Every 30 seconds, someone worldwide experiences a flare-up of asthma or chronic obstructive pulmonary disease (COPD), conditions that can be life-threatening. For decades, corticosteroids like prednisolone have been the cornerstone of treatment. However, these drugs often come with significant side effects, and nearly one-third of patients experience symptom relapse within a month, necessitating further treatment.
A New Alternative: Benralizumab
Recent findings, published in The Lancet Respiratory Medicine, spotlight benralizumab, a monoclonal antibody, as a promising solution. This injectable drug targets eosinophils—a type of white blood cell responsible for inflammation that exacerbates asthma and COPD symptoms. By addressing eosinophilic inflammation, benralizumab offers a safer and more effective way to manage these flare-ups.
Study Findings
A clinical trial with 158 participants from two UK hospitals compared three treatment strategies:
- Prednisolone tablets alone.
- A single injection of benralizumab.
- A combination of prednisolone and benralizumab.
The primary focus was on treatment failure rates, defined as the need for additional therapy, hospitalization, or death within 90 days.
Key results include:
- 74% of patients on prednisolone alone experienced treatment failure.
- 47% of those receiving benralizumab alone had similar outcomes.
- 42% of patients on combination therapy saw treatment failure.
Additionally, benralizumab-treated patients reported faster recovery, improved quality of life, and fewer side effects. Unlike prednisolone, benralizumab did not cause high blood sugar, making it particularly suitable for at-risk groups such as older adults or those with diabetes.
Challenges Ahead
While the study highlights benralizumab’s potential, the drug is not yet approved for flare-up treatment at the studied dose. Phase 3 trials with diverse populations are needed to confirm its efficacy. If successful, benralizumab could mark the first major advancement in the treatment of eosinophilic asthma and COPD flare-ups in over 50 years.
A Brighter Future for Patients
Asthma and COPD flare-ups impact millions daily, leaving many trapped in a cycle of recurring symptoms and side effects. Benralizumab provides hope for breaking this cycle, offering safer and more effective treatment options.
In the time you’ve taken to read this, about 40 people globally have experienced an eosinophilic flare-up. Benralizumab represents a transformative approach, promising a future of improved care and outcomes for patients worldwide.