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. 2023 Oct 17;13:17607. doi: 10.1038/s41598-023-44973-z

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 Drug withdrawn 646 (38.2%) 40 (40.4%) 23 (34.3%) 3 (75.0%) 14 (28.0%)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.