Efficacy of tezepelumab against uncontrolled severe non-type 2 asthma refractory to bronchial thermoplasty, benralizumab, dupilumab and mepolizumab

© 2024 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology..

Severe asthma affects approximately 5%-10% of patients with asthma. Herein, we describe a case of non-type 2 asthma that progressively worsened over the years. An 80-year-old woman was diagnosed with asthma 11 years back. She experienced repeated exacerbations requiring treatment with systemic corticosteroid despite therapy with medications including high-dose inhaled corticosteroids/long-acting beta-agonists plus long-acting muscarinic antagonist. The patient presented with non-eosinophilic asthma. Therefore, the patient was initially treated with bronchial thermoplasty, which was effective for 1 year only. Treatment with bronchial thermoplasty, benralizumab, dupilumab, and mepolizumab was ineffective. The fourth treatment, which included tezepelumab, was initiated. The patient's symptoms and quality of life improved significantly. This is the first case of a patient who did not respond to sequential bronchial thermoplasty, benralizumab, dupilumab, and mepolizumab but who presented with good clinical response to tezepelumab. Therefore, tezepelumab may be useful for patients with non-type 2 asthma.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Respirology case reports - 12(2024), 3 vom: 27. März, Seite e01311

Sprache:

Englisch

Beteiligte Personen:

Kai, Yoshiro [VerfasserIn]
Suzuki, Kentaro [VerfasserIn]
Kataoka, Ryosuke [VerfasserIn]
Sato, Ichiro [VerfasserIn]
Tamaki, Shinji [VerfasserIn]
Muro, Shigeo [VerfasserIn]

Links:

Volltext

Themen:

Benralizumab
Bronchial thermoplasty
Case Reports
Dupilumab
Mepolizumab
Tezepelumab

Anmerkungen:

Date Revised 01.03.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1002/rcr2.1311

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369100344