Tezepelumab in Adolescent and Adult Subjects With Severe Asthma (PATH-HOME)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03968978
Acronym
PATH-HOME
Enrollment
216
Registered
2019-05-30
Start date
2019-05-21
Completion date
2020-06-05
Last updated
2021-07-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Asthma

Keywords

Asthma, Severe Uncontrolled Asthma

Brief summary

This is a multicenter, randomized, open-label, parallel-group study designed to assess healthcare provider and subject/caregiver reported functionality and performance of a single-use accessorized pre-filled syringe (APFS) or autoinjector (AI) with a fixed 210 mg dose of tezepelumab administered subcutaneously in the clinic and in an at-home setting.

Detailed description

The study will consist of a screening/run-in period of up to 2 weeks and a treatment period of 24 weeks, followed by a post-treatment follow-up period of 12 weeks. During the treatment period, one dose of 210 mg tezepelumab will be administered via a single-use APFS or AI subcutaneously (SC) every 4 weeks (Q4W) starting at Visit 2 (Week 0) until Visit 7 (Week 20). Subjects will be administered tezepelumab at the site during Visits 2 (Week 0), 3 (Week 4), 4 (Week 8) and 7 (Week 20). At-home administration of tezepelumab will occur during Visit 5 (Week 12) and Visit 6 (Week 16). Each device will be assessed separately using descriptive presentations.

Interventions

BIOLOGICALTezepelumab (APFS)

Tezepelumab subcutaneous injection, administered by Accessorized pre-filled syringe (APFS).

BIOLOGICALTezepelumab (AI)

Tezepelumab subcutaneous injection, administered by Autoinjector (AI) device.

Sponsors

Amgen
CollaboratorINDUSTRY
AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Subjects will be randomized 1:1 to either an accessorized pre-filled syringe or an autoinjector. Both will be administered 210 mg tezepelumab subcutaneously.

Eligibility

Sex/Gender
ALL
Age
12 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Male or female, age 12 to 80 years. * Documented physician-diagnosed asthma for at least 12 months. * Evidence of asthma as documented by post BD (albuterol/salbutamol) reversibility of FEV1 ≥ 12% AND ≥200 mL (15-60 min after administration of 4 puffs of albuterol/salbutamol), documented either: in the previous 12 months prior to V1, OR demonstrated at V1, V1A, or at V2. * Documented history of current treatment with medium- or high-dose ICS for at least 6 months and at least one additional asthma controller medication according to standard practice of care. ICS dose must be greater than or equal to 500 μg/day fluticasone propionate dry powder formulation or equivalent daily. * Morning pre-BD FEV1 of \>50% predicted normal at Visit 1, Visit 1A, or Visit 2.

Exclusion criteria

* Clinically important pulmonary or systemic diseases other than asthma. * History of cancer except basal cell carcinoma, squamous cell carcinoma, or in situ carcinoma of the cervix within 12 months prior to Visit 1. * Acute upper or lower respiratory infection requiring antibiotics or antiviral medications finalized \<2 weeks before Visit 1 or during screening/run-in period. * A helminth parasitic infection diagnosed within 6 months that is untreated or is unresponsive to the standard of care. * Smoking history of ≥10 pack years, (includes vaping and e-cigarettes) * History of chronic alcohol or drug abuse. * Tuberculosis requiring treatment within 12 months prior to V1. * History of HIV, Hepatitis B or Hepatitis C. * Receipt of any marketed or investigational biologic agent within 4 months or 5 half-lives (whichever is longer) prior to visit 1 or receipt of any investigational non-biologic agent within 30 days or 5 half-lives. * Bronchial thermoplasty in 24 months prior to V1. * Anaphylaxis or documented immune complex disease (Type III hypersensitivity reactions) to any biologic therapy. * Evidence of active liver disease (e.g. jaundice, AST, ALT or ALP \>2 times upper limit of normal), ongoing liver disease or inexplicably elevated liver chemistry values. * Pregnant, breastfeeding or lactating women. * Non-leukocyte depleted whole blood transfusion in 120 days prior to visit 1.

Design outcomes

Primary

MeasureTime frameDescription
Proportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 0, Week 4, Week 8, Week 12, Week 16, Week 20Successful administration is defined as an injection completed, based on a used/returned (HCP or subject/caregiver) answer of YES to all 5 questions in the administration questionnaire, and satisfactory in vitro evaluation of returned/evaluated devices.

Secondary

MeasureTime frameDescription
Proportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 0, Week 4, Week 8, Week 12, Week 16, Week 20Devices that passed functional tests and visual inspection and showed no evidence of malfunction will be evaluated as functional. Percentages have been calculated by using the number of used and returned devices at specified visit as denominator. Note: A few participants had missing devices. One participant had two AI devices at Week 4.
Proportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 0, Week 4, Week 8, Week 12, Week 16, Week 20Performance is measured by the proportion of APFS or AI devices that have been reported as malfunctioning (i.e. via Product Complaints). Percentages have been calculated by using the number of used and returned devices at specified visit as denominator. Note: A few participants had missing devices. One participant had two AI devices at Week 4.
Change From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreBaseline (Week 0), Week 4, Week 8, Week 12, Week 16, Week 20 and Week 24The ACQ-6 captures asthma symptoms and short-acting β2-agonist use via subject-report. Questions are weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The ACQ-6 score is the mean of the responses.
Serum Trough ConcentrationsBaseline (Week 0), Week 4, Week 20 and Week 24 (EOT)PK serum samples were collected pre-dose on dosing visits
Anti-drug Antibodies (ADA)Pre-treatment on dosing days until end of follow-up (Week 36) per protocolAnti-drug antibodies (ADA) responses at baseline and/or post baseline. Treatment-induced ADA positive is defined as ADA negative at baseline and post-baseline ADA positive. Treatment-boosted ADA positive is defined as baseline positive ADA titre that was boosted to a 4-fold or higher-level following IP administration. Treatment-emergent ADA (TE-ADA) positive is defined as either treatment-induced ADA positive or treatment-boosted ADA positive. ADA incidence is the proportion of TE-ADA positive subjects in a population. Persistently positive is defined as ADA positive at \>=2 post-baseline assessments (with \>=16 weeks between first and last positive) or ADA positive at last post-baseline assessment. Transiently positive is defined as having at least one post-baseline ADA positive assessment and not fulfilling the conditions of persistently positive

Countries

Canada, Japan, Poland, United States

Participant flow

Recruitment details

216 subjects randomized in the study.

Pre-assignment details

216 subjects randomized to tezepelumab 210 mg Q4W via APFS and tezepelumab 210 mg Q4W via AI. All randomized subjects were treated. 111 (51.4%) were randomized to tezepelumab 210 mg Q4W via APFS and 105 (48.6%) were randomized to tezepelumab 210 mg Q4W via AI.

Participants by arm

ArmCount
Teze 210 mg Q4W Via APFS
Accessorized pre-filled syringe every 4 weeks administered subcutaneously
111
Teze 210 mg Q4W Via AI
Autoinjector every 4 weeks administered subcutaneously
105
Total216

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event10

Baseline characteristics

CharacteristicTotalTeze 210 mg Q4W Via AITeze 210 mg Q4W Via APFS
Age, Continuous47.2 Years
STANDARD_DEVIATION 18.2
45.8 Years
STANDARD_DEVIATION 18.3
48.5 Years
STANDARD_DEVIATION 18.1
Age, Customized
Adolescents (>=12 to <18 years)
24 Participants11 Participants13 Participants
Age, Customized
Adults (>=18 to <65 years)
152 Participants73 Participants79 Participants
Age, Customized
Adults (>=18 years)
192 Participants94 Participants98 Participants
Age, Customized
Adults (>=65 years)
40 Participants21 Participants19 Participants
Race/Ethnicity, Customized
Asian
31 Participants15 Participants16 Participants
Race/Ethnicity, Customized
Black or African American
16 Participants8 Participants8 Participants
Race/Ethnicity, Customized
Hispanic or Latino
25 Participants13 Participants12 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
191 Participants92 Participants99 Participants
Race/Ethnicity, Customized
White
169 Participants82 Participants87 Participants
Sex: Female, Male
Female
108 Participants52 Participants56 Participants
Sex: Female, Male
Male
108 Participants53 Participants55 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1110 / 105
other
Total, other adverse events
29 / 11129 / 105
serious
Total, serious adverse events
5 / 1114 / 105

Outcome results

Primary

Proportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device Type

Successful administration is defined as an injection completed, based on a used/returned (HCP or subject/caregiver) answer of YES to all 5 questions in the administration questionnaire, and satisfactory in vitro evaluation of returned/evaluated devices.

Time frame: Week 0, Week 4, Week 8, Week 12, Week 16, Week 20

Population: Full analysis set - Include all subjects randomised to study treatment who received or attempted to receive at least one dose of investigational product, irrespective of their protocol adherence and continued participation.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Teze 210 mg Q4W Via APFSProportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 20 (in clinic)105 Participants
Teze 210 mg Q4W Via APFSProportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 4 (in clinic)111 Participants
Teze 210 mg Q4W Via APFSProportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 8 (in clinic)110 Participants
Teze 210 mg Q4W Via APFSProportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 12 (at home)110 Participants
Teze 210 mg Q4W Via APFSProportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 16 (at home)104 Participants
Teze 210 mg Q4W Via APFSProportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 0 (in clinic)109 Participants
Teze 210 mg Q4W Via AIProportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 16 (at home)102 Participants
Teze 210 mg Q4W Via AIProportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 0 (in clinic)105 Participants
Teze 210 mg Q4W Via AIProportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 12 (at home)104 Participants
Teze 210 mg Q4W Via AIProportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 4 (in clinic)102 Participants
Teze 210 mg Q4W Via AIProportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 20 (in clinic)102 Participants
Teze 210 mg Q4W Via AIProportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device TypeWeek 8 (in clinic)103 Participants
95% CI: [93.67, 99.5]Score CI
95% CI: [96.65, 100]Score CI
95% CI: [96.63, 100]Score CI
95% CI: [96.63, 100]Score CI
95% CI: [89.71, 98.02]Score CI
95% CI: [90.94, 98.56]Score CI
95% CI: [96.47, 100]Score CI
95% CI: [91.93, 99.02]Score CI
95% CI: [93.32, 99.48]Score CI
95% CI: [94.8, 99.83]Score CI
95% CI: [91.93, 99.02]Score CI
95% CI: [91.93, 99.02]Score CI
Secondary

Anti-drug Antibodies (ADA)

Anti-drug antibodies (ADA) responses at baseline and/or post baseline. Treatment-induced ADA positive is defined as ADA negative at baseline and post-baseline ADA positive. Treatment-boosted ADA positive is defined as baseline positive ADA titre that was boosted to a 4-fold or higher-level following IP administration. Treatment-emergent ADA (TE-ADA) positive is defined as either treatment-induced ADA positive or treatment-boosted ADA positive. ADA incidence is the proportion of TE-ADA positive subjects in a population. Persistently positive is defined as ADA positive at \>=2 post-baseline assessments (with \>=16 weeks between first and last positive) or ADA positive at last post-baseline assessment. Transiently positive is defined as having at least one post-baseline ADA positive assessment and not fulfilling the conditions of persistently positive

Time frame: Pre-treatment on dosing days until end of follow-up (Week 36) per protocol

Population: Safety analysis set - Includes all subjects who received at least one dose of tezepelumab.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Teze 210 mg Q4W Via APFSAnti-drug Antibodies (ADA)Treatment-induced ADA positive2 Participants
Teze 210 mg Q4W Via APFSAnti-drug Antibodies (ADA)ADA transiently positive1 Participants
Teze 210 mg Q4W Via APFSAnti-drug Antibodies (ADA)TE-ADA positive (ADA incidence)2 Participants
Teze 210 mg Q4W Via APFSAnti-drug Antibodies (ADA)Only baseline ADA positive0 Participants
Teze 210 mg Q4W Via APFSAnti-drug Antibodies (ADA)Treatment-boosted ADA positive0 Participants
Teze 210 mg Q4W Via APFSAnti-drug Antibodies (ADA)Both baseline and at least one post-baseline ADA positive0 Participants
Teze 210 mg Q4W Via APFSAnti-drug Antibodies (ADA)ADA persistently positive1 Participants
Teze 210 mg Q4W Via APFSAnti-drug Antibodies (ADA)ADA positive at baseline and/or post-baseline (ADA prevalence)2 Participants
Teze 210 mg Q4W Via AIAnti-drug Antibodies (ADA)Treatment-boosted ADA positive0 Participants
Teze 210 mg Q4W Via AIAnti-drug Antibodies (ADA)ADA positive at baseline and/or post-baseline (ADA prevalence)11 Participants
Teze 210 mg Q4W Via AIAnti-drug Antibodies (ADA)TE-ADA positive (ADA incidence)8 Participants
Teze 210 mg Q4W Via AIAnti-drug Antibodies (ADA)Treatment-induced ADA positive8 Participants
Teze 210 mg Q4W Via AIAnti-drug Antibodies (ADA)ADA persistently positive7 Participants
Teze 210 mg Q4W Via AIAnti-drug Antibodies (ADA)ADA transiently positive3 Participants
Teze 210 mg Q4W Via AIAnti-drug Antibodies (ADA)Only baseline ADA positive1 Participants
Teze 210 mg Q4W Via AIAnti-drug Antibodies (ADA)Both baseline and at least one post-baseline ADA positive2 Participants
Secondary

Change From Baseline in Asthma Control Questionnaire-6 (ACQ-6) Score

The ACQ-6 captures asthma symptoms and short-acting β2-agonist use via subject-report. Questions are weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The ACQ-6 score is the mean of the responses.

Time frame: Baseline (Week 0), Week 4, Week 8, Week 12, Week 16, Week 20 and Week 24

Population: Full Analysis Set - Include all subjects randomised to study treatment who received or attempted to receive at least one dose of investigational product, irrespective of their protocol adherence and continued participation.

ArmMeasureGroupValue (MEAN)Dispersion
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreChange from Baseline of ACQ-6 score at Week 4-0.598 ScoreStandard Deviation 0.702
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Week 161.226 ScoreStandard Deviation 0.845
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreChange from Baseline of ACQ-6 score at Week 8-0.826 ScoreStandard Deviation 0.833
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreChange from Baseline of ACQ-6 score at Week 16-0.986 ScoreStandard Deviation 0.893
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Week 41.629 ScoreStandard Deviation 0.791
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Week 201.230 ScoreStandard Deviation 0.832
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Week 121.197 ScoreStandard Deviation 0.751
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreChange from Baseline of ACQ-6 score at Week 20-0.978 ScoreStandard Deviation 0.866
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Week 81.401 ScoreStandard Deviation 0.859
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Week 241.072 ScoreStandard Deviation 0.755
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreChange from Baseline of ACQ-6 score at Week 12-1.011 ScoreStandard Deviation 0.805
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreChange from Baseline of ACQ-6 score at Week 24-1.141 ScoreStandard Deviation 0.845
Teze 210 mg Q4W Via APFSChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Baseline (Week 0)2.227 ScoreStandard Deviation 0.732
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreChange from Baseline of ACQ-6 score at Week 24-0.941 ScoreStandard Deviation 0.775
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Baseline (Week 0)2.081 ScoreStandard Deviation 0.625
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Week 41.492 ScoreStandard Deviation 0.715
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreChange from Baseline of ACQ-6 score at Week 4-0.589 ScoreStandard Deviation 0.694
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Week 81.316 ScoreStandard Deviation 0.744
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreChange from Baseline of ACQ-6 score at Week 8-0.765 ScoreStandard Deviation 0.793
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Week 121.143 ScoreStandard Deviation 0.745
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreChange from Baseline of ACQ-6 score at Week 12-0.938 ScoreStandard Deviation 0.805
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Week 161.171 ScoreStandard Deviation 0.782
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreChange from Baseline of ACQ-6 score at Week 16-0.910 ScoreStandard Deviation 0.867
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Week 201.238 ScoreStandard Deviation 0.795
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreChange from Baseline of ACQ-6 score at Week 20-0.843 ScoreStandard Deviation 0.91
Teze 210 mg Q4W Via AIChange From Baseline in Asthma Control Questionnaire-6 (ACQ-6) ScoreACQ-6 score at Week 241.140 ScoreStandard Deviation 0.765
Secondary

Proportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)

Performance is measured by the proportion of APFS or AI devices that have been reported as malfunctioning (i.e. via Product Complaints). Percentages have been calculated by using the number of used and returned devices at specified visit as denominator. Note: A few participants had missing devices. One participant had two AI devices at Week 4.

Time frame: Week 0, Week 4, Week 8, Week 12, Week 16, Week 20

Population: Full analysis set - Include all subjects randomised to study treatment who received or attempted to receive at least one dose of investigational product, irrespective of their protocol adherence and continued participation.

ArmMeasureGroupValue (COUNT_OF_UNITS)
Teze 210 mg Q4W Via APFSProportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 0 (in clinic)2 Devices
Teze 210 mg Q4W Via APFSProportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 4 (in clinic)0 Devices
Teze 210 mg Q4W Via APFSProportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 8 (in clinic)0 Devices
Teze 210 mg Q4W Via APFSProportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 12 (at home)0 Devices
Teze 210 mg Q4W Via APFSProportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 16 (at home)3 Devices
Teze 210 mg Q4W Via APFSProportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 20 (in clinic)1 Devices
Teze 210 mg Q4W Via AIProportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 16 (at home)0 Devices
Teze 210 mg Q4W Via AIProportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 0 (in clinic)0 Devices
Teze 210 mg Q4W Via AIProportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 12 (at home)0 Devices
Teze 210 mg Q4W Via AIProportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 4 (in clinic)3 Devices
Teze 210 mg Q4W Via AIProportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 20 (in clinic)0 Devices
Teze 210 mg Q4W Via AIProportions of Devices That Have Been Reported as Malfunctioning (Product Complaints)Week 8 (in clinic)2 Devices
95% CI: [0, 3.37]Score CI
95% CI: [0.5, 6.33]Score CI
95% CI: [0, 3.35]Score CI
95% CI: [0, 3.37]Score CI
95% CI: [0.96, 7.92]Score CI
95% CI: [0.17, 5.15]Score CI
95% CI: [0, 3.53]Score CI
95% CI: [0.97, 7.99]Score CI
95% CI: [0.52, 6.68]Other CI
95% CI: [0, 3.56]Score CI
95% CI: [0, 3.63]Score CI
95% CI: [0, 3.63]Score CI
Secondary

Proportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of Malfunction

Devices that passed functional tests and visual inspection and showed no evidence of malfunction will be evaluated as functional. Percentages have been calculated by using the number of used and returned devices at specified visit as denominator. Note: A few participants had missing devices. One participant had two AI devices at Week 4.

Time frame: Week 0, Week 4, Week 8, Week 12, Week 16, Week 20

Population: Full analysis set - Include all subjects randomised to study treatment who received or attempted to receive at least one dose of investigational product, irrespective of their protocol adherence and continued participation.

ArmMeasureGroupValue (COUNT_OF_UNITS)
Teze 210 mg Q4W Via APFSProportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 0 (in clinic)109 Devices
Teze 210 mg Q4W Via APFSProportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 4 (in clinic)111 Devices
Teze 210 mg Q4W Via APFSProportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 8 (in clinic)110 Devices
Teze 210 mg Q4W Via APFSProportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 12 (at home)110 Devices
Teze 210 mg Q4W Via APFSProportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 16 (at home)104 Devices
Teze 210 mg Q4W Via APFSProportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 20 (in clinic)105 Devices
Teze 210 mg Q4W Via AIProportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 16 (at home)102 Devices
Teze 210 mg Q4W Via AIProportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 0 (in clinic)105 Devices
Teze 210 mg Q4W Via AIProportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 12 (at home)104 Devices
Teze 210 mg Q4W Via AIProportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 4 (in clinic)103 Devices
Teze 210 mg Q4W Via AIProportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 20 (in clinic)102 Devices
Teze 210 mg Q4W Via AIProportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of MalfunctionWeek 8 (in clinic)103 Devices
95% CI: [93.67, 99.5]Score CI
95% CI: [96.65, 100]Score CI
95% CI: [96.63, 100]Score CI
95% CI: [96.63, 100]Score CI
95% CI: [92.8, 99.04]Score CI
95% CI: [94.85, 99.83]Score CI
95% CI: [96.46, 100]Score CI
95% CI: [93.38, 99.48]Score CI
95% CI: [93.32, 99.48]Other CI
95% CI: [96.44, 100]Score CI
95% CI: [96.37, 100]Score CI
95% CI: [96.37, 100]Score CI
Secondary

Serum Trough Concentrations

PK serum samples were collected pre-dose on dosing visits

Time frame: Baseline (Week 0), Week 4, Week 20 and Week 24 (EOT)

Population: PK analysis set - Includes all subjects in the full analysis set who received tezepelumab treatment and had at least one sample with one detectable serum concentration from a sample collected post-treatment that is assumed not to be affected by factors such as protocol deviations (e.g. disallowed medication or incorrect study medication received).

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Teze 210 mg Q4W Via APFSSerum Trough ConcentrationsBaseline (Week 0)NA µg/mL
Teze 210 mg Q4W Via APFSSerum Trough ConcentrationsWeek 410.9764 µg/mLGeometric Coefficient of Variation 48.3948
Teze 210 mg Q4W Via APFSSerum Trough ConcentrationsWeek 2018.9653 µg/mLGeometric Coefficient of Variation 69.0785
Teze 210 mg Q4W Via APFSSerum Trough ConcentrationsWeek 24 (EOT)19.6274 µg/mLGeometric Coefficient of Variation 58.266
Teze 210 mg Q4W Via AISerum Trough ConcentrationsWeek 24 (EOT)19.9264 µg/mLGeometric Coefficient of Variation 54.3198
Teze 210 mg Q4W Via AISerum Trough ConcentrationsBaseline (Week 0)NA µg/mL
Teze 210 mg Q4W Via AISerum Trough ConcentrationsWeek 2020.3206 µg/mLGeometric Coefficient of Variation 56.5858
Teze 210 mg Q4W Via AISerum Trough ConcentrationsWeek 410.5690 µg/mLGeometric Coefficient of Variation 57.0076

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026