Effect of Benralizumab on Airway Remodeling in Asthma
The anti-interleukin (IL)-5 receptor benralizumab inhibits eosinophilic inflammation but its potential effect on airway remodeling remains unknown. The main objective of this study is to assess the effect of benralizumab in an in vitro model of airway remodeling using cells obtained from asthmatic patients.
⁃ Healthy subjects
• Written informed consent indicating that they understand the purpose and procedures required for the study and are willing to participate in the study.
• Age higher than 18 years.
• No prior history of any chronic respiratory disease including asthma.
• No prior history of allergy, i.e. allergic rhinitis, allergic conjunctivitis, hay fever, eczema.
• No clinically significant abnormalities as determined by medical history, measurement of vital signs, physical examination, hematologic assessments and ECG at visit 1.
• Normal lung function with FEV1 \> 90%.
⁃ Non-severe asthmatics subjects
• • Written informed consent indicating that they understand the purpose and procedures required for the study and are willing to participate in the study.
• Age higher than 18 years.
• Diagnosis of non-severe asthma according to the Global Initiative for Asthma (GINA), i.e. GINA steps 1, 2 or 3 (18).
• Documented post-bronchodilator reversibility of at least 12% and at least 200 mL in FEV1 within 12 months before enrolment, or PC20 methacholine \< 16 mg/mL documented within 12 months prior to screening.
• Documented blood eosinophils ≥300 cells per μL within 12 months or blood eosinophils ≥150 cells per μL at visit 1.
⁃ Severe asthmatics subjects
• • Written inform consent indicating that they understand the purpose and procedures required for the study and are willing to participate in the study.
• Age higher than 18 years.
• Diagnosis of severe asthma according to the American Thoracic Society (ATS)/European Respiratory Society (ERS) task force (19).
• Documented post-bronchodilator reversibility of at least 12% and at least 200 mL in FEV1 within 12 months before enrolment.
• Documented blood eosinophils ≥300 cells per μL within 12 months or blood eosinophils ≥150 cells per μL at visit 1.