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. 2015 Dec 8;8(4):298–304. doi: 10.4168/aair.2016.8.4.298

Table. Medications for the treatment of asthma, AERD, and/or nasal polyps.

Drug Mechanism of action Development Comments Ref
Montelukast Zafirlukast CysLTR1 antagonists Both are FDA and EMA approved for treatment of asthma Studies show improvement in upper and lower airway symptoms 31, 32
Zileuton 5-lipoxygenase inhibitor FDA approved for treatment of asthma Requires monitoring of transaminases, all cases of hepatotoxicity resolved after discontinuation of medication 34, 35, 36, 37
Omalizumab Binds free IgE FDA and EMA approved A study in patients with nasal polyps showed decrease in the total nasal endoscopic score 37, 38, 39
Prasugrel P2Y12 receptor antagonist FDA approved for acute coronary syndrome; Phase II for AERD Under investigation in AERD to determine if it attenuates severity of aspirin reactions NCT01597375
Ifetroban TP receptor antagonist Phase II Under investigation in AERD to determine if it attenuates severity of aspirin reactions NCT02216357
ARRY-502 CRTH2 antagonists Phase II Not yet studied in AERD
AZD1981
QAW039
OC000459
Mepolizumab Blocks IL-5 Phase II/III Has been studied in asthma, recently completed study in nasal polyps 52, NCT01362244
Dupilumab Blocks IL-4Rα Phase II Has been studied in asthma, recently completed study in nasal polyps NCT01920893