- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Journal: Short-term Tezepelumab effectiveness in patients with severe asthma: a multicentre study. (Pubmed Central) - Sep 26, 2024 Tezepelumab demonstrated short-term efficacy in improving asthma control and quality of life, showing a favourable safety profile. Further studies with larger sample sizes and longer follow-up would confirm these findings and identify predictors of response to Tezepelumab.
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Trial completion date, Trial primary completion date, HEOR, Real-world evidence, Real-world: ASCENT: A Study for Observing Severe Asthma in Patients Treated With Tezepelumab (clinicaltrials.gov) - Sep 19, 2024 P=N/A, N=550, Recruiting, Further studies are needed to corroborate these findings. Trial completion date: Nov 2025 --> Mar 2026 | Trial primary completion date: Nov 2025 --> Mar 2026
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Journal, Real-world evidence, Real-world: Real-world data on tezepelumab in patients with severe asthma in Germany. (Pubmed Central) - Sep 8, 2024 In this real-life cohort, including a large proportion of patients with history of previous biologic use and encompassing various subgroups, the majority responded to tezepelumab. Our data further suggest a steroid-sparing effect of tezepelumab.
- |||||||||| Difficult asthma: Pearls and pitfalls (Hall 303, Level 3) - Aug 27, 2024 - Abstract #MTS2024MTS_27;
Tezepelumab also treats non-Type 2 asthma but is only licensed for children aged 12 years and over...This should include determining what went wrong, and if necessary, developing a new asthma plan. An asthma attack is an acute sign of suboptimal management of a chronic disease
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Trial completion: DIRECTION: Study to Evaluate Tezepelumab in Adults With Severe Uncontrolled Asthma (clinicaltrials.gov) - Aug 25, 2024 P3, N=405, Completed, The overarching objective of this comprehensive study is to delve into the latest advancements in asthma therapeutics and to provide guidance for future investigations in this domain. Active, not recruiting --> Completed
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen, Combivent (ipratropium/salbutamol) / Boehringer Ingelheim, Fasenra (benralizumab) / AstraZeneca
A CASE OF INTRACTABLE WHEEZE IN A PATIENT WITH SEVERE ASTHMA DESPITE BIOLOGIC THERAPY (Convention Center Exhibit Hall: Rapid Fire Area 1A) - Jul 31, 2024 - Abstract #CHEST2024CHEST_4860; At that time, he was also on tezepelumab having received twelve months of treatment...He reported having five exacerbations in the last year requiring prednisone...IgE was 19 and peripheral eosinophils were as high as 0.4 x10^9/L before starting benralizumab... This case highlights the importance of recognizing ECAC as a potential confounder for patients with severe, uncontrolled asthma not responding to conventional therapy.
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
TEZEPELUMAB-EKKO IN ELDERLY ASTHMATICS: A CASE SERIES REVEALING REAL-WORLD INSIGHTS (Convention Center Exhibit Hall: Poster Area 2) - Jul 31, 2024 - Abstract #CHEST2024CHEST_4661; This retrospective analysis of elderly patients receiving Tezepelumab-ekko revealed a remarkable reduction in asthma exacerbations, from 13 to 0, following treatment initiation. CLINICAL IMPLICATIONS: The significant improvement in mean ACT scores from 12.2 to 20.25 underscores the effectiveness of Tezepelumab-ekko in enhancing asthma control and quality of life in this challenging demographic.
- |||||||||| LONG-TERM SAFETY OF BIOLOGICS IN ASTHMA: A SYSTEMATIC LITERATURE REVIEW (Convention Center Exhibit Hall: Rapid Fire Area 3C) - Jul 31, 2024 - Abstract #CHEST2024CHEST_3876;
The largest and longest safety evidence base was found for mepolizumab which showed the lowest treatment discontinuation rate due to AEs across comparable OLE/LTE studies with no notable increases in SAE rates, discontinuations, or mortality due to AE beyond 4.8 years of treatment. CLINICAL IMPLICATIONS: Long-term safety is a critical determinant of treatment choice for chronic conditions such as asthma.
- |||||||||| EFFECTIVENESS OF BIOLOGICS IN ASTHMA: COMPARING REAL-WORLD EVIDENCE (Convention Center Exhibit Hall: Poster Area 2) - Jul 31, 2024 - Abstract #CHEST2024CHEST_3395;
However, these findings should be interpreted cautiously due to the retrospective nature of these included real-world studies. Treatment choices could have been influenced by underlying risk factors, temporal availability of biologics based on approval dates, and physician/patient preferences.
- |||||||||| Xolair (omalizumab) / Roche, Novartis
SERUM SICKNESS-LIKE REACTION SECONDARY TO OMALIZUMAB (Convention Center Exhibit Hall: Poster Area 1) - Jul 31, 2024 - Abstract #CHEST2024CHEST_1083; Serum-sickness like reactions are hypersensitivity reactions which can be seen with biologic therapies. Physicians should have a high index of suspicion when patients have arthralgias and constitutional symptoms temporally associated with exposure to these medications.
- |||||||||| Review, Journal: Immunogenicity of biologics used in the treatment of asthma. (Pubmed Central) - Jul 26, 2024
These can contribute to adverse events including infusion reactions, serum sickness, anaphylaxis and potentially disease activity due to loss of therapeutic function. Monitoring anti-drug antibodies (ADA) may allow prediction of future treatment-failure in some individuals allowing treatment cessation and switching therefore potentially limiting disease breakthrough.
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Late Breaking Abstract - Clinical efficacy of Tezepelumab in pre-selected non-Type 2 asthma patients (PS-10; Poster board no. 20) - Jul 16, 2024 - Abstract #ERS2024ERS_5846; Conclusion This is the first case series demonstrating that patients with non-T2 asthma benefit from treatment with Tezepelumab regarding lung function, ACQ, and AQLQ. However, an extensive placebo-controlled trial is needed to confirm the clinically beneficial effects of Tezepelumab in non-T2 asthma patients.
- |||||||||| Clinical, Journal: Towards precision medicine in COPD: Targeting type 2 cytokines and alarmins. (Pubmed Central) - Jul 2, 2024
300 eosinophils/?L treated with dupilumab (anti-IL-4R?)...Several ongoing RCTs are evaluating the efficacy and safety of anti-TSLP (tezepelumab), anti-IL-33 (itepekimab, tozorakimab), and anti-ST2 (astegolimab) in patients with COPD, who experience exacerbations. In conclusion, targeting T2 inflammation or epithelial-derived alarmins might represent a step forward in precision medicine for the treatment of a subset of COPD.
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Review, Journal, Stroma: Thymic Stromal Lymphopoietin and Tezepelumab in Airway Diseases: From Physiological Role to Target Therapy. (Pubmed Central) - Jun 19, 2024 Several clinical trials are evaluating the safety and efficacy of Tezepelumab in various inflammatory disorders. In this review, we will highlight major recent advances in understanding the functional role of TSLP, its involvement in Th2-related diseases, and its suitability as a target for biological therapies.
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Journal: Tezepelumab in a case of severe asthma exacerbation and influenza-pneumonia on VV-ECMO. (Pubmed Central) - Jun 17, 2024 After administration of a single dose Tezepelumab, a novel TLSP-inhibitor, and otherwise unchanged therapy we documented a significant reduction in intrinsic PEEP measured via a naso-gastric balloon catheter and a narrowing in the expiratory flow curve of the ventilator within 24 hours. The consecutive ventilatory improvement allowed the successful weaning from veno-venous ECMO therapy and invasive ventilation.
- |||||||||| Review, Journal: Weighted Breaths: Exploring Biologic and Non-Biologic Therapies for Co-Existing Asthma and Obesity. (Pubmed Central) - Jun 15, 2024
Although many biologics presently indicated as add-on maintenance therapy for severe asthma exhibit efficacy in obese asthmatics, other phenotypes of asthma co-existing with obesity may be refractory to these medications. Thus, to improve quality of life and asthma control, it is imperative to identify therapeutic options for all existing phenotypes of obese asthma.
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Tezepelumab reduces the expression of MUC5AC in patients with asthma (A1) - May 31, 2024 - Abstract #ERS2024ERS_3516; Anti-TSLP treatment reduces the expression of MUC5AC independent of T2-biomarker status, possibly through a downregulation of the EGFR pathway. This could mechanistically explain how tezepelumab reduces mucus plugging.
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Can we trust the SOURCE ? Real world maintenance OCS reduction outcomes in complex severe asthmatics on Tezepelumab (PS-9; Poster board no. 6) - May 31, 2024 - Abstract #ERS2024ERS_2978; ARRIVAL will assess the potential of tezepelumab to enable withdrawal of maintenance ICS while maintaining asthma control in patients with severe, uncontrolled asthma. Despite the findings of the SOURCE RCT, our study shows that in a real-world severe asthma cohort, 6 doses of Tezepelumab enabled 69% of patients to achieve ?50% mOCS dose reduction,with 46% being able to essentially taper off.
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Pharmacokinetics, pharmacodynamics and safety of tezepelumab in children with asthma (PS-9; Poster board no. 5) - May 31, 2024 - Abstract #ERS2024ERS_2977; P1 Despite the findings of the SOURCE RCT, our study shows that in a real-world severe asthma cohort, 6 doses of Tezepelumab enabled 69% of patients to achieve ?50% mOCS dose reduction,with 46% being able to essentially taper off. The PK, PD and safety after a single 70 mg dose of tezepelumab in children were as expected from previous studies in other age groups, supporting further development of tezepelumab for children with asthma.
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Tezepelumab in eosinophilic granulomatosis with polyangiitis (EGPA) (PS-9; Poster board no. 4) - May 31, 2024 - Abstract #ERS2024ERS_2976; Neither experienced an EGPA relapse. Conclusion In a first ever report of tezepelumab use in EGPA, we describe clinically important improvements in two patients with refractory EGPA.
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Biomarkers and phenotyping: a holistic approach to asthma treatment with tezepelumab (PS-9; Poster board no. 2) - May 31, 2024 - Abstract #ERS2024ERS_2974; P2, P3 The clinical significance requires further assessment. Changes in biomarker levels over 52 weeks were not associated with on-treatment AAER with tezepelumab treatment; however, changes in some biomarkers correlated with improvements in lung function, asthma symptoms and QoL.
- |||||||||| Tezspire (tezepelumab-ekko) / AstraZeneca, Amgen
Time to first moderate or severe COPD exacerbation with tezepelumab (COURSE) (Lehar 3) - May 31, 2024 - Abstract #ERS2024ERS_2677; P2 Changes in biomarker levels over 52 weeks were not associated with on-treatment AAER with tezepelumab treatment; however, changes in some biomarkers correlated with improvements in lung function, asthma symptoms and QoL. Tezepelumab delayed the time to first moderate or severe COPD exacerbation, overall and across BEC subgroups.
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