Tezepelumab in severe asthma: a profile of its use

Abstract

Tezepelumab (tezepelumab-ekko; TEZSPIRE®), a first-in-class monoclonal antibody targeting thymic stromal lymphopoietin, represents a novel, effective and generally well tolerated treatment option for patients with severe asthma across a wide range of phenotypes. In randomized, double-blind, phase 2 (PATHWAY) and phase 3 (NAVIGATOR) trials, subcutaneous tezepelumab demonstrated a significant reduction in annualized asthma exacerbation rate among patients with severe uncontrolled asthma. The efficacy was seen across a broad range of patients with different asthma endotypes and phenotypes, including eosinophilic and noneosinophilic asthma, allergic asthma, and type-2 low asthma. The efficacy was sustained over up to 104 weeks. Tezepelumab is generally well tolerated, with the most common adverse reactions being pharyngitis, arthralgia and back pain.