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2017 ; 11
(8
): 311-325
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Reslizumab in the treatment of inadequately controlled asthma in adults and
adolescents with elevated blood eosinophils: clinical trial evidence and future
prospects
#MMPMID28683596
Máspero J
Ther Adv Respir Dis
2017[Aug]; 11
(8
): 311-325
PMID28683596
show ga
Eosinophils have long been implicated as playing a central role in the
pathophysiology of asthma in many patients, and eosinophilic asthma is now
recognized as an important asthma endotype. Eosinophil differentiation,
maturation, migration, and survival are primarily under the control of
interleukin-5 (IL-5). Reslizumab is a humanized monoclonal (immunoglobulin G4/?)
antibody that binds with high affinity to circulating human IL-5 and
downregulates the IL-5 signaling pathway, potentially disrupting the maturation
and survival of eosinophils. In 2016, an intravenous formulation of reslizumab
was approved in the USA, Canada, and Europe as add-on maintenance treatment for
patients aged ?18 years with severe asthma and with an eosinophilic phenotype.
The efficacy of reslizumab as add-on intravenous therapy has been reported in
several phase III studies in patients with inadequately controlled
moderate-to-severe asthma and elevated blood eosinophil counts (?400 cells/µl).
Compared with placebo, reslizumab was associated with significant improvements in
clinical exacerbation rate, forced expiratory volume in 1 s, asthma symptoms and
quality of life, and significant reductions in blood eosinophil counts.
Reslizumab also demonstrated a favorable tolerability profile similar to that of
placebo, with reported adverse events being mostly mild to moderate in severity.
Ongoing studies are focusing on the evaluation of a subcutaneous formulation of
reslizumab in patients with asthma and elevated eosinophil levels. This review
discusses the preclinical and clinical trial data available on reslizumab,
potential opportunities for predicting an early response to reslizumab, and
future directions in the field of anti-IL-5 antibody therapy.
|Adolescent
[MESH]
|Adult
[MESH]
|Anti-Asthmatic Agents/adverse effects/pharmacology/*therapeutic use
[MESH]
|Antibodies, Monoclonal, Humanized/adverse effects/pharmacology/*therapeutic use
[MESH]