Table 2.
Serious cases associated with anaphylactic reactions caused by asthma biologics.
| N (%) | Omalizumab | Mepolizumab | Benralizumab | Reslizumab | Dupilumab |
|---|---|---|---|---|---|
| Seriousnessa | |||||
| Caused/prolonged hospitalization | 433 (21.9%) | 28 (19.9%) | 20 (23.8%) | 2 (28.6%) | 17 (27.0%) |
| Life-threatening | 252 (12.8%) | 19 (13.5%) | 7 (8.3%) | 1 (14.3%) | 3 (4.8%) |
| Death | 12 (0.6%) | 3 (2.1%) | 1 (1.2%) | 0 (0%) | 0 (0%) |
| Disabling/Incapacitating | 10 (0.5%) | 0 (0%) | 0 (0%) | 0 (0%) | 0 (0%) |
| Congenital anomaly/Birth defect | 1 (0.1%) | 0 (0%) | 0 (0%) | 0 (0%) | 0 (0%) |
| Other | 1,255 (63.6%) | 91 (64.5%) | 56 (66.7%) | 4 (57.1%) | 43 (68.3%) |
| Unknown | 10 (0.5%) | 0 (0%) | 0 (0%) | 0 (0%) | 0 (0%) |
| Outcome of serious AEs associated with anaphylactic reactions | |||||
| Recovered | 599 (35.4%) | 43 (43.4%) | 27 (40.3%) | 3 (75.0%) | 13 (26.0%) |
| Recovering | 78 (4.6%) | 3 (3.0%) | 1 (1.5%) | 0 (0%) | 5 (10.0%) |
| Recovered with sequelae | 17 (1.0%) | 0 (0%) | 0 (0%) | 0 (0%) | 1 (2.0%) |
| Not recovered | 29 (1.7%) | 4 (4.0%) | 1 (1.5%) | 0 (0%) | 0 (0%) |
| Fetal | 6 (0.4%) | 0 (0%) | 1 (1.5%) | 0 (0%) | 0 (0%) |
| Unknown | 962 (56.9%) | 49 (49.5%) | 37 (55.2%) | 1 (25.0%) | 31 (62.0%) |
| Actions taken to address AEs | |||||
| Drug withdrawn | 646 (38.2%) | 40 (40.4%) | 23 (34.3%) | 3 (75.0%) | 14 (28.0%) |
| Dose not changed | 90 (5.3%) | 5 (5.1%) | 8 (11.9%) | 1 (25.0%) | 9 (18.0%) |
| Dose reduced | 14 (0.8%) | 0 (0%) | 0 (0%) | 0 (0%) | 0 (0%) |
| Dose increased | 11 (0.7%) | 0 (0%) | 0 (0%) | 0 (0%) | 0 (0%) |
| Not applicable | 20 (1.2%) | 4 (4.0%) | 2 (3.0%) | 0 (0%) | 0 (0%) |
| Unknown | 910 (53.8%) | 50 (50.5%) | 34 (50.8%) | 0 (0%) | 27 (54.0%) |
| Outcomes after actions | |||||
| Reaction abated | 692 (40.9%) | 43 (43.4%) | 25 (37.3%) | 3 (75.0%) | 19 (38.0%) |
| No effect observed | 28 (1.7%) | 4 (4.0%) | 1 (1.5%) | 0 (0%) | 0 (0%) |
| Effect unknown | 966 (57.1%) | 52 (52.5%) | 40 (59.7%) | 1 (25.0%) | 31 (62.0%) |
| Fetal | 5 (0.3%) | 0 (0%) | 1 (1.5%) | 0 (0%) | 0 (0%) |
Serious cases included reports related to anaphylactic reactions regardless of positive signals.
aCases reported with one or more than two kinds of seriousness.