Dexpramipexole depletes blood and tissue eosinophils in nasal polyps with no change in polyp size.


Journal

The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378

Informations de publication

Date de publication:
02 2019
Historique:
received: 10 08 2018
accepted: 20 08 2018
pubmed: 5 10 2018
medline: 21 5 2019
entrez: 5 10 2018
Statut: ppublish

Résumé

Chronic rhinosinusitis with nasal polyps (CRSwNP) and eosinophilia is a disease of the upper respiratory tract for which few therapies are available. Because the oral investigational drug dexpramipexole serendipitously decreased blood eosinophils in amyotrophic lateral sclerosis studies, we assessed its safety, eosinophil-lowering activity, and preliminary clinical efficacy in patients with CRSwNP and eosinophilia. Sixteen subjects with CRSwNP, absolute eosinophil count (AEC) ≥ 0.300 × 10 Thirteen of 16 subjects completed 6 months of dexpramipexole treatment. Geometric mean baseline AEC was 0.525 ± 0.465 eosinophils × 10 Dexpramipexole treatment produced profound eosinophil-lowering in peripheral blood and nasal polyp tissue. Despite the near-elimination of polyp eosinophils, decreased TPS and nasal symptom improvement were not observed. 2 Laryngoscope, 129:E61-E66, 2019.

Identifiants

pubmed: 30284267
doi: 10.1002/lary.27564
doi:

Substances chimiques

Antioxidants 0
Pramipexole 83619PEU5T

Types de publication

Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

E61-E66

Subventions

Organisme : Knopp Biosciences, LLC.
Pays : International

Informations de copyright

© 2018 The American Laryngological, Rhinological and Otological Society, Inc.

Auteurs

Tanya M Laidlaw (TM)

Brigham and Women's Hospital, Division of Rheumatology, Immunology, and Allergy, Boston, Massachusetts.

Calman Prussin (C)

Knopp Biosciences, LLC, Pittsburgh.

Reynold A Panettieri (RA)

Rutgers Institute for Translational Medicine and Science, New Brunswick, New Jersey.

Stella Lee (S)

University of Pittsburgh, Pittsburgh.

Berrylin J Ferguson (BJ)

University of Pittsburgh, Pittsburgh.

Nithin D Adappa (ND)

University of Pennsylvania, Philadelphia, Pennsylvania.

Andrew P Lane (AP)

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.

Marina L Palumbo (ML)

Brigham and Women's Hospital, Division of Rheumatology, Immunology, and Allergy, Boston, Massachusetts.

Mary Sullivan (M)

Knopp Biosciences, LLC, Pittsburgh.

Don Archibald (D)

Knopp Biosciences, LLC, Pittsburgh.

Steven I Dworetzky (SI)

Knopp Biosciences, LLC, Pittsburgh.

Gregory T Hebrank (GT)

Knopp Biosciences, LLC, Pittsburgh.

Michael E Bozik (ME)

Knopp Biosciences, LLC, Pittsburgh.

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