Mepolizumab in the treatment of eosinophilic chronic obstructive pulmonary disease

Takudzwa Mkorombindo, Mark T DransfieldLung Health Center, Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USAAbstract: Despite maximal medical therapy, a subset of patients with chronic obstructive pulmonary dis...

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Main Authors: Mkorombindo T, Dransfield MT
Format: Article
Language:English
Published: Dove Medical Press 2019-08-01
Series:International Journal of COPD
Subjects:
Online Access:https://www.dovepress.com/mepolizumab-in-the-treatment-of-eosinophilic-chronic-obstructive-pulmo-peer-reviewed-article-COPD
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author Mkorombindo T
Dransfield MT
author_facet Mkorombindo T
Dransfield MT
author_sort Mkorombindo T
collection DOAJ
description Takudzwa Mkorombindo, Mark T DransfieldLung Health Center, Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USAAbstract: Despite maximal medical therapy, a subset of patients with chronic obstructive pulmonary disease continue to suffer acute exacerbations. It is also clear that a subset of this population has elevated blood eosinophils. In addition to clearly responding better to inhaled corticosteroids, it is also possible that this subgroup may benefit from biologic treatments targeting eosinophilic inflammation. Mepolizumab, a humanized monoclonal antibody against interleukin-5 (IL-5), may have a therapeutic effect in a subgroup of patients with COPD and eosinophilic airway inflammation. In this review, we discuss the biologic rationale for mepolizumab targeting IL-5 in eosinophilic COPD as well as the results of recently published clinical trials.Keywords: COPD, acute exacerbations of COPD, eosinophils, mepolizumab
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spelling doaj.art-1656d1da5c1a4507b24751711c9b18de2022-12-21T20:18:41ZengDove Medical PressInternational Journal of COPD1178-20052019-08-01Volume 141779178747704Mepolizumab in the treatment of eosinophilic chronic obstructive pulmonary diseaseMkorombindo TDransfield MTTakudzwa Mkorombindo, Mark T DransfieldLung Health Center, Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USAAbstract: Despite maximal medical therapy, a subset of patients with chronic obstructive pulmonary disease continue to suffer acute exacerbations. It is also clear that a subset of this population has elevated blood eosinophils. In addition to clearly responding better to inhaled corticosteroids, it is also possible that this subgroup may benefit from biologic treatments targeting eosinophilic inflammation. Mepolizumab, a humanized monoclonal antibody against interleukin-5 (IL-5), may have a therapeutic effect in a subgroup of patients with COPD and eosinophilic airway inflammation. In this review, we discuss the biologic rationale for mepolizumab targeting IL-5 in eosinophilic COPD as well as the results of recently published clinical trials.Keywords: COPD, acute exacerbations of COPD, eosinophils, mepolizumabhttps://www.dovepress.com/mepolizumab-in-the-treatment-of-eosinophilic-chronic-obstructive-pulmo-peer-reviewed-article-COPDCOPDAcute exacerbations of COPDEosinophilsMepolizumab
spellingShingle Mkorombindo T
Dransfield MT
Mepolizumab in the treatment of eosinophilic chronic obstructive pulmonary disease
International Journal of COPD
COPD
Acute exacerbations of COPD
Eosinophils
Mepolizumab
title Mepolizumab in the treatment of eosinophilic chronic obstructive pulmonary disease
title_full Mepolizumab in the treatment of eosinophilic chronic obstructive pulmonary disease
title_fullStr Mepolizumab in the treatment of eosinophilic chronic obstructive pulmonary disease
title_full_unstemmed Mepolizumab in the treatment of eosinophilic chronic obstructive pulmonary disease
title_short Mepolizumab in the treatment of eosinophilic chronic obstructive pulmonary disease
title_sort mepolizumab in the treatment of eosinophilic chronic obstructive pulmonary disease
topic COPD
Acute exacerbations of COPD
Eosinophils
Mepolizumab
url https://www.dovepress.com/mepolizumab-in-the-treatment-of-eosinophilic-chronic-obstructive-pulmo-peer-reviewed-article-COPD
work_keys_str_mv AT mkorombindot mepolizumabinthetreatmentofeosinophilicchronicobstructivepulmonarydisease
AT dransfieldmt mepolizumabinthetreatmentofeosinophilicchronicobstructivepulmonarydisease