Vasculitis & polymyalgia rheumatica

Long‐Term Safety and Efficacy of Mepolizumab in Eosinophilic Granulomatosis With Polyangiitis

Arthritis RheumatolPublished Open-label extension study of the MIRRA randomised trial

Authors' conclusion

Long-term use of mepolizumab to treat EGPA was well tolerated and resulted in sustained reductions in OCS use.

Study context

Population
Patients with eosinophilic granulomatosis with polyangiitis (EGPA) from MIRRA who required oral corticosteroids (OCS) ≥5 mg/day up to six months after the end of MIRRA
Participants
100 patients
Primary endpoint
Key outcomes: AEs and use of OCS
Methodological detailsmulticentre, single-group
  • Multicentre
  • Single-group

Primary result

As reported in the abstract

OCS dose, median

Further findings

Patients using OCS >7.5 mg/day

Discontinued OCS · study exit

Patients who discontinued OCS
28%

Safety

On-treatment adverse events (AEs)

On-treatment AEs
98%
Treatment-related AEs
43%
Injection site reaction (most frequent)
10%

Serious AEs

Serious AEs
38%
Treatment-related serious AEs
6%
No new safety signals vs MIRRA identified

Original publication

Long‐Term Safety and Efficacy of Mepolizumab in Eosinophilic Granulomatosis With Polyangiitis. Arthritis Rheumatol. Published 20 April 2025. doi:10.1002/art.43146

Composed by AI from the published abstract and checked against it. How Briefs are made →

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