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May 20, 2026American Journal of Respiratory and Critical Care Medicine

C70-14 Comparative Effectiveness and Safety of Benralizumab Versus Dupilumab in Severe Eosinophilic Asthma: A Real-world Propensity-matched Analysis

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Authors

APA PrasadGCG ChilingarashviliAMA Mondal

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Overview

Retrospective analysis compares effectiveness and safety of benralizumab and dupilumab in adults with severe eosinophilic asthma, indicating equivalent safety profiles.

Key Points

  • This research aimed to compare the real-world effectiveness and safety of benralizumab and dupilumab in adults with severe eosinophilic asthma.
  • Conducted a retrospective analysis using TriNetX Research Network data from 110 healthcare organizations.
  • Included adults aged ≥18 with severe persistent asthma and eosinophilia, excluding those on mepolizumab or other biologics.
  • Performed 1:1 propensity-score matching across demographic and clinical covariates.
  • The incidence of acute respiratory failure was 5.7% for dupilumab and 7.0% for benralizumab (HR 0.77, p=0.19).
  • Major adverse cardiovascular events occurred in 6.6% of the dupilumab group and 6.9% of the benralizumab group (HR 0.91, p=0.73).
  • All-cause mortality was 2.0% for dupilumab compared to 2.6% for benralizumab (HR 0.75, p=0.39).

Cite This Study

Prasad et al. (2026) studied this question.

synapsesocial.com/papers/6a0d5013f03e14405aa9bad7https://doi.org/10.1093/ajrccm/aamag162.627
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