Real-Life Effectiveness of Benralizumab, Mepolizumab and Omalizumab in Severe Allergic Asthma Associated with Nasal Polyps.

IF 8.4 2区 医学 Q1 ALLERGY Clinical Reviews in Allergy & Immunology Pub Date : 2023-04-01 DOI:10.1007/s12016-022-08938-w
Angelica Tiotiu, Paula Mendez-Brea, Iulia Ioan, Rodrigo Romero-Fernandez, Jean Philippe Oster, Thi-Cam-Tu Hoang, Pauline Roux, Diana Carolina Ochoa-Gutierrez, Philippe Bonniaud, Frederic de Blay, Francisco-Javier Gonzalez-Barcala
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引用次数: 9

Abstract

Biological therapies are available for the treatment of the severe allergic asthma (SAA) with blood eosinophil count ≥ 0.3 × 109/L. Several of them also showed benefits on nasal polyps (NP), one of the most frequent comorbidities of the severe asthma, but comparative studies on their effectiveness in the association SAA-NP are currently lacking. The aim of this study is to compare the effectiveness of benralizumab, mepolizumab and omalizumab in patients with SAA-NP in real-life settings. A retrospective, observational, multicenter real-life study was realized including patients with SAA-NP treated by benralizumab, mepolizumab or omalizumab for 6 months. We analysed the nasal and respiratory symptoms, the number of asthma attacks and salbutamol use/week, acute sinusitis and severe exacerbation rates, the asthma control score, the lung function parameters, the NP endoscopic score, the sinus imaging and the blood eosinophil count 6 months before and after treatment. Seventy-two patients with SAA-NP were included: 16 treated by benralizumab, 21 by mepolizumab and 35 by omalizumab. After 6 months of treatment, almost all studied parameters were improved (except sinus imaging) with a greater effect of omalizumab on the nasal pruritus (p = 0.001) and more benefits of benralizumab on exacerbations rate, asthma attacks per week and lung function (all p < 0.05). Benralizumab and mepolizumab were more effective to improve the NP endoscopic score and the blood eosinophil count (both p < 0.001). All three biological therapies showed effectiveness by improving asthma and nasal outcomes in patients with SAA-NP. Several differences have been found that should be confirmed by larger comparative studies.

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Benralizumab, Mepolizumab和Omalizumab在鼻息肉相关的严重过敏性哮喘中的实际有效性
血液嗜酸性粒细胞≥0.3 × 109/L的严重变应性哮喘(SAA)可采用生物疗法治疗。其中一些药物也显示出对鼻息肉(NP)的疗效,鼻息肉是严重哮喘最常见的合共病之一,但目前缺乏对它们与SAA-NP相关的有效性的比较研究。本研究的目的是比较benralizumab, mepolizumab和omalizumab在现实生活中SAA-NP患者中的有效性。一项回顾性、观察性、多中心现实研究纳入了接受benralizumab、mepolizumab或omalizumab治疗6个月的SAA-NP患者。我们分析了治疗前后6个月的鼻部和呼吸道症状、哮喘发作次数和沙丁胺醇使用次数/周、急性鼻窦炎和严重加重率、哮喘控制评分、肺功能参数、NP内窥镜评分、鼻窦成像和血嗜酸性粒细胞计数。纳入72例SAA-NP患者:16例使用benralizumab, 21例使用mepolizumab, 35例使用omalizumab。治疗6个月后,几乎所有研究参数都得到改善(鼻窦成像除外),奥玛珠单抗对鼻瘙痒的影响更大(p = 0.001),贝纳利珠单抗对加重率、每周哮喘发作和肺功能的益处更大(p = 0.001)
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来源期刊
CiteScore
22.30
自引率
1.10%
发文量
58
审稿时长
6-12 weeks
期刊介绍: Clinical Reviews in Allergy & Immunology is a scholarly journal that focuses on the advancement of clinical management in allergic and immunologic diseases. The journal publishes both scholarly reviews and experimental papers that address the current state of managing these diseases, placing new data into perspective. Each issue of the journal is dedicated to a specific theme of critical importance to allergists and immunologists, aiming to provide a comprehensive understanding of the subject matter for a wide readership. The journal is particularly helpful in explaining how novel data impacts clinical management, along with advancements such as standardized protocols for allergy skin testing and challenge procedures, as well as improved understanding of cell biology. Ultimately, the journal aims to contribute to the improvement of care and management for patients with immune-mediated diseases.
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