Differential treatment response to mepolizumab in severe eosinophilic asthma with nasal polyps

Author(s):  
Nadia Suray Tan ◽  
Yew Kwang Ong ◽  
Manali Mukherjee ◽  
Siew Shuen Chao ◽  
W.S. Daniel Tan ◽  
...  

2019 ◽  
Vol 159 ◽  
pp. 105806 ◽  
Author(s):  
Frank C. Albers ◽  
Christopher Licskai ◽  
Pascal Chanez ◽  
Daniel J. Bratton ◽  
Eric S. Bradford ◽  
...  




2017 ◽  
Vol 139 (2) ◽  
pp. AB8 ◽  
Author(s):  
Mark C. Liu ◽  
Oliver N. Keene ◽  
Steven W. Yancey ◽  
Daniel J. Bratton ◽  
Frank C. Albers


Allergy ◽  
2016 ◽  
Vol 71 (9) ◽  
pp. 1335-1344 ◽  
Author(s):  
A. Magnan ◽  
A. Bourdin ◽  
C. M. Prazma ◽  
F. C. Albers ◽  
R. G. Price ◽  
...  


2015 ◽  
Vol 136 (3) ◽  
pp. 825-826 ◽  
Author(s):  
Hector Ortega ◽  
Lynn Katz ◽  
Necdet Gunsoy ◽  
Oliver Keene ◽  
Steven Yancey


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Nora Drick ◽  
Benjamin Seeliger ◽  
Tobias Welte ◽  
Jan Fuge ◽  
Hendrik Suhling


2020 ◽  
Author(s):  
Claudia Crimi ◽  
Raffaele Campisi ◽  
Giulia Cacopardo ◽  
Rossella Intravaia ◽  
Santi Nolasco ◽  
...  

AbstractBACKGROUNDPatients with severe asthma often suffer from comorbidities whose impact on the course of biological therapy has not been elucidated yet.OBJECTIVETo evaluate real-life effectiveness and the presence/absence of predictors of treatment response in patients with one or more comorbidities who received mepolizumab (MEPO) for the treatment of severe eosinophilic asthma (EA).METHODSHealth records of 31 patients were retrospectively analyzed. Asthma control test (ACT) score, blood eosinophil count, forced expiratory volume in 1 second (FEV1), FEV1% of predicted and FEV1/FVC (Forced Vital Capacity) ratio, oral corticosteroid (OCS) dosage and exacerbations were recorded at baseline (T0), after 3 (T1), 6 (T3), nine (T6) and 12 months (T12). A clinical response was defined as: i) 30% exacerbation decrease; ii) 80% blood eosinophilia reduction; iii) 3 point ACT increase; iv) FEV1 increase ≥ 200 mL.RESULTSAt T12 blood eosinophil level decreased by 89.89% (p>0.0001), an improvement in ACT of 3 points from baseline was recorded in 80.65% of patients (p>0.0001) and 96.77% of patients reduced by minimum 30% the number of exacerbations (p>0.0001). 84% of patients discontinued OCS (p>0.0001). FEV1 increased by 0.22 (p=0.0224) while FEV1/FVC was statistically significant only at T1. No significant differences were generally found among patients with a specific comorbidity. The number of comorbidities did not influence treatment response. Neither the comorbidities nor other characteristics (sex, BMI, age, smoking, baseline eosinophil level) influenced treatment response.CONCLUSIONSMEPO in patients with severe EA is effective regardless of the presence of one or more comorbidities.



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