Summary of studies investigating the efficiency of mepolizumab on EGPA patients

StudyCases, nMepolizumab
dose
Observation
period
OCS dosesOCS discontinuationSymptomRemissionRelapse
Wechsler ME et al. [5]136300 mg
q4w
52 weeks-↓ (ACQ-6)28%56%
Kitamura N et al. [10]6None stated12 weeks↓ (29%)---
Ueno M et al. [11]16300 mg
q4w
12 months↓ (62%)25%↓ (BVAS)75%-
Canzian A
et al. [12]
51100 or 300 mg
q4w
12 months↓ (61%)-↓ (BVAS)82%-
Ríos-Garcés R et al. [13]11100 or 300 mg
q4w
12 months↓ (45%)9%-27%
Nakamura Y et al. [14]13100 mg
q4w
12 months--↓ (VAS)--
Bettiol A et al. [15]191100 or 300 mg
q4w
24 months42%↓ (BVAS)-25%
Özdel Öztürk B et al. [16]25100 or 300 mg
q4w
12 months↓ (67%)---
Yamane T
et al. [17]
27None stated48 weeks↓ (80%)48%↓ (VDI)-4%
Nolasco S
et al. [7]
49100 or 300 mg
q4w
24 months↓ (75%)28%57%30%
Matsuno O [18]20300 mg
q4w
-↓ (61%)40%→ (ACT)--
Ishii T et al. [19]118300 mg
q4w
96 weeks↓ (71%)38%-5%

OCS: oral corticosteroid; ACQ-6: asthma control questionnaire-6; BVAS: Birmingham Vasculitis Activity Score; VAS: visual analogue scale; VDI: vasculitis damage index; ACT: asthma control test; q4w: every 4 weeks; ↓: reduction; →: no change; -: no data