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Evaluation of sputum eosinophil count as a predictor of treatment response to mepolizumab

Ian D. Pavord, Roland Buhl, Monica Kraft, Charlene M. Prazma, Robert G. Price, Peter H. Howarth, Steven W. Yancey
ERJ Open Research 2022 8: 00560-2021; DOI: 10.1183/23120541.00560-2021
Ian D. Pavord
1Respiratory Medicine Unit and Oxford Respiratory National Institute for Health Research Biomedical Research Centre, Nuffield Dept of Medicine, Oxford, UK
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Roland Buhl
2Pulmonary Dept, Johannes Gutenberg University of Mainz, Mainz, Germany
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Monica Kraft
3Dept of Medicine, University of Arizona, Tucson, AZ, USA
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Charlene M. Prazma
4Global Respiratory Franchise, GSK, Research Triangle Park, NC, USA
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  • For correspondence: charlene.m.prazma@gsk.com
Robert G. Price
5Biostatistics, GSK, Stevenage, Hertfordshire, UK
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  • ORCID record for Robert G. Price
Peter H. Howarth
6Respiratory Medical Franchise, GSK, Brentford, UK
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Steven W. Yancey
7Respiratory Therapeutic Area, GSK, Research Triangle Park, NC, USA
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    FIGURE 1

    Predicted annualised rates of clinically significant exacerbations at week 52, by a) baseline sputum eosinophil count and b) baseline blood eosinophil count; c) rate ratio (mepolizumab/placebo) of clinically significant exacerbations, by sputum and blood eosinophil count thresholds. Shaded areas in panels a) and b) represent 95% confidence intervals for predicted rates; arrows represent predicted events per year at baseline eosinophil thresholds. The analyses of clinically significant exacerbations included all patients with sputum samples and a) sputum eosinophil data available at baseline (mepolizumab: n=62 (n=18, 23 and 21 in the 75, 250 and 750 mg intravenous (i.v.) arms, respectively); placebo: n=24) and b) blood eosinophil data available at baseline (mepolizumab: n=67 (n=20, 24 and 23 in the 75, 250 and 750 mg i.v. arms, respectively); placebo: n=27). Owing to small sample sizes, statistical testing was not performed on these data.

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Evaluation of sputum eosinophil count as a predictor of treatment response to mepolizumab
Ian D. Pavord, Roland Buhl, Monica Kraft, Charlene M. Prazma, Robert G. Price, Peter H. Howarth, Steven W. Yancey
ERJ Open Research Apr 2022, 8 (2) 00560-2021; DOI: 10.1183/23120541.00560-2021

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Evaluation of sputum eosinophil count as a predictor of treatment response to mepolizumab
Ian D. Pavord, Roland Buhl, Monica Kraft, Charlene M. Prazma, Robert G. Price, Peter H. Howarth, Steven W. Yancey
ERJ Open Research Apr 2022, 8 (2) 00560-2021; DOI: 10.1183/23120541.00560-2021
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