Tapering of Inhaled Corticosteroids in Tezepelumab-treated Asthma patieNts: Impact on Clinical Outcomes
TITANIC
TITANIC - Tapering of Inhaled Corticosteroids in Tezepelumab-treated Asthma patieNts: Impact on Clinical Outcomes
1 other identifier
observational
61
1 country
1
Brief Summary
To evaluate the relationship between starting tezepelumab treatment followed by tapering of inhaled corticosteroid (ICS) and ICS dose, metabolic outcomes, asthma control and exacerbation rate in a real world setting
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started May 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 1, 2026
CompletedStudy Start
First participant enrolled
May 1, 2026
CompletedFirst Posted
Study publicly available on registry
July 20, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 1, 2027
July 21, 2026
July 1, 2026
1.4 years
May 1, 2026
July 20, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Total inhalation corticosteroid burden
Data on ICS use will be collected at baseline (before tezepelumab initiation) and 12 months post initiation. Total daily dose will be measured as mcg/day
From enrollment to the end of follow-up at 12 months
Secondary Outcomes (3)
Total corticosteroid use (including oral corticosteroids)
From enrollment to the end of follow-up at 12 months
Various metabolic outcome measures
From enrollment to the end of follow-up at 12 months
Annualized Rate of Asthma Exacerbations
From enrollment to the end of follow-up at 12 months
Other Outcomes (14)
Blood pressure (in mm Hg)
From enrollment to the end of follow-up at 12 month
weight (kg)
From enrollment to the end of follow-up at 12 months
BMI (in kg/m2)
From enrollment to the end of follow-up at 12 months
- +11 more other outcomes
Study Arms (1)
Severe asthma patient that have started tezepelumab treatment
Interventions
All patients that have started tezepelumab treatment are eligible for tapering of ICS, since it is part of standard care.
Eligibility Criteria
All adult severe asthma patients that will start tezepelumab therapy.
You may qualify if:
- Age ≥18
- Patient diagnosed with severe asthma according to the GINA guidelines
- Written informed consent (AVG).
- Eligibility and willingness to present during an asthma exacerbation at the Franciscus hospital.
- Patient has received/or has been planned for at least one dose of tezepelumab
- Sufficient understanding of the Dutch or English language
You may not qualify if:
- Other underlying inflammatory or auto-immune diseases that require OCS treatment, such as rheumatologic disease, IBD etc.
- Pregnancy, because of the possible altered immunological status.
- Participation in an interventional study that interferes with this study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Franciscus Gasthuis & Vlietland
Rotterdam, South Holland, 3045PM, Netherlands
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gert-Jan Braunstahl, Dr.
Franciscus Gasthuis & Vlietland
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Pulmonologist
Study Record Dates
First Submitted
May 1, 2026
First Posted
July 20, 2026
Study Start
May 1, 2026
Primary Completion (Estimated)
October 1, 2027
Study Completion (Estimated)
October 1, 2027
Last Updated
July 21, 2026
Record last verified: 2026-07
Data Sharing
- IPD Sharing
- Will not share