PMID- 38434642 OWN - NLM STAT- MEDLINE DCOM- 20240305 LR - 20240305 IS - 2046-1402 (Electronic) IS - 2046-1402 (Linking) VI - 12 DP - 2023 TI - An early Indian experience with benralizumab - A compendium on severe asthma cases: a case series. PG - 1225 LID - 10.12688/f1000research.132704.1 [doi] LID - 1225 AB - Background: Severe eosinophilic asthma (SEA), one of the phenotypes of asthma that is characterized by elevated blood eosinophil counts, is a common cause of uncontrolled asthma. Patients with SEA often experience severe persistent symptoms and have frequent exacerbations despite optimal inhaler therapy. They also have poor lung function and quality of life (QoL). Benralizumab (Fasenra), a monoclonal antibody, has been approved for managing cases of SEA. This series of six cases, the first of its kind from India, aims to add to the real-world evidence of benralizumab in India. Methods: Benralizumab 30 mg (once in four weeks for the first three doses followed by a dose every eight weeks for two years) was administered in six patients with symptoms of cough, breathlessness on exertion, and wheezing, diagnosed with SEA. The following were the endpoints assessed: (i) overlap between high immunoglobulin E (IgE) and eosinophilic asthma; (ii) reduction of exacerbations; (iii) withdrawal of oral corticosteroids; and (iv) improvement in lung function and QoL. Results: In all cases, management with benralizumab resulted in optimal clinical and functional improvement, a decline in systemic steroid use, and improved QoL. Conclusions: The cases presented here are the first of their kind in the Indian asthmatic population with all SEA patients demonstrating significant improvement in symptoms with the use of benralizumab. CI - Copyright: (c) 2023 Talwar D et al. FAU - Talwar, Deepak AU - Talwar D AUID- ORCID: 0000-0002-4733-7132 AD - Pulmonology and Sleep Medicine, Metro Hospitals and Heart Institute, Noida, Uttar Pradesh, 201301, India. FAU - Yadav, Manoj AU - Yadav M AD - Pulmonology, Kailash Hospital, Centre for Respiratory Disease, Vadodara, Gujrat, 390007, India. FAU - Maturu, Nagarjuna AU - Maturu N AD - Pulmonology, Yashodha Hospital, Hyderabad, Telangana, 500036, India. FAU - Sharma, Rahul AU - Sharma R AD - Pulmonology, Yatharth Superspeciality Hospital, Noida, Uttar Pradesh, 201304, India. FAU - Meshram, Priti AU - Meshram P AD - Pulmonology Medicine, GGMC and JJ Hospital, Mumbai, Maharashtra, 400008, India. FAU - Das, Soumya AU - Das S AD - Pulmonology, B.P Poddar Hospital and Medical Research Centre, Kolkata, West Bengal, 700053, India. LA - eng PT - Journal Article DEP - 20230927 PL - England TA - F1000Res JT - F1000Research JID - 101594320 RN - 71492GE1FX (benralizumab) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antibodies, Monoclonal) SB - IM MH - Humans MH - *Quality of Life MH - *Asthma/drug therapy MH - Antibodies, Monoclonal, Humanized/therapeutic use MH - Antibodies, Monoclonal PMC - PMC10904938 OTO - NOTNLM OT - Asthma OT - benralizumab OT - eosinophilia OT - interleukin-5 OT - monoclonal antibodies COIS- Competing interests: Benralizumab is produced by AstraZeneca. Financial support has been received from AstraZeneca India only for manuscript development and publication purposes. None of the authors have any competing interest to declare. EDAT- 2024/03/04 06:42 MHDA- 2024/03/05 06:44 PMCR- 2023/09/27 CRDT- 2024/03/04 04:48 PHST- 2023/08/30 00:00 [accepted] PHST- 2024/03/05 06:44 [medline] PHST- 2024/03/04 06:42 [pubmed] PHST- 2024/03/04 04:48 [entrez] PHST- 2023/09/27 00:00 [pmc-release] AID - 10.12688/f1000research.132704.1 [doi] PST - epublish SO - F1000Res. 2023 Sep 27;12:1225. doi: 10.12688/f1000research.132704.1. eCollection 2023.