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May 20, 2026American Journal of Respiratory and Critical Care Medicine

B15-06 Tozorakimab, an Anti-IL-33 Antibody, Modulates Pathways Associated With Airway Inflammation and Tissue Dysfunction in COPD Patients: Mechanistic Evidence From FRONTIER-4

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Authors

MRM RytelewskiGPG De PaloMCM Cardner

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Overview

Randomized trial assesses the effect of tozorakimab on airway inflammation in COPD patients, suggesting broader implications for treatment.

Key Points

  • The research aims to evaluate the mechanistic effects of tozorakimab on pathways related to airway inflammation and tissue dysfunction in COPD patients.
  • Collected spontaneous sputum and serum samples from COPD patients in FRONTIER-4 at baseline, weeks 4, 12, and 28 after administering tozorakimab or placebo.
  • Analyzed samples using the Olink Explore HT proteomic platform to assess changes in biomarker concentrations.
  • Radomized trial with a dosing regimen of tozorakimab 600 mg subcutaneously every 4 weeks.
  • Tozorakimab reduced lymphotoxin beta (LTB) concentration by 19.1% at week 12 (unadjusted p=0.018) and 29.3% at week 28 (unadjusted p=0.001).
  • It also reduced proteoglycan 3 (PRG3) by 47.1% at week 12 (unadjusted p=0.039) and 65.7% at week 28 (unadjusted p=0.004).
  • Numerical reductions in biomarkers of eosinophilic inflammation and neutrophil activation were observed across all time points.

Cite This Study

Rytelewski et al. (2026) studied this question.

synapsesocial.com/papers/6a0d4f62f03e14405aa9aa88https://doi.org/10.1093/ajrccm/aamag162.1751
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