Hope for Millions: A Breakthrough Therapy for Asthma and COPD Flare-ups
Every 30 seconds, someone worldwide experiences a sudden worsening of their asthma or chronic obstructive pulmonary disease (COPD). These flare-ups can be life-threatening, and for decades, the standard treatment has been steroids like prednisolone. Unfortunately, this therapy isn’t effective for everyone and carries serious side effects. Nearly one-third of patients treated with steroids will see their symptoms return within a month, needing more treatment and facing increased risks.
"But what if there was a better option?" asks a new study published in The Lancet Respiratory Medicine, which may offer a revolutionary solution.
The study focused on a drug called benralizumab, delivered through an injection. It targets a specific type of white blood cell called eosinophils, which play a key role in triggering inflammation during these flare-ups. Eosinophilic inflammation is a factor in at least half of asthma cases and one-third of COPD cases.
The research involved 158 patients at two UK hospitals experiencing asthma or COPD flare-ups. Participants were randomly assigned to one of three groups: standard treatment with prednisolone tablets, a single injection of benralizumab alone, or a combination of the two.
The results were striking.
The "rate of treatment failure" – defined as the need for further therapy, hospitalization, or unfortunately, death within 90 days – was dramatically reduced for those treated with benralizumab.
Seventy-four percent of those receiving only prednisolone experienced treatment failure within 90 days, compared to just 47% with benralizumab alone and 42% with the combination. Pooling the benralizumab groups, the treatment failure rate was a remarkable 45%, almost 30% better than the standard prednisolone treatment.
"For every four patients given benralizumab, one treatment failure was avoided," notes the study.
The benefits extended beyond treatment failure rates: patients receiving benralizumab reported faster symptom relief and improved quality of life. This meant easier breathing and reduced discomfort. Benralizumab also proved safer, avoiding side effects commonly linked to prednisolone like high blood sugar. This benefit is particularly important for people at high risk from repeated steroid use, including older adults and those with diabetes or osteoporosis.
While a lower dose of benralizumab is already approved for long-term asthma management, the higher dose used in this study for flare-ups isn’t yet licensed.
Phase 3 trials are planned to confirm these findings with broader, more diverse populations. If successful, benralizumab could be the first new treatment for eosinophilic exacerbations of asthma and COPD in over 50 years.
Think about it: in the time you took to read this article, 40 people experienced an eosinophilic asthma or COPD flare-up. Under current treatments, 30 of these individuals will likely need further care within 90 days. Benralizumab offers the potential to break this cycle, transforming how we manage these common and debilitating conditions.
Could this drug be the breakthrough we’ve been waiting for? This new evidence suggests it just might be.
Will Americans Benefit?
This innovative therapy holds immense promise for millions of Americans struggling with asthma and COPD.
American researchers are eagerly awaiting the results of these larger-scale trials. If successful, benralizumab could revolutionize treatment options for countless individuals seeking relief from debilitating flare-ups.
The potential for reduced healthcare costs and improved quality of life for Americans battling these respiratory conditions is tremendous.
Stay tuned as this promising new treatment progresses through trials – it could be a game-changer for millions.