Comparative real-world effectiveness and safety of benralizumab and two mepolizumab dosing regimens in eosinophilic granulomatosis with polyangiitis: a 24-month prospective single-center cohort study - Takeaways - MDSpire

Comparative real-world effectiveness and safety of benralizumab and two mepolizumab dosing regimens in eosinophilic granulomatosis with polyangiitis: a 24-month prospective single-center cohort study

  • By

  • Marta Codirenzi

  • Federica Davanzo

  • Luca Iorio

  • Eleonora Fiorin

  • Gabriella Guarnieri

  • Fulvia Chieco Bianchi

  • Alessia Achille

  • Maria Rita Marchi

  • Andrea Vianello

  • Andrea Doria

  • Roberta Ramonda

  • Roberto Padoan

  • June 15, 2026

  • 0 min

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  • 1

    The study evaluated the effectiveness of benralizumab and two mepolizumab dosing strategies in patients with eosinophilic granulomatosis with polyangiitis.

  • 2

    After 24 months, remission rates were 73.7% for benralizumab and 81.0% for mepolizumab 300 mg, with no significant differences between the treatments.

  • 3

    Glucocorticoid-free status improved significantly, reaching 63.2% with benralizumab and 85.7% with mepolizumab 300 mg at 24 months.

  • 4

    Eosinophil counts decreased markedly, with near-complete suppression observed in the benralizumab group, indicating effective eosinophil-targeted therapy.

  • 5

    The study concluded that anti–IL-5/IL-5R biologics are effective and well tolerated, supporting individualized treatment strategies in EGPA.

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