Current and Novel Biologic Therapies for Patients with Asthma and Nasal Polyps

Otolaryngol Clin North Am. 2024 Apr;57(2):225-242. doi: 10.1016/j.otc.2023.08.006. Epub 2023 Sep 9.

Abstract

A substantial portion of asthma and nasal polyps (NPs) share a common pathogenesis, which includes type 2-mediated inflammation. Distinct endotypes and phenotypes characterizing asthma and chronic rhinosinusitis have been identified. With emerging evidence describing pathophysiology, novel targets for biologic monoclonal antibody treatments have been developed. There are currently six biologic therapies approved by the US Food and Drug Administration to treat asthma, including omalizumab, mepolizumab, reslizumab, benralizumab, dupilumab, and tezepelumab, three of these-omalizumab, mepolizumab, and dupilumab-are also approved for NPs.

Keywords: Asthma; Biologics; Chronic rhinosinusitis; Endotypes; Nasal polyps; Phenotypes; Th2-mediated inflammation.

Publication types

  • Review

MeSH terms

  • Asthma* / drug therapy
  • Biological Therapy
  • Humans
  • Nasal Polyps* / drug therapy
  • Omalizumab / therapeutic use
  • United States

Substances

  • Omalizumab

Supplementary concepts

  • Asthma and Nasal Polyps