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Efficacy Of 100 Mg SC Mepolizumab For Severe Eosinophilic Asthma (SEA) Across Body Weight: Meta‐Analysis: 306

E. Bradford, C. Taillé, D. Bratton, S. Yancey, N. Kwon, F. Albers, A. Papi

Journal of Allergy and Clinical Immunology, 2019

936 participants

Abstract

Eric S. Bradford, MD, Camille Taill e, MD, PhD, Daniel J. Bratton, PhD, Steven W. Yancey, MSc, Namhee Kwon, MD, PhD, Frank Albers, MD, PhD, and Alberto Papi, MD; Respiratory Therapeutic Area, GSK, Research Triangle Park, NC, Assistance PubliqueHôpitaux de Paris, Hôpital Bichat, Service de Pneumologie et Centre de R ef erence des Maladies Pulmonaires Rares, UMR1152, Paris, France, Clinical Statistics, GSK, Uxbridge, United Kingdom, Respiratory Medical Franchise, GSK, London, United Kingdom, Respiratory Medical Franchise, GSK, Research Triangle Park, NC, Research Center on Asthma and COPD, University of Ferrara, Ferrara, Italy. RATIONALE: Body weight can potentially influence the efficacy of severe asthma biologics treatment, requiring dose-weight adjustments. This analysis assessed the efficacy of the licensed, 100 mg subcutaneous (SC) dose ofmepolizumab in patients with SEA in different bodyweight & body mass index (BMI) categories. METHODS: Post hoc meta-analysis of the Phase 3 MENSA & MUSCA trials. Patients with SEA received mepolizumab 100 mg SC or placebo for 24 (MUSCA) & 32 (MENSA) weeks. Endpoint: annual rate of clinically significant exacerbations. Analyses were performed by baseline body weight categories (60–75, >75–90, >90 kg; _100 kg), & baseline BMI categories (20–25, >25–30, >30 kg/m; _36 kg/m). RESULTS: 936 patients were included (468 mepolizumab; 468 placebo; 227 [24%] on maintenance OCS). Across all weight categories, mepolizumab significantly reduced…

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