Reslizumab
Binds to IL-5, inhibiting eosinophil growth, activation, and survival.
Indicated for patients ≥18 years with severe eosinophilic asthma as add-on therapy.
Dosage: 3 mg/kg every 4 weeks.
Infusion duration: 20–50 minutes.
Common (>2%): Oropharyngeal pain.
CPK Elevation and muscle-related symptoms:
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Myalgia (1%)
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Elevated CPK without symptoms (up to 20%)
Immunogenicity: Anti-drug antibodies developed in ~5% of patients; no impact observed on efficacy or safety.
CINQAIR is contraindicated in patients who have known hypersensitivity to reslizumab or any of its excipients.
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.