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Oral Glucocorticoid-Sparing Effect of Mepolizumab in Eosinophilic Asthma
Ist Teil von
The New England journal of medicine, 2014-09, Vol.371 (13), p.1189-1197
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2014
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
Among patients with asthma who had elevated blood eosinophil levels and marginal asthma control despite glucocorticoid treatment, the glucocorticoid dose could be significantly reduced in patients receiving a monoclonal antibody that binds to and inactivates interleukin-5.
Asthma is a common chronic inflammatory disease of the airways that affects 5 to 10% of adults and children. Although the disease is well controlled with inhaled therapy in most patients, approximately 10% have severe asthma that is associated with substantial morbidity, mortality, and economic effects.
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Patients with severe asthma have complex treatment requirements, which in 30 to 40% of such patients include the regular use of oral glucocorticoids to control their asthma.
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–
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Such therapy can result in serious and often irreversible adverse effects.
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,
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Current treatments with glucocorticoid-sparing properties are not recommended in patients with severe asthma because . . .