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Data updated: Mar 10, 2026

TEZSPIRE

TEZEPELUMAB-EKKO Thymic Stromal Lymphopoietin Blockers
Respiratory Approved 2021-12-17

TEZSPIRE (tezepelumab-ekko) is a thymic stromal lymphopoietin (TSLP) blocker indicated as an add-on maintenance treatment for patients aged 12 years and older. It is used to treat severe asthma and inadequately controlled chronic rhinosinusitis with nasal polyps (CRSwNP). The medication is not indicated for the relief of acute bronchospasm or status asthmaticus. It functions as a maintenance therapy to address the airway and mucosal inflammation associated with these chronic respiratory conditions.

Source: FDA Label • AstraZeneca • Thymic Stromal Lymphopoietin Blocker

How TEZSPIRE Works

Tezepelumab-ekko is a human monoclonal antibody that binds to human TSLP and blocks its interaction with the TSLP receptor. TSLP is an epithelial-derived cytokine that occupies an upstream position in inflammatory cascades, influencing multiple cell types and mediators involved in airway and mucosal inflammation. By blocking this interaction, the drug reduces various biomarkers and cytokines associated with inflammation, including blood eosinophils, IgE, FeNO, IL-5, and IL-13. This mechanism targets the underlying inflammatory processes that contribute to the pathogenesis of asthma and nasal polyps.

Source: FDA Label
3
Indications
--
Phase 3 Trials
1
Priority Reviews
4
Years on Market

Details

Status
Prescription
First Approved
2021-12-17
Routes
SUBCUTANEOUS
Dosage Forms
SOLUTION

Companies

Active Ingredient: TEZEPELUMAB-EKKO

TEZSPIRE Approval History

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What TEZSPIRE Treats

2 indications

TEZSPIRE is approved for 2 conditions since its original approval in 2021. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Asthma
  • Chronic Rhinosinusitis
Source: FDA Label

TEZSPIRE Competitors

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3 other drugs also target IL-5. Compare mechanisms, indications, and trial activity.

Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (IL-5). Earlier expiry dates signal biosimilar/generic opportunities.

Drugs Similar to TEZSPIRE

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

DUPIXENT
DUPILUMAB
2 shared
Regeneron
Shared indications:
AsthmaChronic Rhinosinusitis
NUCALA
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GSK
Shared indications:
AsthmaChronic Rhinosinusitis
OMLYCLO
OMALIZUMAB-IGEC
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CELLTRION INC
Shared indications:
AsthmaChronic Rhinosinusitis
XOLAIR
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Roche
Shared indications:
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ACCOLATE
ZAFIRLUKAST
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STRIDES PHARMA INTL
Shared indications:
Asthma
ADVAIR HFA
FLUTICASONE PROPIONATE
1 shared
GSK
Shared indications:
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AIRDUO RESPICLICK
FLUTICASONE PROPIONATE
1 shared
Teva
Shared indications:
Asthma
AIRSUPRA
ALBUTEROL SULFATE
1 shared
AstraZeneca
Shared indications:
Asthma
ALVESCO
CICLESONIDE
1 shared
COVIS
Shared indications:
Asthma
ARNUITY ELLIPTA
FLUTICASONE FUROATE
1 shared
GSK
Shared indications:
Asthma
ASMANEX HFA
MOMETASONE FUROATE
1 shared
Merck
Shared indications:
Asthma
BECLOMETHASONE DIPROPIONATE
BECLOMETHASONE DIPROPIONATE
1 shared
AMNEAL IRELAND LTD
Shared indications:
Asthma
BETAMETHASONE ACETATE AND BETAMETHASONE SODIUM PHOSPHATE
BETAMETHASONE ACETATE
1 shared
Hikma
Shared indications:
Asthma
BREO ELLIPTA
FLUTICASONE FUROATE
1 shared
GSK
Shared indications:
Asthma
BREYNA
BUDESONIDE
1 shared
Viatris
Shared indications:
Asthma
CELESTONE SOLUSPAN
BETAMETHASONE ACETATE
1 shared
Merck
Shared indications:
Asthma
CINQAIR
RESLIZUMAB
1 shared
Teva
Shared indications:
Asthma
DEPO-MEDROL
METHYLPREDNISOLONE ACETATE
1 shared
Pfizer
Shared indications:
Asthma
DEXAMETHASONE
DEXAMETHASONE
1 shared
ALVOGEN
Shared indications:
Asthma
DEXAMETHASONE INTENSOL
DEXAMETHASONE
1 shared
Hikma
Shared indications:
Asthma
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

TEZSPIRE FDA Label Details

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Indications & Usage

FDA Label (PDF)

TEZSPIRE is a thymic stromal lymphopoietin (TSLP) blocker, human monoclonal antibody (IgG2λ), indicated: • for the add-on maintenance treatment of adult and pediatric patients aged 12 years and older with severe asthma. Limitations of Use: Not for relief of acute bronchospasm or status asthmaticus. • for the add-on maintenance treatment of adult and pediatric patients aged 12 years and older with inadequately controlled chronic rhinosinusitis with nasal polyps (CRSwNP). 1.1 Asthma TEZSPIRE is indicated for the add-on maintenance treatment of adult and pediatric patients aged 12 years and older...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.