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Peer-Reviewed Publication
NEJM Evid2023;2(10):EVIDoa2300135.October 1, 2023Clinical Trial

Tezepelumab and Mucus Plugs in Patients with Moderate-to-Severe Asthma.

Lars H Nordenmark1, Åsa Hellqvist2, Claire Emson3, Sarah Diver4, Celeste Porsbjerg5, Janet M Griffiths3, John D Newell6,7, Samuel Peterson7, Beata Pawlikowska8, Jane R Parnes9, Ayman Megally10, Gene Colice10, Christopher E Brightling4
1Late-Stage Development, Respiratory and Immunology, BioPharmaceuticals R&D, AstraZeneca, Oslo.
2Biometrics, Late-Stage Development, Respiratory and Immunology, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
3Translational Science and Experimental Medicine, Research and Early Development, Respiratory and Immunology, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD.
4National Institute for Health and Care Research, Leicester Biomedical Research Centre, University of Leicester, Leicester, United Kingdom.
5Department of Respiratory Medicine, Bispebjerg University Hospital, University of Copenhagen, Copenhagen.
6Department of Radiology and Biomedical Engineering, University of Iowa, Iowa City.
7VIDA Diagnostics, Coralville, IA.
8Late-Stage Development, Respiratory and Immunology, BioPharmaceuticals R&D, AstraZeneca, Warsaw, Poland.
9Early Development, Amgen, Thousand Oaks, CA.
10Late-Stage Development, Respiratory and Immunology, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD.

Abstract

BACKGROUND: Mucus plugs in asthmatic airways are associated with airway obstruction and the activity of inflammatory cytokines, specifically interleukin (IL)-5 and IL-13, and they may provide an opportunity for targeted therapy. This analysis of the CASCADE (Study to Evaluate Tezepelumab on Airway Inflammation in Adults With Uncontrolled Asthma) placebo-controlled trial used computed tomography (C…

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