Table 6. Currently approved indications of biologics for severe asthma in Korea.
| Biologics | Action | Dose | Interval (wk) | Route | Indication |
|---|---|---|---|---|---|
| Omalizumab (Xolair®) | Anti-IgE | 0.016 mg/kg per IU | 2 or 4 | SC | ≥ 6 years old; positive allergy testing (allergic asthma); IgE: 30–700 IU/mL |
| Mepolizumab (Nucala®) | Anti-IL5 | 100 mg | 4 | SC | ≥ 18 years old; AEC ≥ 150 cells/µL or ≥ 300 cells/µL at least once a year |
| Reslizumab (Cinqair®) | Anti-IL5 | 3 mg/kg | 4 | IV | ≥ 18 years old; AEC ≥ 400 cells/µL |
| Benralizumab (Fasenra®) | Anti-IL5R | 30 mg | 8* | SC | ≥ 18 years old; severe eosinophilic asthma |
| Dupilumab (Dupixent®) | Anti-IL4Rα | 200 mg† | 2 | SC | ≥ 12 years old; AEC ≥ 150 cells/µL or FeNO ≥ 25 ppb |
| 300 mg‡ | 2 | SC | With OCS-dependent or moderate-to-severe atopic dermatitis |
SC, subcutaneous; IV, intravenous; IgE, immunoglobulin E; IL, interleukin; AEC, absolute blood eosinophil count; FeNO, fractional exhaled nitric oxide; OCS, oral corticosteroids.
*Every 4 weeks for the first 3 doses, followed by every 8 weeks for maintenance; †For the first cycle, 400 mg (two 200 mg injections); ‡For the first cycle, 600 mg (two 300 mg injections).