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                                                                Synonyms: Nucala® | SB-240563
                                 
                                                         
                            
                            
                            
                                 
                                
                                mepolizumab is an approved drug (EMA & FDA (2015)) 
                                                        
                                                    
                                Compound class: 
                                                            Antibody
                                 
                                
                                    
                                        Comment: The Nucala® brand of mepolizumab is a humanized interleukin-5 antagonist monoclonal antibody produced by recombinant DNA technology in Chinese hamster ovary cells.
                                    
                                 
                            
                            
                          
                                
                                    
                                
                          
                                View more information in the IUPHAR Pharmacology Education Project: mepolizumab  | 
                                    
| Immunopharmacology Comments | 
| IL-5 is a major driver of eosinophil growth, differentiation, recruitment, activation, and survival and is considered an important factor in asthma pathogenesis [4]. Mepolizumab-mediated neutralisation of IL-5 activity leads to a reduction in eosinophil numbers in blood, tissue and sputum and this effect underlies the drug's anti-inflammatory action. Nucala® became the first respiratory biologic to be authorised for self-administration [1], following FDA approval of autoinjector and pre-filled safety syringe versions of the drug in June 2019. | 
| Immunopharmacology Disease | |||
| Disease | X-Refs | Comment | References | 
| Asthma | 
                                                                    
                                                                        Disease Ontology: 
                                                                        DOID:2841 OMIM: 600807  | 
                                                                Approved therapeutic for severe eosinophilic asthma. | |
| Hypereosinophilic syndrome, idiopathic; HES | 
                                                                    
                                                                        OMIM: 
                                                                        607685 Orphanet: ORPHA3260  | 
                                                                FDA and EMA orphan therapy for hypereosinophilic syndrome and eosinophilic granulomatosis with polyangiitis (also known as Churg-Strauss syndrome or allergic granulomatosis). | |