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Tezspire (AMG 157)

AstraZeneca · FDA-approved active Biologic Quality 66/100

Tezspire blocks the action of Thymic Stromal Lymphopoietin (TSLP), a protein that triggers inflammation in the airways.

At a glance

Generic nameAMG 157
Also known asMEDI9929/AMG 157, Placebo for AMG157
SponsorAstraZeneca
Drug classThymic Stromal Lymphopoietin Blocker [EPC]
TargetThymic stromal lymphopoietin
ModalityBiologic
Therapeutic areaRespiratory
PhaseFDA-approved
First approval2021
Annual revenue800

Mechanism of action

Tezepelumab-ekko is thymic stromal lymphopoietin (TSLP) blocker, human monoclonal antibody IgG2 that binds to human TSLP with dissociation constant of 15.8 pM and blocks its interaction with the heterodimeric TSLP receptor. TSLP is cytokine mainly derived from epithelial cells and occupies an upstream position in the asthma inflammatory cascade.Airway inflammation is an important component in the pathogenesis of asthma. Multiple cell types (e.g., mast cells, eosinophils, neutrophils, macrophages, lymphocytes, ILC2 cells) and mediators (e.g., histamine, eicosanoids, leukotrienes, cytokines) are involved in airway inflammation. Blocking TSLP with tezepelumab-ekko reduces biomarkers and cytokines associated with inflammation including blood eosinophils, airway submucosal eosinophils, IgE, FeNO, IL-5, and IL-13; however, the mechanism of tezepelumab-ekko action in asthma has not been definitively established.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
FDA labelMechanism, indications, dosing, boxed warnings, drug interactions
ClinicalTrials.govTrial enrolment, design, endpoints, results
SEC EDGARRevenue + earnings

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