articleNew England Journal of MedicineMay 21, 2023GREEN OA

Dupilumab for COPD with Type 2 Inflammation Indicated by Eosinophil Counts

University of Alabama at Birmingham · German Center for Lung Research · +9 more institutions

PubMed
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Abstract

In some patients with chronic obstructive pulmonary disease (COPD), type 2 inflammation may increase exacerbation risk and may be indicated by elevated blood eosinophil counts. Dupilumab, a fully human monoclonal antibody, blocks the shared receptor component for interleukin-4 and interleukin-13, key drivers of type 2 inflammation. Download a PDF of the Research Summary. In a phase 3, double-blind, randomized trial, we assigned patients with COPD who had a blood eosinophil count of at least 300 per microliter and an elevated exacerbation risk despite the use of standard triple therapy to receive dupilumab (300 mg) or placebo subcutaneously once every 2 weeks. The primary end point was the annualized rate of…

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