Asthma Injection Can Cut Risk Of Suffering Severe Attack 'By Up To A Half'

Asthma affects around 315 million people worldwide.

A new injection has the power to significantly decrease attacks in patients with severe, uncontrollable asthma, a new study has found.

In two trials, the benralizumab injection reduced the risk of shortness of breath, wheezing and chest tightness by up to a half. 

Researchers said the findings support the use of benralizumab as an add-on therapy for treating severe asthma.

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Asthma affects an estimated 315 million people worldwide, approximately 10% of whom have severe or uncontrolled asthma. 

“Patients with severe, uncontrolled asthma have very few treatment options once they are already taking high-dose inhaled corticosteroids and long-acting beta agonists,” said lead author of the second trial, Professor Eugene Bleecker from the Wake Forest School of Medicine, USA.

The two new trials of more than 2,500 patients, published in The Lancet and presented at the European Respiratory Society meeting in London, looked at the effect of benralizumab on patients with this severe form of asthma.

They found the injection cut the rates of exacerbation - shortness of breath, wheezing and chest tightness - significantly. 

In the first trial, a monthly injection resulted in a 28-36% reduction in exacerbation rates compared to the placebo injection.

In the second trial, it resulted in a 45-51% reduction in attacks. 

Researchers said the drug works by targeting and killing the IL-5 receptor in the body. This receptor is responsible for helping eosinophil, a type of white blood cell which controls asthma, survive.

Many patients with severe, uncontrolled asthma have high levels of eosinophils in the blood and airways, which can cause frequent asthma attacks and impaired lung function.

Lead author of the first trial, Professor J. Mark FitzGerald from the University of British Columbia, Canada, said: “The results from both trials indicate that benralizumab treatment once every four or eight weeks decreased eosinophil counts, reduced asthma exacerbations, and improved lung function for patients with severe, uncontrolled asthma with eosinophilia.

“Additional therapeutic options to control severe asthma are urgently needed and our findings support the use of benralizumab as an add-on therapy for the treatment of severe asthma with persistent eosinophilia.”

Dr Samantha Walker, director of research and policy at Asthma UK, told The Huffington Post UK: “This new drug is one of a similar group being developed that we think offers genuine hope for many of the people in the UK who have a certain type of asthma that does not respond to current treatments.

“These people struggle to breathe every day, restricting their ability to carry out everyday activities such as going to work or school and severely effecting their quality of life.”

She added: “While new drugs like the one announced today are very exciting for people with a certain type of asthma, there are many other types of asthma that don’t respond to current treatments.  

“We still desperately need more investment in research to better understand the underlying causes of these other types of asthma so that new treatments can be developed.”

What To Do If Someone Is Having An Asthma Attack
What To Do If Someone Is Having An Asthma Attack(01 of11)
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(credit:Alamy)
Step One(02 of11)
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Ask if they have their reliever inhaler (usually blue) and where it is. You may need to get it out of their bag for them. (credit:Alamy)
Step Two(03 of11)
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Encourage them to take one to two puffs of their reliever inhaler. (credit:Alamy)
Step Three(04 of11)
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Make sure they are sitting up. (credit:Alamy)
Step Four(05 of11)
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Encourage them to take slow and steady breaths. (credit:Alamy)
Step Five(06 of11)
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Keep them calm and reassure them. (credit:Alamy)
Step Six(07 of11)
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If they are still not feeling better after two minutes they can take two puffs of their reliever again and continue to do so every two minutes (up to a maximum of 10 puffs). (credit:Alamy)
Step Seven(08 of11)
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If they feel better, they should be OK to carry on with their day - but make sure they see a doctor as soon as possible (ideally the same day). (credit:Alamy)
Step Eight(09 of11)
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If at any time you are worried about them, call an ambulance. (credit:Alamy)
Step Nine(10 of11)
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If after 10 minutes they don't feel better and their inhaler doesn't seem to be helping them, then call an ambulance. (credit:Alamy)
Step 10(11 of11)
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If the ambulance hasn't arrived after 10 minutes then the sufferer should repeat Step 6, until help arrives. (credit:Alamy)

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