Safety of humanized monoclonal antibodies against IL-5 in asthma: focus on reslizumab.

Abstract:

INTRODUCTION:Reslizumab, a humanized mAb against IL-5, reduces the number of eosinophils in the blood and lungs. Based on efficacy and safety data from pivotal RCTs, reslizumab had been approved for use as an add-on maintenance treatment of severe asthma with an eosinophilic phenotype in adults who have a history of exacerbations despite receiving their current asthma medicines. Areas covered: Current literature on reslizumab has been reviewed with a specific focus on its safety profile in the treatment of severe asthma. Expert opinion: Large pivotal and supportive trials reinforce the view that reslizumab is well tolerated, with an acceptable safety profile in patients exposed for longer than 2 years. However, no or few data concerning safety in special populations such as smokers, those with immune- and cellular senescence, patients with comorbidities and those receiving multi-drug treatments are available as yet. Furthermore, we need to fully elucidate some fundamental issues such as the risk of anaphylaxis and the long-term risk-benefit ratio of the impact of depletion of eosinophils and the potential risk of malignancies induced by a treatment with this anti-IL-5 agent.

journal_name

Expert Opin Drug Saf

authors

Cazzola M,Matera MG,Levi-Schaffer F,Rogliani P

doi

10.1080/14740338.2018.1446940

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

429-435

issue

4

eissn

1474-0338

issn

1744-764X

journal_volume

17

pub_type

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