Table 3.
Target | Treatment | Studies | Patient Population | Outcomes |
---|---|---|---|---|
IL-5 | Anti–IL-5 IgG mepolizumab* | Bel et al., 2014 (15); Ortega et al., 2014 (16) | Severe asthma, peripheral blood eosinophilia ≥ 150 cells/μl at screening or 300 cells/μl in the preceding year | Steroid sparing, reduced exacerbations, improved control |
Reslizumab* | Castro et al., 2015 (146) | Uncontrolled moderate to severe asthma with peripheral blood eosinophilia ≥ 400 cells/μl and ≥1 exacerbation in the past year | Reduced exacerbations | |
IL-5 receptor | Benralizumab | Bleecker et al., 2016 (17); FitzGerald et al., 2016 (153) | Severe asthma, peripheral blood eosinophilia > 300/μl | Reduced exacerbations, improved lung function and symptom control |
IgE | Omalizumab* | Cochrane Review 2014 (154) | FDA approved for treatment of moderate to severe allergic asthma, age ≥ 6 yr | Improved asthma symptom control, reduced exacerbations, reduced eosinophil counts |
IL-4 receptor, α subunit | Dupilumab | Wenzel et al., 2016 (149) | Phase IIb: Uncontrolled moderate to severe asthma (n = 769) | Improved lung function, reduced exacerbations |
Prostaglandin D2 receptor 2 | Fevipiprant | Gonem et al., 2016 (155) | Phase II: Moderate to severe asthma with sputum eosinophils ≥ 2% | Reduced sputum eosinophils, improved quality of life and lung function |
Definition of abbreviation: FDA = U.S. Food and Drug Administration.
FDA approved at time of article submission.