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AstraZeneca’s COPD drug scores two late-stage trial wins as full data boosts blockbuster hopes

The biologic cut moderate and severe flare-ups in late-stage trials, and AstraZeneca said peak annual sales could top $5 billion.

  • On Tuesday, AstraZeneca released results from two late-stage trials of tozorakimab, which reduced moderate and severe COPD flare-ups by 29% and 34% in former smokers. The biologic is under Food and Drug Administration priority review, with approval expected in the first quarter of 2027.
  • AstraZeneca designed tozorakimab to inhibit two distinct IL-33 pathways, addressing inflammation, mucus production, and airway damage. This dual-pathway mechanism differentiates the biologic from previous unsuccessful IL-33 treatments that faced investor skepticism.
  • Trial data showed a 23% flare-up reduction for patients with low eosinophil counts, a group currently lacking biologic options. Ruud Dobber, president of AstraZeneca's biopharmaceuticals unit, said, "We truly believe that a large population of COPD patients can benefit from this new medicine."
  • AstraZeneca raised its peak annual sales forecast for tozorakimab to more than $5 billion, supporting the company's $80 billion revenue target by 2030. CEO Soriot remarked, "Tozorakimab is a product nobody thought would work," reflecting initial industry skepticism.
  • Beyond COPD, AstraZeneca is testing tozorakimab in a Phase 2 trial for severe asthma and a Phase 3 study for severe viral lower respiratory tract disease. These ongoing trials suggest a broader strategy to leverage the platform across multiple respiratory conditions.
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Pharmaphorum broke the news on Tuesday, September 8, 2026.
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