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. 2023 Jan 12;61(1):2201217. doi: 10.1183/13993003.01217-2022

TABLE 1.

Extent of eosinophil depletion with medical therapies

Drug Target Population Eosinophil reduction
Blood Other
Benralizumab IL-5R Asthma [27, 28] ↓↓↓↓ ↓↓↓ (airway),
↓↓↓↓ (sputum)
COPD [29] ↓↓↓↓ ↓↓↓↓ (sputum)
CRSwNP [30] ↓↓↓↓
EGPA [31] ↓↓↓↓
HES [32, 33] ↓↓↓↓ ↓↓↓↓ (GI)
Mepolizumab IL-5 Asthma [28, 34, 35] ↓↓↓ ↓ (sputum)
COPD [36] ↓↓↓
CRSwNP [37] ↓↓↓
EGPA [38] ↓↓↓
HES [39] ↓↓↓
Reslizumab IL-5 Asthma [4042] ↓↓↓ ↓↓ (sputum)
Dexpramipexole Unknown mechanism CRSwNP [43] ↓–↓↓↓↓# ↓↓↓↓ (nasal tissue)
HES [44] 0–↓↓↓↓
Imatinib Tyrosine kinase CEL/HES [45] 0–↓↓↓↓
Systemic glucocorticoids Glucocorticoid receptors Asthma [46, 47] ↓–↓↓↓↓+

↓: <50% reduction; ↓↓: 50–79% reduction; ↓↓↓: 80–94% reduction; ↓↓↓↓: ≥95% reduction/near-complete depletion. IL-5R: interleukin-5 receptor; CRSwNP: chronic rhinosinusitis with nasal polyps; EGPA: eosinophilic granulomatosis with polyangiitis; HES: hypereosinophilic syndrome; GI: gastrointestinal; CEL: chronic eosinophilic leukaemia. #: approximately two-thirds of patients demonstrated >95% eosinophil reduction and the other one-third were partial responders (30–50% eosinophil reduction); : responses varied from profound reductions (e.g. eosinophil counts ≤10 cells·µL−1) to no effect; +: reductions in eosinophils are dose dependent and related to baseline levels [47].