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Published on: November 4, 2010
Evidence-Based Approach of Biologic Therapy in Bronchial Asthma
Adnan Liaqat1, Mathew Mason2, Brian Foster3
1Pulmonary and Critical Care Medicine, McLaren Health/Michigan State University, Flint, MI 48532, USA.
Abstract:
The emergence of biologic agents in the treatment of bronchial asthma has a wide impact on improving quality of life, reducing morbidity, and overall health care utilization. These therapies usually work by targeting specific inflammatory pathways involving type 2 inflammation and are particularly effective in severe eosinophilic asthma. Various randomized controlled trials have shown their effectiveness by reducing exacerbation rates and decreasing required glucocorticoid dosages. One of the relatively newer agents, tezepelumab, targets thymic stromal lymphoprotein and has proven its efficacy in patients independent of asthma phenotype and serum biomarker levels. This article reviews the pathophysiologic mechanism behind biologic therapy and offers an evidence-based discussion related to the indication, benefits, and adverse effects of such therapies.
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