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FDA Approves Nucala for Chronic Obstructive Pulmonary Disease

  • On May 23, 2025, the FDA authorized the use of Nucala as a supplementary maintenance therapy for adults in the US whose chronic obstructive pulmonary disease remains inadequately managed.
  • This approval followed the phase 3 MATINEE and METREX trials that tested Nucala 100 mg subcutaneously every four weeks alongside triple inhaled therapy.
  • The MATINEE trial enrolled 804 patients with blood eosinophil counts of at least 300 cells/μL and demonstrated that adding Nucala to triple inhaled therapy significantly lowered the yearly rate of moderate to severe COPD flare-ups compared to placebo by 21%.
  • In METREX, patients on Nucala experienced 1.40 exacerbations per year versus 1.71 for placebo, with a rate ratio of 0.82; adverse events were comparable between groups.
  • These results suggest Nucala offers a new option for about 70% of US COPD patients with BEC ≥150 cells/μL who remain uncontrolled despite triple therapy and face exacerbations.
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FDA Approves Nucala for Chronic Obstructive Pulmonary Disease

FRIDAY, May 23, 2025 (HealthDay News) -- The U.S. Food and Drug Administration has approved Nucala (mepolizumab) as an add-on maintenance treatment for adult patients with inadequately controlled chronic obstructive pulmonary disease (COPD).

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hcplive.com broke the news in on Wednesday, May 21, 2025.
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