A Study of AZD0292 in Chinese Participants With Bronchiectasis and Chronic Pseudomonas Aeruginosa Colonization (BREEZE)

August 18, 2026 updated by: AstraZeneca

A Phase II Randomized, Double-blind, Placebo-controlled, Parallel Study to Evaluate the Efficacy, Safety, and PK of AZD0292 in Chinese Participants With Bronchiectasis and Chronic Pseudomonas Aeruginosa Colonization

AZD0292 is a bispecific IgG1k mAb being evaluated for the prevention of exacerbations in bronchiectasis patients chronically colonized with PsA.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

AZD0292 is a bispecific IgG1k mAb being evaluated for the prevention of exacerbations in bronchiectasis patients chronically colonized with PsA.

This Phase II study aims to assess the efficacy, safety, and PK of AZD0292 administered IV, as compared to placebo in participants 18 years of age and older.

The population of this study will be Chinese NCFBE patients with frequent pulmonary exacerbations due to chronic PsA airway colonization. These PsA associated pulmonary exacerbations contribute to a decline in lung function, impair quality of life and increase mortality, highlighting the urgent need for effective therapeutic options.

Study Type

Interventional

Enrollment (Estimated)

84

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Anyang, China, 455099
        • Recruiting
        • Research Site
      • Beijing, China, 100020
        • Recruiting
        • Research Site
      • Beijing, China, 100034
        • Recruiting
        • Research Site
      • Beijing, China, 100730
        • Not yet recruiting
        • Research Site
      • Changsha, China, 410005
        • Not yet recruiting
        • Research Site
      • Chengdu, China, 610014
        • Recruiting
        • Research Site
      • Chengdu, China, 611130
        • Recruiting
        • Research Site
      • Chengdu, China, 610078
        • Recruiting
        • Research Site
      • Chizhou, China, 247099
        • Recruiting
        • Research Site
      • Haikou, China, 570311
        • Recruiting
        • Research Site
      • Hefei, China, 230061
        • Recruiting
        • Research Site
      • Hohhot, China, 010010
        • Not yet recruiting
        • Research Site
      • Hohhot, China, 010050
        • Recruiting
        • Research Site
      • Jinan, China, 250013
        • Recruiting
        • Research Site
      • Jinhua, China, 321000
        • Recruiting
        • Research Site
      • Jining, China, 272006
        • Not yet recruiting
        • Research Site
      • Kunming, China, 650032
        • Recruiting
        • Research Site
      • Langfang, China, 065000
        • Recruiting
        • Research Site
      • Linhai, China, 317000
        • Recruiting
        • Research Site
      • Liuzhou, China, 545006
        • Recruiting
        • Research Site
      • Nanchang, China, 330006
        • Recruiting
        • Research Site
      • Nanchang, China, 330000
        • Recruiting
        • Research Site
      • Nanning, China, 530021
        • Recruiting
        • Research Site
      • Shanghai, China, 200032
        • Recruiting
        • Research Site
      • Shanghai, China, 201199
        • Recruiting
        • Research Site
      • Shanghai, China, 200065
        • Recruiting
        • Research Site
      • Shanghai, China, 200080
        • Not yet recruiting
        • Research Site
      • Shanghai, China, 200240
        • Recruiting
        • Research Site
      • Shenyang, China, 110004
        • Not yet recruiting
        • Research Site
      • Taicang, China, 215400
        • Recruiting
        • Research Site
      • Taizhou, China, 318000
        • Recruiting
        • Research Site
      • Wenzhou, China, 325000
        • Recruiting
        • Research Site
      • Xinxiang, China, 453100
        • Recruiting
        • Research Site
      • Xuzhou, China, 221000
        • Recruiting
        • Research Site
      • Zaozhuang, China, 277102
        • Recruiting
        • Research Site
      • Zhangzhou, China, 363099
        • Recruiting
        • Research Site
      • Zhengzhou, China, 450000
        • Not yet recruiting
        • Research Site
      • Zhengzhou, China, 450006
        • Recruiting
        • Research Site
      • Zhuzhou, China, 412007
        • Recruiting
        • Research Site
      • Zibo, China, 255036
        • Recruiting
        • Research Site

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Participant must be ≥ 18 years of age at the time of signing the informed consent/assent.
  • Weight ≥ 35 kg.
  • Bronchiectasis diagnosed by a physician and confirmed by CT demonstrating abnormal bronchial dilation in ≥ 1 lobe. Note: A historical CT scan within the past 5 years is acceptable. If not available, a CT scan should be conducted at screening to confirm eligibility.
  • Participants who are receiving appropriate standard of care therapy per local guidelines and have a documented history of ≥ 2 moderate exacerbations or ≥ 1 severe exacerbation in the preceding 12 months requiring antibiotics
  • Participants who are clinically stable and free from an exacerbation of bronchiectasis for 4 weeks prior to randomization
  • Participants with pre- or post-bronchodilator FEV1 ≥ 25% predicted value at screening.
  • Presence of positive (PCR or culture) PsA in an airway sample at least once in the last 24 months prior to screening
  • Presence of culture positive PsA in sputum at least within 5 weeks of randomization. Participants who have previously received PsA eradication therapy, as determined appropriate by their treating provider, but remain colonized with PsA are eligible for the study.
  • Capable of giving signed informed consent/assent which includes compliance with the requirements and restrictions listed in the ICF and in this protocol

Exclusion Criteria:

  • Primary lung diagnosis other than bronchiectasis
  • Evidence of active tuberculosis or active nontuberculous mycobacteria being treated or requiring treatment. Participants currently receiving treatment for active TB or nontuberculous mycobacteria may be considered after completion of an appropriate course of therapy
  • Evidence of an active allergic bronchopulmonary aspergillosis being treated or requiring treatment
  • Need for long term supplemental oxygen. Oxygen use for ambulation and relief of breathlessness after exercise is allowed
  • Malignancy, current or within the previous 5 years, except for stable prostate cancer, adequately treated non-invasive basal cell and squamous cell carcinoma of the skin and cervical carcinoma in situ treated with apparent success more than one year prior to enrolment
  • AIDS or Advanced human immunodeficiency virus disease (CD4 count of < 200 cells/mm3)
  • History of severe adverse reaction associated with a mAb, and/or history of severe allergic reaction (eg, anaphylaxis that required the use of epinephrine/adrenaline or hospitalization), and/or history of immune complex disease (Type III hypersensitivity reactions) to monoclonal antibody administration
  • Treatment with long term anti-PsA antibiotics, macrolides, or DPP-1 inhibitors, which are newly initiated within the 3 months prior to screening
  • Chronic immunosuppressive therapy (including prednisolone > 5 mg or equivalent) newly initiated within the last 3 months
  • Receipt of investigational products indicated for the treatment or prevention of bronchiectasis exacerbations or expected receipt during the study
  • Participation with a study intervention used within the last 30 days or 5 half-lives of the investigational product from the other clinical study, whichever is longer, prior to screening.
  • Female participants who are pregnant, lactating, or WOCBP and not using a highly effective method of contraception or abstinence from at least 4 weeks prior to study intervention administration and until at least 6 months after study intervention administration

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Placebo Comparator: Placebo
Placebo administered starting on Day 1, subsequent administrations per schedule of assessments.
Placebo administered starting on Day 1 via IV infusion, subsequent administrations per schedule of assessments.
Experimental: AZD0292
AZD0292 administered starting on Day 1, subsequent administrations per schedule of assessments.
AZD0292 administered starting on Day 1 via IV infusion, subsequent administrations per schedule of assessments.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Annualized rate of exacerbations over a variable follow-up time
Time Frame: Min 28 weeks, max 52 weeks
To evaluate the effect of IV AZD0292 compared to placebo on the rate of moderate-to severe pulmonary exacerbations in participants with NCFBE and chronic colonization with PsA
Min 28 weeks, max 52 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Annualized rate of severe exacerbations over a variable follow-up time
Time Frame: Min 28 weeks, max 52 weeks
To evaluate the effect of AZD0292 compared to placebo on severe exacerbations in participants with NCFBE and chronic colonization with PsA
Min 28 weeks, max 52 weeks
Incidence of ADA and ADA titers to AZD0292
Time Frame: At specified timepoints between Week 0 and Final Dose +12 weeks
To evaluate the immunogenicity of IV doses of AZD0292 in participants with bronchiectasis and chronic colonization with PsA
At specified timepoints between Week 0 and Final Dose +12 weeks
Incidence of AEs, SAEs, AESIs and MAAEs
Time Frame: Occurrence of AEs; first dose through 12 weeks after last study intervention administration. Occurrence of SAEs, AESIs, and MAAEs; through study completion (Final Dose+24 weeks)
To assess the safety of AZD0292 compared with placebo in participants with bronchiectasis and chronic colonization with PsA
Occurrence of AEs; first dose through 12 weeks after last study intervention administration. Occurrence of SAEs, AESIs, and MAAEs; through study completion (Final Dose+24 weeks)
Change from baseline in QoL-B-RSS
Time Frame: Over the observation period (Week 0 to Last Dose+4 weeks)
To evaluate the effect of AZD0292 compared to placebo on quality of life, as assessed by QoL-B-RSS over the observation period
Over the observation period (Week 0 to Last Dose+4 weeks)
Change from baseline in SGRQ score
Time Frame: Over the observation period (Week 0 to Last Dose+4 weeks)
To evaluate the effect of AZD0292 compared to placebo on quality of life, as assessed by SGRQ over the observation period.
Over the observation period (Week 0 to Last Dose+4 weeks)
Time to first moderate or severe exacerbation
Time Frame: Time Frame: Through study completion (Final Dose +24 weeks)
To evaluate the effect of AZD0292 compared to placebo on time to first pulmonary exacerbation in participants with NCFBE and chronic colonization with PsA.
Time Frame: Through study completion (Final Dose +24 weeks)
Serum PK Concentrations
Time Frame: At specified timepoints between Week 0 and Final Dose +12 weeks
To evaluate the PK of IV doses of AZD0292 in participants with bronchiectasis and chronic colonization with PsA
At specified timepoints between Week 0 and Final Dose +12 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 24, 2026

Primary Completion (Estimated)

January 18, 2028

Study Completion (Estimated)

June 6, 2028

Study Registration Dates

First Submitted

June 24, 2026

First Submitted That Met QC Criteria

August 18, 2026

First Posted (Actual)

August 19, 2026

Study Record Updates

Last Update Posted (Actual)

August 19, 2026

Last Update Submitted That Met QC Criteria

August 18, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • D7700C00010

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal.

All request will be evaluated as per the AZ disclosure commitment:

https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

IPD Sharing Time Frame

AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

IPD Sharing Access Criteria

When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.