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. 2016 Nov 17;11(1):40–45. doi: 10.1177/1753465816673303

Table 1.

Clinical trials of mepolizumab in asthma.

Study Disease severity Dosage/delivery Outcome summary
[Menzies-Gow et al. 2003] Mild asthmatics 750 mg iv every 4 weeks for 3 months ↓ Eosinophils within bronchial mucosa
[Flood-Page et al. 2003] Mild asthmatics 750 mg iv every 4 weeks for 3 months ↓ Blood eosinophils
↓ Airway eosinophils by 50%
No effect on PEF, FEV1 and bronchial hyperresponsiveness
[Flood-Page et al. 2007] Moderate asthmatics 250 or 750 mg iv every 4 weeks for 3 months ↓ Blood and sputum eosinophils
No effect on PEF, FEV1 and AQLQ
[Haldar et al. 2009] Severe eosinophilic asthmatics 750 mg iv every 4 weeks for 1 year ↓ Blood eosinophils
↓ Exacerbations
↑ AQLQ
No effect on FEV1
[Nair et al. 2009] Prednisone-dependent eosinophilic asthmatics 750 mg iv every 4 weeks for 5 months ↓ Blood and sputum eosinophils
↓ Exacerbations
Prednisone-sparing effect
[Pavord et al. 2012] Severe eosinophilic asthmatics 1 of 3 doses (750, 250 or 75 mg) iv every 4 weeks for 13 months ↓ Blood and sputum Eosinophils
↓ Exacerbations
No effect on FEV1 and AQLQ
[Ortega et al. 2014b] Severe eosinophilic asthmatics
MENSA STUDY
100 mg sc every 4 weeks for 8 months ↓ Blood eosinophilia
↓ Exacerbations
↑ FEV1
↑ ACQ-5 score
[Bel et al. 2014] Severe eosinophilic asthmatics
SIRIUS STUDY
100 mg sc every 4 weeks for 6 months ↓ Blood eosinophils
↓ Exacerbations
Glucocorticoid sparing-effect
↑ ACQ-5 score
[Haldar et al. 2014] Severe eosinophilic asthmatics 750 mg iv every 4 weeks Outcome after cessation Rapid increase in blood and sputum
eosinophils followed by increased of asthma symptoms and exacerbations

ACQ-5, Asthma Control Questionnaire-5; AQLQ, Asthma Quality of Life Questionnaire; FEV1, forced expiratory volume in one second; iv, intravenously; PEF, peak expiratory flow; sc, subcutaneously.