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Dual Biologic therapy- is it safe in patients with concomitant severe asthma and other immune-mediated diseases?

M E Navarrete Rouco, N Carballo, I Bobolea, E Martínez-Moragón, S Pascual.Erquicia, M Labrador, M A Rancionero, P Ausin
European Respiratory Journal 2022 60: 3970; DOI: 10.1183/13993003.congress-2022.3970
M E Navarrete Rouco
Hospital del Mar, Barcelona (Barcelona), Spain
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N Carballo
Hospital del Mar, Barcelona (Barcelona), Spain
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I Bobolea
Hospital del Mar, Barcelona (Barcelona), Spain
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E Martínez-Moragón
Hospital del Mar, Barcelona (Barcelona), Spain
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S Pascual.Erquicia
Hospital del Mar, Barcelona (Barcelona), Spain
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M Labrador
Hospital del Mar, Barcelona (Barcelona), Spain
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M A Rancionero
Hospital del Mar, Barcelona (Barcelona), Spain
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P Ausin
Hospital del Mar, Barcelona (Barcelona), Spain
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Abstract

Introduction: dual biologic therapy (DBT) in asthma and immune-mediated disease (IMD) has been occasionally reported. However, adverse effects of DBT have not been studied.

Aims: To describe safety data for patients receiving DBT for severe asthma and other IMD.

Methods: Retrospective observational multicentre study performed in five Asthma Units in Spain during 2019-2021. Patients with DBT, mepolizumab or benralizumab for eosinophilic asthma and another biologic agent for other IMD, were included. Demographics-clinical data, concomitant IMD, DBT duration and biological treatment, were collected. Safety data, assessed by occurrence of adverse effects (AEs)(neoplasia, cardiovascular or cerebrovascular events, autoimmune phenomena, infections, haematological AEs, liver toxicity or others) were evaluated at 4,6,12,18,24 months. Results are presented as median(IQR) and porcentages for quantitative and qualitative data respectively.

Results: Six patients were analysed: 5(83%) female(F), 63(59-70) years, and concomitant diseases: rheumatological (4,66%), haematological (1,17%) and digestive (1,17%). Baseline clinical asthma characteristics were ACT 11(9-12), FEV1 59%(54-65) and blood eosinophil count 387(223-1025) u/mcL. Duration of DBT was 14(8-22) months. No AEs were reported during the study period. 

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Conclusions: There were no treatment suspensions by interaction between biological therapies or AE.

  • Asthma - management
  • Pharmacology
  • Treatments

Footnotes

Cite this article as Eur Respir J 2022; 60: Suppl. 66, 3970.

This article was presented at the 2022 ERS International Congress, in session “-”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2022
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Dual Biologic therapy- is it safe in patients with concomitant severe asthma and other immune-mediated diseases?
M E Navarrete Rouco, N Carballo, I Bobolea, E Martínez-Moragón, S Pascual.Erquicia, M Labrador, M A Rancionero, P Ausin
European Respiratory Journal Sep 2022, 60 (suppl 66) 3970; DOI: 10.1183/13993003.congress-2022.3970

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Dual Biologic therapy- is it safe in patients with concomitant severe asthma and other immune-mediated diseases?
M E Navarrete Rouco, N Carballo, I Bobolea, E Martínez-Moragón, S Pascual.Erquicia, M Labrador, M A Rancionero, P Ausin
European Respiratory Journal Sep 2022, 60 (suppl 66) 3970; DOI: 10.1183/13993003.congress-2022.3970
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