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Reslizumab

Brand and Other Names: CINQAIR
Mechanism of Action:

Binds to IL-5, inhibiting eosinophil growth, activation, and survival.

Indications:

Indicated for patients ≥18 years with severe eosinophilic asthma as add-on therapy.

Route: intravenous
Dose:

Dosage: 3 mg/kg every 4 weeks.

Infusion duration: 20–50 minutes.

Adverse Reactions:

Common (>2%): Oropharyngeal pain.

CPK Elevation and muscle-related symptoms:

  • Myalgia (1%)

  • Elevated CPK without symptoms (up to 20%)

Immunogenicity: Anti-drug antibodies developed in ~5% of patients; no impact observed on efficacy or safety.

Contraindication:

CINQAIR is contraindicated in patients who have known hypersensitivity to reslizumab or any of its excipients.

Warnings and Precautions:

Anaphylaxis 

Not for acute asthma symptoms.

Malignancy – higher incidence (0.6% vs. 0.3%) in treated vs placebo groups.

Corticosteroid Tapering – must be gradual.

Helminth Infections – treat prior to therapy; discontinue if unresponsive during treatment.

See package insert for full prescribing information.