From: Monoclonal antibodies in idiopathic chronic eosinophilic pneumonia: a scoping review
Doses | Number of participants | Duration of follow-up after biological | Age/sex/Comorbidities | Outcomes | Case report reference | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Respiratory symptoms | Relapses | Systemic corticosteroid | Radiological findings | Lung function | Quality of life | Adverse events | |||||
30Â mg every 4 weeks for 3 doses then every 8 weeks | 1 | 8 months | Male, 16 years old. Cortico dependent evolution, weight gain, muscle weakness | Symptom improvement immediately after onset | No relapses after initiation | OS dose was reduced after 4 months, then stopped | Not described | Improvement after the start a | Improvement after the start a | No adverse events during handling | David, Y. et al. 2021 [22]. |
Single dose, no dose mentioned | 1 | 9 months | Female, 43 years old. Smoker: 10 cigarettes/day. Relapse, refused restarting systemic corticosteroids | Improvement after administration in the first week | None after start | They did not indicate him, only biological | Significant improvement at one month | Not described | Not described | Not described | Izumo et al. 2020 [23]. |
30Â mg single dose | 1 | 4 months | Female, 58 years old. Severe asthma, eosinophilic otitis media. Frequent relapses. Did not undergo LBA | Symptom improvement at 2 weeks, asymptomatic at 8 weeks | None after start | Not indicated, the biological was started | Improvement at 2 weeks with complete resolution at 8 weeks | FENO reduction at 2 weeks (102 vs. 82) | Not described | Not described | Isomoto et al. 2020 [24]. |
30Â mg every 4 weeks, for 3 doses | 1 | 3 months | Female, 31 years old. Did not undergo LBA. Did not accept treatment with a systemic steroid | Improvement at 2 weeks | None after start | They did not indicate him, only biological | Normalization at 5 weeks | Not described | Not described | Not described | Izhakian et al. 2022 [25]. |
30Â mg every 4 weeks for 3 doses, then 30Â mg every 8 weeks | 1 | 24 months | Female, 52 years old. Asthma: multiple relapses | Complete improvement with ACT at 2 months | None after initiation of treatment. Sustained clinical and radiological improvement at 6, 9, and 24 months of follow-up | Allows reduction of corticosteroid 2 months after starting treatment | Complete resolution at 7 months (TC) | Normalization 5 months after treatment | Not described | No adverse events during handling | Angeletti et al. 2022 [26]. |
Do not describe | 1 | Not described | Female, 83 years old. Severe asthma, eosinophilic bronchiolitis | Improvement after the start a | None after start a | Tolerated descent and withdrawal a | Resolution after treatment a | Improvement after the start a | Improvement a | No adverse events during handling | Takano et al. 2021 [27]. |
30Â mg every 4 weeks for 3 doses, then 30Â mg every 8 weeks | 1 | 30 months | Male, 57 years old. Asthma, allergic rhinitis, eczema, anxiety, depression, prostate hypertrophy. Cortico dependence, type 2 diabetes, osteopenia | Improvement after the start. a | None after the start. Continued with management without relapses | Reduction at 3 weeks | Resolution after treatment a | Improvement after treatment a | Not described | Not described | Ricketti & Ricketti 2021 [28]. |
30Â mg every 4 weeks | 1 | 12 months | Female, 70 years old. Severe asthma | Improvement a week | None after start | Not indicated. The biological was started | Improvement after a week, with complete resolution at 4 weeks | Improvement at 4 weeks after handling | Not described | No adverse events during handling | Yazawa et al. 2021 [29]. |
Not mentioned | 1 | Not described | Male, 57 years old. Smoker, 20 pack-years. Cortico dependent | Improvement after the start a | Not described | Not described | Not described | Not described | Not described | Not described | Braga et al. 2020 [30]. |
30Â mg every 4 weeks | 1 | Not described | Female, 31 years old. Steroid-induced diabetes, Cushing syndrome, oxygen requirement | Improvement within a week (less need for oxygen) | Not described | Not described | Not described | Not described | Not described | Not described | Garcia-Saucedo et al. 2019 [31]. |