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. 2018 Jan 1;197(1):22–37. doi: 10.1164/rccm.201611-2232PP

Table 3.

Representative Biologic Therapies in Use or under Investigation for Eosinophilic Asthma

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.