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. 2026 Sep 27;16(9):e105671. doi: 10.1136/bmjopen-2025-105671

Table 2.

Response to mepolizumab in patients stratified by baseline FeNO (25 and 50 ppb thresholds) and eosinophil count (150 and 300 cells/µL thresholds)

Treatment response Baseline FeNO 25 ppb and 150 EOs/µL thresholds
FeNO <25 ppb, FeNO ≥25 ppb, FeNO <25 ppb, FeNO ≥25 ppb,
<150 EOs/µL <150 EOs/µL ≥150 EOs/µL ≥150 EOs/µL
n Mean (SD) n Mean (SD) n Mean (SD) n Mean (SD)
Exacerbations in the previous 12 months
Baseline 8 4.9 (4.0) 11 3.8 (2.9) 51 3.9 (3.4) 152 4.4 (3.6)
12 months 8 2.4 (1.4) 11 0.6 (0.9) 51 0.9 (1.0) 152 0.8 (1.3)
Prebronchodilator FEV1, L
Baseline 6 1.7 (0.9) 8 2.1 (0.8) 43 1.7 (0.6) 132 1.9 (0.8)
12 months 3 2.0 (0.5) 7 2.3 (0.8) 34 1.9 (0.6) 109 2.2 (0.8)
Postbronchodilator FEV1, L
Baseline 5 1.8 (0.7) 8 1.8 (0.8) 37 1.9 (0.5) 99 2.1 (0.8)
12 months 5 1.6 (0.5) 7 2.2 (1.0) 26 1.9 (0.5) 65 2.3 (0.8)
Prednisolone dose in the last month, mg/day
Baseline 3 16.4 (12.1) 5 8.6 (7.1) 18 8.3 (6.8) 47 11.7 (10.0)
12 months 3 3.2 (2.8) 5 5.0 (4.7) 17 2.4 (3.4) 41 3.7 (6.9)
ACT score
Baseline 6 17.5 (6.8) 8 13.1 (5.2) 46 13.8 (5.4) 147 14.4 (5.0)
12 months 4 18.3 (6.1) 7 20.9 (3.2) 44 20.3 (4.1) 131 21.2 (3.9)
Treatment response Baseline FeNO 25 ppb and 300 EOs/µL thresholds
FeNO <25 ppb, FeNO ≥25 ppb, FeNO <25 ppb, FeNO ≥25 ppb,
<300 EOs/µL <300 EOs/µL ≥300 EOs/µL ≥300 EOs/µL
n Mean (SD) n Mean (SD) n Mean (SD) n Mean (SD)
Exacerbations in the previous 12 months
Baseline 17 3.7 (3.1) 19 4.4 (3.1) 42 4.1 (3.5) 144 4.3 (3.6)
12 months 17 1.7 (1.3) 19 0.9 (1.3) 42 0.8 (1.0) 144 0.8 (1.3)
Prebronchodilator FEV1, L
Baseline 12 1.8 (0.8) 16 2.0 (0.8) 37 1.7 (0.6) 124 1.9 (0.8)
12 months 7 2.1 (0.6) 14 2.1 (1.0) 30 1.8 (0.5) 102 2.2 (0.7)
Postbronchodilator FEV1, L
Baseline 14 1.8 (0.6) 11 2.1 (0.9) 28 1.9 (0.5) 96 2.1 (0.8)
12 months 10 1.7 (0.4) 10 2.3 (1.0) 21 1.9 (0.5) 62 2.2 (0.7)
Prednisolone dose in the last month, mg/day
Baseline 7 10.2 (8.7) 12 6.9 (5.8) 16 9.3 (7.1) 57 10.9 (9.4)
12 months 8 2.5 (2.5) 12 5.2 (8.3) 16 2.7 (4.2) 51 2.8 (5.0)
ACT score
Baseline 14 16.4 (4.9) 15 13.1 (5.2) 38 13.4 (5.6) 140 14.5 (5.0)
12 months 12 19.3 (4.5) 14 19.4 (5.7) 36 20.4 (4.1) 124 21.4 (3.5)
Treatment response Baseline FeNO 50 ppb and 300 EOs/µL thresholds
FeNO <50 ppb, FeNO ≥50 ppb, FeNO <50 ppb, FeNO ≥50 ppb,
<300 EOs/µL <300 EOs/µL ≥300 EOs/µL ≥300 EOs/µL
n Mean (SD) n Mean (SD) n Mean (SD) n Mean (SD)
Exacerbations in the previous 12 months
Baseline 24 3.6 (3.5) 12 4.9 (2.5) 99 4.2 (3.6) 87 4.5 (3.6)
12 months 24 1.6 (1.5) 12 0.6 (0.8) 99 0.8 (1.1) 87 0.9 (1.3)
Prebronchodilator FEV1, L
Baseline 17 1.9 (0.8) 11 2.0 (0.9) 88 1.8 (0.8) 73 2.0 (0.7)
12 months 10 2.1 (0.8) 11 2.1 (1.0) 74 1.9 (0.7) 58 2.4 (0.7)
Postbronchodilator FEV1, L
Baseline 19 1.9 (0.7) 6 2.2 (1.0) 69 2.0 (0.7) 55 2.2 (0.8)
12 months 14 1.9 (0.8) 6 2.4 (0.9) 46 1.9 (0.5) 37 2.5 (0.8)
Prednisolone dose in the last month, mg/day
Baseline 9 9.4 (8.5) 6 8.5 (7.7) 29 9.7 (7.5) 29 12.9 (11.2)
12 months 9 3.0 (3.0) 6 8.3 (11.4) 26 2.8 (5.2) 25 3.1 (5.4)
ACT score
Baseline 19 15.7 (5.4) 10 12.9 (5.2) 92 14.6 (5.5) 86 13.8 (4.7)
12 months 16 18.9 (5.5) 10 20.1 (5.1) 85 21.4 (3.5) 75 21.0 (3.9)

ACT, Asthma Control Test; EOs, eosinophils; FeNO, fraction of exhaled nitric oxide; FEV1, forced expiratory volume in 1 s.