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AsthmaPhase 3NCT07772921

A Study to Learn About the Study Medicine Called Tilrekimig in People With Severe Asthma

A Phase 3 study testing tilrekimig in people with Asthma, run by Pfizer at 8 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this clinical study is to learn about the safety and effects of the study medicine (called tilrekimig) for the potential treatment of severe asthma. Asthma is a condition that makes it challenging to breathe, which negatively impacts the quality of life of people who are affected. Read more about this study

Who is it for?
Ages 12 to 80 years
Conditions the study is for
Asthma
What is being tested?
tilrekimig
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,100 participants
Where
8 sitesin 2 countries
Study dates
20 Aug 2026to 24 Aug 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 80 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Must meet the following asthma criteria:
  • History of persistent, severe asthma for at least 12 months prior to screening as defined by recognized international and / or local guidelines.
  • Must have experienced at least 2 asthma exacerbations requiring treatment with systemic steroids (oral or parenteral) for 3 consecutive days or more; an emergency room or urgent care visit (<24 hours) that is due to asthma and requires use of systemic corticosteroids as noted above; or an in-patient hospitalization (an admission to an in-patient hospital or evaluation and treatment in a healthcare facility for ≥24 hours) due to asthma with within 12 months of the screening visit.
  • Positive bronchodilator responsiveness of FEV1 or FVC >10% of the participant's predicted value at 15 - 30 minutes (or as consistent with local treatment practices) after inhaling 400 µg of salbutamol/albuterol (or equivalent SABA) at least once for spirometry conducted during screening period.
  • Other Inclusion Criteria:
  • Maintenance treatment of a medium-to-high dose ICS plus an additional controller (eg, LABA) consistent with current GINA and / or local guidelines for at least 12 months (and on a stable dose for 3 months prior to screening).

Who cannot join

  • Participants are excluded from the study if any of the following criteria apply:
  • Medical Conditions:
  • Evidence of lung disease(s) other than asthma, either clinical evidence, spirometry, or imaging (Chest X-ray, CT, MRI) within 12 months of the screening visit, as per local standard of care, including but not limited to, chronic obstructive pulmonary disease, other emphysematous lung disease such as alpha-1 antitrypsin disease, cystic fibrosis, emphysema, pulmonary fibrosis, Churg-Strauss syndrome, allergic bronchopulmonary aspergillosis, sarcoidosis, pulmonary embolism.
  • Any psychiatric condition including any active suicidal ideation in the past year or suicidal behavior in the past 5 years that may increase the risk of study participation or, in the investigator's judgement, make the participant inappropriate for the study.
  • Prior/Concomitant Therapy:
  • Use of any prohibited concomitant medication(s) or unwillingness or inability to use a required concomitant medication(s). Treatment with any dose level of systemic (oral, intraarticular, or injectable) corticosteroids within 28 days of the screening visit.
Show all 11Show fewer
  • Prior or concurrent treatment with either approved or experimental biologic treatment (such as inhibitors of IL-4Ralpha, TSLP, OX40/OX40L, IL-13, IL-33 / ST2) or targeted synthetic drugs for the treatment of asthma or other type 2 inflammatory diseases, including but not limited to: AD, EoE, CRS.
  • Prior (within 12 weeks prior to Screening Visit 1) or planned concomitant treatment with immunoglobulin supplementation (eg, IV Ig or SC Ig).
  • Bronchial thermoplasty within the previous 24 months.
  • Prior/Concurrent Clinical Study Experience:
  • Administration of an investigational drug product within 30 days or 5 half lives preceding the screening visit (whichever is longer). Previous participation in other tilrekimig studies or participation in studies of other investigational products (drug or vaccine) at any time during this study.

Trial locations and contacts

8 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

8 sites in 2 countries

United States7 sites, 7 recruiting
  • Kern Research, Inc.

    Bakersfield, California, 93301

    Recruiting
  • SMS Clinical Research LLC

    Garland, Texas, 75043

    Recruiting
  • SMS Clinical Research, LLC

    Mesquite, Texas, 75149

    Recruiting
  • Innovations Biotech

    Miami, Florida, 33186

    Recruiting
  • Monroe Biomedical Research

    Monroe, North Carolina, 28112

    Recruiting
  • Hudson County Clinical Trials Research Center, LLC

    Union City, New Jersey, 07087

    Recruiting
  • Chesapeake Clinical Research, Inc.

    White Marsh, Maryland, 21162

    Recruiting

Other trials in United States

Japan1 site, 1 recruiting
  • Showa Medical University Hospital

    Shinagawa, Tokyo, 142-8666

    Not yet recruiting

Other trials in Japan

About this study

Official title: A PHASE 3, RANDOMIZED, DOUBLE-BLIND, PARALLEL GROUP, PLACEBO-CONTROLLED STUDY TO INVESTIGATE THE EFFICACY AND SAFETY OF TILREKIMIG IN ADULT AND ADOLESCENT PARTICIPANTS WITH SEVERE ASTHMA

The purpose of this clinical study is to learn about the safety and effects of the study medicine (called tilrekimig) for the potential treatment of severe asthma. Asthma is a condition that makes it challenging to breathe, which negatively impacts the quality of life of people who are affected.

The study is seeking participants who:

Read more
  • Have a history of severe asthma for at least 12 months
  • Have had at least 2 asthma attacks (also known as exacerbations) within the last 12 months All participants will be given shots of study medicine or a placebo at the study clinic.

The study will compare the experiences of people receiving tilrekimig to those people who receive the placebo. This will help determine if tilrekimig is safe and effective.

Conditions
Asthma
Being tested
tilrekimig, Placebo
Medical subject headings
Asthma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • tilrekimigDrug

    subcutaneous injection

  • PlaceboOther

    subcutaneous injection

Study groups in NCT07772921
Study groupRoleWhat they receive
Treatment Arm A TilrekimigExperimentalTilrekimig
Receives: Drug: tilrekimig
Treatment Arm B PlaceboPlacebo comparatorPlacebo
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Annualized asthma exacerbation rate over 52 weeks

    Protocol defined asthma exacerbations require treatment with systemic steroids (oral or parenteral) for 3 consecutive days or more; an emergency room or urgent care visit (<24 hours) that is due to asthma and requires use of systemic corticosteroids as noted above; or an in-patient hospitalization (an admission to an in-patient hospital or evaluation and treatment in a healthcare facility for ≥24 hours) due to asthma.

    Measured: Baseline through Week 52

Secondary outcomes (36)
  1. Annualized asthma exacerbation rate over 52 weeks in participants with severe asthma and with eosinophil counts ≥300 cells/µL (ie, high eosinophil subgroup)

    Measured: Baseline through Week 52

  2. Annualized asthma exacerbation rate over 52 weeks in participants with severe asthma and with eosinophil counts <300 cells/µL (ie, medium-to-low eosinophil subgroup)

    Measured: Baseline through Week 52

  3. Change from baseline (CFB) in pre-bronchodilator forced expiratory volume in 1 second (FEV1) at Week 52

    Measured: Baseline through Week 52

  4. CFB in Asthma Control Questionnaire (ACQ-5) at Week 52

    Measured: Baseline through Week 52

  5. CFB in Asthma Quality of Life Questionnaire for 12 years and older Self-Administered (AQLQ(S)-12-SA) at Week 52

    Measured: Baseline through Week 52

  6. Annualized asthma exacerbation rate associated with emergency room (ER)/urgent care (UC) visit or hospitalization over 52 weeks

    Measured: Baseline through Week 52

  7. Time to first asthma exacerbation

    Measured: Baseline through Week 52

  8. CFB in weekly mean Asthma Nighttime Symptom Diary (ANSD) at Week 52

    Measured: Baseline through Week 52

  9. CFB in weekly mean Asthma Daytime Symptom Diary (ADSD) at Week 52

    Measured: Baseline through Week 52

  10. Clinical remission at Week 52

    Measured: Week 52

  11. CFB in pre-bronchodilator FEV1 at all time points (other than Week 52)

    Measured: Baseline through Week 52

  12. CFB in ACQ-5 all time points (other than Week 52)

    Measured: Baseline through Week 52

  13. CFB in AQLQ(S)-12-SA at all time points (other than Week 52

    Measured: Baseline through Week 52

  14. CFB in weekly mean ANSD at all time points (other than Week 52)

    Measured: Baseline through Week 52

  15. CFB in weekly mean ADSD at all time points (other than Week 52)

    Measured: Baseline through Week 52

  16. CFB in pre-bronchodilator % Predicted FEV1 at all time points

    Measured: Baseline through Week 52

  17. CFB in pre-bronchodilator forced vital capacity (FVC) at all time points

    Measured: Baseline through Week 52

  18. CFB in pre-bronchodilator % Predicted FVC at all time points

    Measured: Baseline through Week 52

  19. CFB in pre-bronchodilator FEV1/FVC ratio at all time points

    Measured: Baseline through Week 52

  20. CFB in post-bronchodilator FEV1 at all time points

    Measured: Baseline through Week 52

  21. CFB in post-bronchodilator % Predicted FEV1 at all time points

    Measured: Baseline through Week 52

  22. CFB in post-bronchodilator FVC at all time points

    Measured: Baseline through Week 52

  23. CFB in post-bronchodilator % Predicted FVC at all time points

    Measured: Baseline through Week 52

  24. CFB in post-bronchodilator FEV1/FVC ratio at all time points

    Measured: Baseline through Week 52

  25. ACQ-5 response: decrease from baseline in ACQ-5 ≥ 0.5 at all time points

    Measured: Baseline through Week 52

  26. AQLQ response: increase from baseline in AQLQ(S)-12-SA≥ 0.5 at all time points

    Measured: Baseline through Week 52

  27. Time to first asthma exacerbation associated with ER/UC visit or hospitalization

    Measured: Baseline through Week 52

  28. Clinical remission at Week 24

    Measured: Baseline through Week 24

  29. Event of ≥1 asthma exacerbation over 52 weeks

    Measured: Baseline through Week 52

  30. Event of ≥1 asthma exacerbation associated with ER/UC visit or hospitalization over 52 weeks

    Measured: Baseline through Week 52

  31. CFB in Patient Global Impression of Severity (PGI-S) at all time points

    Measured: Baseline through Week 52

  32. Patient Global Impression of Change (PGI-C) at all time points

    Measured: Baseline through Week 52

  33. Annualized asthma exacerbation rate over 52 weeks by baseline FeNO subgroup (<25 ppb, ≥25 to <50 ppb, ≥50 ppb)

    Measured: Baseline through Week 52

  34. Incidence and severity of treatment-emergent adverse events (TEAEs).

    Measured: Baseline through Week 64

  35. Incidence of treatment-emergent serious adverse events (SAEs) and TEAEs leading to discontinuation.

    Measured: Baseline through Week 64

  36. Incidence of clinical abnormalities in clinical laboratory values, vital signs or electrocardiograms

    Measured: Baseline through Week 64

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Aug 2026
  2. Study start20 Aug 2026
  3. Primary completion1 Jun 2029 (estimated)
  4. Study completion24 Aug 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07772921
Sponsor's protocol ID
C4531037
Other IDs
2026-526565-18-00
Status last verified
Oct 2026
First submitted
14 Aug 2026
Last updated
6 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing tilrekimig in people with Asthma, run by Pfizer at 8 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 6 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States, Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Pfizer CT.gov Call Center (1-800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Annualized asthma exacerbation rate over 52 weeks (time frame: Baseline through Week 52). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Oct 2026.

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Clinical Trial NCT07772921 | AzTrials