We described three severe asthmatics whose asthma symptoms were rapidly improved by benralizumab following favorable response to mepolizumab. Benralizumab-induced eosinophil depletion contributed to clinical improvement of severe asthma after mepolizumab-induced eosinophil reduction; thus, prior favorable responses to mepolizumab may predict benralizumab efficacy.
Keywords: ACT, Asthma control test; BT, bronchial thermoplasty; Benralizumab; CT, computed tomography; Eosinophil; FEV1, expiratory volume in 1 second; FVC, forced vital capacity; FeNO, fraction of exhaled nitric oxide; ICS, inhaled corticosteroids; LABA, long-acting beta-agonist; LAMA, long-acting muscarinic antagonist; LTRA, leukotriene antagonist; Mepolizumab; Severe asthma.