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RESPIRATORY SYSTEM › DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES › OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES › Other systemic drugs for obstructive airway diseases
benralizumab
R03DX10
Forms & Strengths
- Subcutaneous injection: 30 mg/1 mL pre-filled syringe
- Subcutaneous injection: 30 mg/1 mL auto-injector
Adult Dosing
- Severe eosinophilic asthma: 30 mg subcutaneously every 4 weeks for the first 3 doses, then every 8 weeks thereafter
- Chronic rhinosinusitis with nasal polyps: 30 mg subcutaneously every 4 weeks
Pediatric Dosing
- Severe eosinophilic asthma (adolescents aged 12 years and older): 30 mg subcutaneously every 4 weeks for the first 3 doses, then every 8 weeks thereafter
- Safety and efficacy in children younger than 12 years have not been established
Indications
- Add-on maintenance treatment of severe asthma with an eosinophilic phenotype in adults and pediatric patients aged 12 years and older
- Add-on maintenance treatment of chronic rhinosinusitis with nasal polyps (CRSwNP) in adults aged 18 years and older
Mechanism of Action
- Humanized monoclonal antibody (IgG1 kappa) that binds directly to the alpha subunit of the human interleukin-5 receptor (IL-5Ralpha)
- Prevents IL-5 from binding to its receptor on eosinophils and basophils
- Recruits natural killer cells to induce rapid and nearly complete depletion of eosinophils and basophils via antibody-dependent cell-mediated cytotoxicity (ADCC)
Contraindications
- Known hypersensitivity to benralizumab or any of its excipients (history of anaphylaxis to the drug)
Adverse Reactions
- Headache
- Pharyngitis
- Injection site reactions (pain, erythema, pruritus)
- Hypersensitivity reactions (anaphylaxis, angioedema, urticaria, rash)
Drug Interactions
- Formal clinical drug interaction studies have not been performed
- Reduction of high-dose systemic corticosteroids may be achieved after initiation, but abrupt discontinuation should be avoided
- Live attenuated vaccines should generally be avoided during treatment
Curated Content: Needs Vetting Before Put to Clinical Use