1. The efficacy and safety of reslizumab for inadequately controlled asthma with elevated blood eosinophil counts: A systematic review and meta-analysis.
- Author
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Li, Jinfeng, Wang, Fangfang, Lin, Cunzhi, Du, Jianxin, Xiao, Baohong, Du, Chunhua, and Sun, Jiaxing
- Subjects
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ASTHMA treatment , *MONOCLONAL antibodies , *IMMUNOGLOBULINS , *CELL death , *PLACEBOS - Abstract
Context: Reslizumab is a humanised anti-interleukin 5 monoclonal antibody that disrupts eosinophil maturation and promotes programmed cell death. Objective: We carried out a systematic review and meta-analysis to assess the efficacy and safety of the drug in patients with inadequately controlled, eosinophilic asthma. Data sources: The search included the following databases: MEDLINE, EMBASE, and the Cochrane Controlled Trials Register. Study selection: A literature review was performed to identify all published randomized double-blind, placebo-controlled trials of reslizumab for the treatment of inadequately controlled, eosinophilic asthma. Data extraction: Two reviewers independently extracted and verified pre-defined data fields. Results: Four publications including 5 RCTs that compared reslizumab with placebo. For the comparison of reslizumab with placebo, asthma exacerbation (odds ratio (OR) = 0.46, 95% confidence interval (CI) = 0.35 to 0.59, p <0.00001); a forced expiratory volume in 1 s (FEV1) (the standardized mean difference (SMD) = 0.16, 95%CI = 0.10 to 0.23, p <0.00001); Asthma Control Questionnaire (ACQ) score (the SMD = −0.26, 95%CI= −0.36 to −0.16, p <0.00001); blood eosinophil counts (the SMD = −475.62, 95%CI = −528.41 to −422.83, p <0.00001). Safety assessments included the proportion of individuals who withdrawn due to adverse event (AE) (OR = 0.60 95%CI = 0.38 to 1.17, p = 0.16) indicated that reslizumab was well tolerated. Limitations: The article didn't research the safety, efficacy of reslizumab with longer term. Conclusions: This meta-analysis indicates that reslizumab to be an effective and safe treatment for inadequately controlled, eosinophilic asthma. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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