Monoclonal antibodies in severe asthma: outcomes from real-world data

In routine clinical practice, benralizumab, mepolizumab, omalizumab, and reslizumab were associated with improvements in asthma control, lung function, and reduction in exacerbations over 12 months. Benralizumab and reslizumab were associated with the greatest reductions in eosinophil counts. Our findings suggest comparable effectiveness across biologics. High adherence and treatment persistence support their feasibility in real-world settings. These results underscore the relevance of phenotype-driven therapy selection and highlight the need for long-term monitoring to optimize outcomes in severe asthma management.

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Publication Details

Journal
Frontiers in Medicine
Published
2025-08-11
DOI
https://doi.org/10.3389/fmed.2025.1635688
Primary Topic
Asthma and respiratory diseases
Type
article
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article

Monoclonal antibodies in severe asthma: outcomes from real-world data

F Garcia-Moreno, Elena Lobato‐Matilla, Ana Herranz, Esther Chamorro-de-Vega et al.
Frontiers in Medicine
Asthma and respiratory diseases
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Monoclonal antibodies in severe asthma: outcomes from real-world data

F Garcia-Moreno, Elena Lobato‐Matilla, Ana Herranz, Esther Chamorro-de-Vega, Rosa Romero‐Jiménez, Vicente Escudero‐Vilaplana, Álvaro Narrillos-Moraza, María Sanjurjo‐Sáez, Paula Ruiz-Briones, Silvia del-Barrio-Buesa, María Martín-Bartolomé, Julia García-de-Pedro, Francisco Javier de-Castro-Martínez, María Esther Durán-García
article en

Abstract

In routine clinical practice, benralizumab, mepolizumab, omalizumab, and reslizumab were associated with improvements in asthma control, lung function, and reduction in exacerbations over 12 months. Benralizumab and reslizumab were associated with the greatest reductions in eosinophil counts. Our findings suggest comparable effectiveness across biologics. High adherence and treatment persistence support their feasibility in real-world settings. These results underscore the relevance of phenotype-driven therapy selection and highlight the need for long-term monitoring to optimize outcomes in severe asthma management.

Frontiers in MedicineVol. 12
Universidad Complutense de Madrid (ES), Hospital General Universitario Gregorio Marañón (ES)
Openalex Percentile: Top 74%
Asthma and respiratory diseases
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